Heritage Clinic S.C.
NPI 1588736276ActiveOrganization· Clinic/Center· Wauwatosa, WI
Clinic/Center in Wauwatosa, Wisconsin, registered in NPPES in November 2006. The authorized official on file is Raymond Paul Mager, D.O., President.
Overview
| NPI | 1588736276 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 15, 2006 |
| Last updated in NPPES | Aug 22, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinic/Center Primary | 261Q00000X | 19290 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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