GREGORY S MILLEVILLE, MD, SC (NPI# 1053810499) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1053810499 |
Entity Type | Organization |
Organization Name | GREGORY S MILLEVILLE, MD, SC |
Practice Address |
3070 N 51st St Ste 309 Milwaukee WI 53210-1661 |
Practice Telephone | 4143330224 |
Mailing Telephone | 4143330224 |
Mailing Fax Number | 4144471070 |
Enumeration Date | 2018-02-12 |
Last Update Date | 2018-02-12 |
Authorized Official Name | DR. GREGORY SCOTT MILLEVILLE (PRESIDENT) |
Authorized Official Telephone | 4143330224 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2080P0006X |
Pediatrics Specialization: Developmental – Behavioral Pediatrics |
25845 | WI | Allopathic & Osteopathic Physicians |
Y | 282N00000X | General Acute Care Hospital | 25845-20 | WI | Hospitals |
Street Address |
3070 N 51ST ST STE 309 |
City | MILWAUKEE |
State | WI |
Zip Code | 53210-1661 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881761971 | Stephen Charles Ragatz | Pediatrics | 3070 N 51st St Ste 309, Suite 309, Milwaukee, WI 53210-1661 | 2006-11-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700499514 | Mckenzie Lisa Lambeck | Non-emergency Medical Transport (VAN) | 3016a N 36th St, Milwaukee, WI 53210 | 2020-08-31 |
1922572312 | Walter's Second Chance of Milwaukee, LLC. | In Home Supportive Care | 3043 N. 29th Street, Milwaukee, WI 53210 | 2019-01-18 |
1407353469 | Angie F Caballero | Assisted Living Facility | 5918 N 62nd Street, Milwaukee, WI 53210 | 2018-04-06 |
1689182636 | Kimberly Casey | Counselor | 5325 W.burleigh, Milwaukee, WI 53210 | 2018-01-11 |
1336663640 | Daron Mosby | Counselor | 2643 N 55th St., 2643 N 55th St., Milwaukee, WI 53210 | 2017-07-28 |
1881117174 | Advance Home Care, LLC | In Home Supportive Care | 6001 W Center St Ste 98ll, Milwaukee, WI 53210 | 2017-07-19 |
1285181735 | Aurora Family Services | Clinic/Center | 3200 W. Highland Blvd, Aurora Family Services, Milwaukee, WI 53210 | 2016-09-01 |
1447625264 | Kimberly Beckham | Registered Nurse | 3040 N 40th Street, Milwaukee, WI 53210 | 2015-12-04 |
1033595319 | Wisconsin Lutheran Child & Family Service Inc. | Social Worker | 207 North Sherman Blvd, Milwaukee, WI 53210 | 2015-08-10 |
1346633112 | Quiana Davis | Licensed Practical Nurse | 2478 North 34th Street, Milwaukee, WI 53210 | 2015-03-18 |
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Taxonomy Code | 282N00000X |
Grouping | Hospitals |
Classification | General Acute Care Hospital |
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255938510 | Ascension Wisconsin Emerus Menomonee Falls, LLC | General Acute Care Hospital | 4935 S 76th St Ste 100, Milwaukee, WI 53220-4305 | 2020-10-08 |
1346605177 | Wheaton Alert-milwaukee | General Acute Care Hospital | 4300 W Brown Deer Rd Fl 2, Milwaukee, WI 53223-2410 | 2015-12-21 |
1255334173 | Froedtert Memorial Lutheran Hospital, Inc. | General Acute Care Hospital | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2005-05-24 |
1851828685 | Zablocki Va Medical Center | General Acute Care Hospital | 5000 W National Ave, Milwaukee, WI 53295-0001 | 2017-05-11 |
1295280220 | Aurora Health Care Metro Inc | General Acute Care Hospital | 945 N 12th St, Milwaukee, WI 53233-1305 | 2016-08-19 |
1811362577 | Defense Finance & Actg Serv. | General Acute Care Hospital | 5000 W National Ave, Milwaukee, WI 53295-0001 | 2015-12-07 |
1235527771 | Zablocki Va Medical Center | General Acute Care Hospital | 5000 W National Ave, Milwaukee, WI 53295-0002 | 2015-01-07 |
1932514890 | Vha Milwaukee | General Acute Care Hospital | 5000 W National Ave, Milwaukee, WI 53295-0001 | 2014-06-30 |
1639513302 | Aurora St. Luke's Medical Center | General Acute Care Hospital | 2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 | 2013-04-24 |
1720339914 | Clement J Zablocki Va Medical Center | General Acute Care Hospital | 5000 W National Ave, Milwaukee, WI 53295-0001 | 2012-09-27 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.