Provider Type Icon

WISCONSIN INSTITUTE OF UROLOGY SC NPI 1578872628


NPI Information

NPI: 1578872628
Provider Name: WISCONSIN INSTITUTE OF UROLOGY SC
Classification: Urology - 208800000X
Entity Type: Organization

CLIA Number: 52D2147693

Address:
1265 W AMERICAN DR STE 100
NEENAH, WI
ZIP 54956
Phone: (920) 722-7747
Get Directions

WISCONSIN INSTITUTE OF UROLOGY SC is an urology in Neenah, WI. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. WISCONSIN INSTITUTE OF UROLOGY SC NPI is 1578872628. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1265 W AMERICAN DR STE 100
NEENAH, WI
ZIP 54956
Phone: (920) 722-7747
Fax: (920) 993-5002

The provider's authorized official is Omar Atassi .
The authorized official title is President and has the following contact phone number (920) 722-7747.

The CLIA number assigned to this NPI record is 52D2147693 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/6/2010 and was last updated on 5/12/2021.


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
1208800000XUrologyWISCONSINYes

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.