SOUTHEASTERN WI RADIATION – NPI #1285601062
Radiology

A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.

Health Care Provider Taxonomy Code for Radiology

SOUTHEASTERN WI RADIATION is a radiologist located in WAUKESHA, WI. NPPES has assigned the NPI number 1285601062 to SOUTHEASTERN WI RADIATION on March 01, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2085R0001X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Radiation Oncology

The NPI profile was previously updated about 9 years ago on Jan 30, 2017. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SOUTHEASTERN WI RADIATION below.

NPI Profile for
SOUTHEASTERN WI RADIATION

NPI Number
1285601062
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SOUTHEASTERN WI RADIATION
Primary location
N16W24131 RIVERWOOD DRIVE
WAUKESHA, WI 53188
Phone: (262) 696-0696 Fax: (262) 696-0683
Mailing address
PO BOX 677
WAUKESHA, WI 53187-0677
Phone: (262) 696-0710 Fax: (262) 696-5680
Organization Subpart
No
Authorized Official
WINGATE CLAPPER
PRESIDENT
Phone: (262) 696-0696
Updated
Identifiers

Identifiers for SOUTHEASTERN WI RADIATION

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDWI32828400
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2085R0001X
- Radiology / Radiation Oncology (Primary)		 WI

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.