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Contact Information

MONOGRAM HEALTH PROFESSIONAL SERVICES OF WISCONSIN SC
2810 CROSSROADS DR STE 4000
MADISON, WI53718-8014
 Phone: 615-673-4455
 Fax: 615-432-4651
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nephrology

207RN0300X 11 Physician/Internal Medicine
 

Advanced Heart Failure & Transplant Cardiology

207RA0001X 11 Physician/Internal Medicine
 

Cardiology

1835C0206X
 

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
 

Cognitive & Behavioral

103TB0200X 62 Psychologist, Clinical
 

Endocrinology, Diabetes & Metabolism

207RE0101X 11 Physician/Internal Medicine
 

Family

363LF0000X 50 Nurse Practitioner
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Physician Assistant

363A00000X 97 Physician Assistant
 

Psychiatric/Mental Health

363LP0808X 50 Nurse Practitioner
 

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
 

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for MONOGRAM HEALTH PROFESSIONAL SERVICES OF WISCONSIN SC

NPI # 1730804477
LBN Legal business name MONOGRAM HEALTH PROFESSIONAL SERVICES OF WISCONSIN SC
Authorized official SHAWN VERNER - (GENERAL COUNSEL & SECRETARY)
Entity Organization
Organization subpart 1 No
Enumeration date 10/05/2022
Last updated 01/29/2025 - More than a year ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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