CMS-1500 Box 24J / 33a • NPI
1932161783
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
207PE0004X (CMS 93)
Board-Certified Emergency Medicine Physician (ER / Trauma Doctor)
Box 32 Service Location & ZIP+4
252 MCHENRY ST, BURLINGTON, WI, 53105-1828
✓ 9-Digit EDI 837 ZIP+4 (53105-1828)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1932161783 (ASSOCIATED EMERGENCY ROOM PHYSICANS, SC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1932161783 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | ASSOCIATED EMERGENCY ROOM PHYSICANS, SC |
| Plain-English Specialty | Board-Certified Emergency Medicine Physician (ER / Trauma Doctor) NUCC Code: 207PE0004X (Emergency Medicine, Emergency Medical Services) |
| Certifying / Licensing Body | American Board of Emergency Medicine (ABEM) |
| Practice Location Address | 252 MCHENRY ST, BURLINGTON, WI, 53105-1828 |
| Practice Telephone / Fax | Tel: (262) 767-6100 | Fax: (262) 767-6098 |
| Administrative Mailing Address | 9875 S FRANKLIN DR, FRANKLIN, WI, 53132-8895 |
| Enumeration & Last Sync | Enumerated: 2006-04-06 | CMS Record Updated: 2020-08-22 |
| Authorized Official | JILL HAYSSEN (Billing Manager) |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (207PE0004X)
What Does Taxonomy Code 207PE0004X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207PE0004X translates to:
"Board-Certified Emergency Medicine Physician (ER / Trauma Doctor)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (ASSOCIATED EMERGENCY ROOM PHYSICANS, SC)
Typical CPT / Diagnostic Procedures:- Level 4 & Level 5 Emergency Department Resuscitation (CPT 99284–99285)
- Point-of-Care Emergency Ultrasound (eFAST), Intubation & Central Line Placement
- Acute Laceration Repair, Tetanus Prophylaxis & Fracture Splinting
- Epinephrine Auto-Injectors / IV Infusions, Atropine & Amiodarone
- Tetanus Toxoid / Tdap & Tetanus Immunoglobulin (TIG)
- Empiric Sepsis Antibiotics, Parenteral Ketorolac & Ondansetron
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
207PE0004X — Emergency Medicine, Emergency Medical ServicesPlain English: Board-Certified Emergency Medicine Physician (ER / Trauma Doctor) | State: N/A | License: Verified | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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