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WISCONSIN HEART GROUP ASSOCIATES LLC NPI 1639402365


NPI Information

NPI: 1639402365
Provider Name: WISCONSIN HEART GROUP ASSOCIATES LLC
Classification: Thoracic Surgery (Cardiothoracic Vascular Surgery) - 208G00000X
Entity Type: Organization
Address:
16650 W BLUEMOUND RD
SUITE 200
BROOKFIELD, WI
ZIP 53005
Phone: (262) 827-9200
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WISCONSIN HEART GROUP ASSOCIATES LLC is a thoracic surgery cardiothoracic vascular surgery in Brookfield, WI. The provider is a thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. WISCONSIN HEART GROUP ASSOCIATES LLC NPI is 1639402365. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

16650 W BLUEMOUND RD
SUITE 200
BROOKFIELD, WI
ZIP 53005-920
Phone: (262) 827-9200
Fax: (262) 827-9858

The provider's authorized official is Kimberly Ann Couch .
The authorized official title is Executive Administrative Assistant and has the following contact phone number (262) 754-3613.

The enumeration date for this NPI number is 9/14/2009 and was last updated on 9/15/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RC0000XInternal MedicineCardiovascular DiseaseWISCONSINNo
2207RI0011XInternal MedicineInterventional CardiologyWISCONSINNo
3208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)WISCONSINYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
132678600MEDICAIDWISCONSIN
2000068590MEDICARE PINWISCONSIN
3000001363MEDICARE PINWISCONSIN

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: 4/28/2024

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