CSM COMMUNITY PHYSICIAN NPI 1366773780

NPI Information

  • NPI: 1366773780
  • Provider Name: CSM COMMUNITY PHYSICIAN
  • Classification: Clinic/Center - 261QM2500X
  • Specialization: Medical Specialty
  • Entity Type: Organization
  • Doing Business As: CSMCP CARDIAC RHYTHM SPECIALIST
  • Address: 2700 W 9TH AVE
    SUITE 106
    OSHKOSH, WI
    ZIP 54904
  • Phone: (414) 298-7280

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NPI Details

CSM COMMUNITY PHYSICIAN is a medical specialty clinic center in Oshkosh, WI. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). CSM COMMUNITY PHYSICIAN NPI is 1366773780. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Csmcp Cardiac Rhythm Specialist.

The provider's business location address is:

2700 W 9TH AVE
SUITE 106
OSHKOSH, WI
ZIP 54904-247
Phone: (414) 298-7280
Fax: (414) 298-7281

The provider's authorized official is Deborah E Bjorn .
The authorized official title is Practice Administrator and has the following contact phone number (414) 298-7284.

The enumeration date for this NPI number is 1/25/2010 and was last updated on 11/24/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RC0001XInternal MedicineClinical Cardiac ElectrophysiologyNo
2363AM0700XPhysician AssistantMedicalNo
3363LA2100XNurse PractitionerAcute CareNo
4261QM2500XClinic/CenterMedical SpecialtyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
132793800MEDICAIDWISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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