OMNI FAMILY MEDICAL SC (NPI# 1558732339) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558732339 |
| Entity Type | Organization |
| Organization Name | OMNI FAMILY MEDICAL SC |
| Practice Address |
1134 W North Ave Milwaukee WI 53205-1333 |
| Practice Telephone | 4143749575 |
| Mailing Telephone | 4143749575 |
| Enumeration Date | 2015-10-19 |
| Last Update Date | 2015-10-19 |
| Authorized Official Name | KWESI GRANT-ACQUAH (MD) |
| Authorized Official Telephone | 4143749575 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305S00000X | Point of Service | Managed Care Organizations |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033767017 | Omni Family Medical Sc | Internal Medicine | 7810 W Good Hope Rd, Milwaukee, WI 53223-4518 | 2019-09-03 |
| 1952852121 | Omni Family Medical Sc | Point of Service | 7810 W Good Hope Rd, Milwaukee, WI 53223-4518 | 2016-10-21 |
| Street Address |
1134 W NORTH AVE |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53205-1333 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942437009 | North Avenue Family Medical Center | Clinic/Center | 1134 W North Ave, Milwaukee, WI 53205-1333 | 2009-06-16 |
| 1083973507 | Omnicare Pharmacy Inc | Pharmacy | 1134 W North Ave, Milwaukee, WI 53205-1333 | 2012-05-04 |
| 1003184995 | Robin L Berk | Pharmacist | 1134 W North Ave, Third Floor, Milwaukee, WI 53205-1333 | 2011-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467931691 | The Salvation Army - Wisconsin and Upper Michigan | Counselor | 1730 N 7th Street, Milwaukee, WI 53205 | 2018-08-08 |
| 1821596909 | Robert Leland Goodman | Counselor | 1134 W. North Ave, Second Floor, Milwaukee, WI 53205 | 2018-01-24 |
| 1265980767 | Wisconsin Healthcare Services | Clinic/Center | 2462 West Lisbon Avenue, Milwaukee, WI 53205 | 2016-09-14 |
| 1841667466 | St. Ann Center for Intergenerational Care | Public Health or Welfare | 2450 W North Ave, Milwaukee, WI 53205 | 2015-08-31 |
| 1407252646 | Abdelrahman H. Alarga | Pharmacist | 1919 W North Ave., Milwaukee, WI 53205 | 2014-11-17 |
| 1679981328 | Life Changing Ministries Substance Abuse Services | Clinic/Center | 1134 W North Ave 2nd Floor, Milwaukee, WI 53205 | 2014-07-25 |
| 1891031969 | Robin Michelle Benjamin | Licensed Practical Nurse | 1536 N 20th, Mil., WI 53205 | 2012-12-18 |
| 1275712937 | Bruce G Hartwell | Dentist | 901 W Winnebago St, Suite Ll-01, Milwaukee, WI 53205 | 2007-10-30 |
| 1407978521 | Westside Healthcare Association, Inc | Clinic/Center | 1452 N. 7th Street, Milwaukee, WI 53205 | 2007-04-06 |
| 1740316181 | Neville Winston Duncan | Family Medicine | 1134 W North Ave Fl 2, Milwaukee, WI 53205 | 2007-02-27 |
| Find all providers in zip 53205 | ||||
| Taxonomy Code | 305S00000X |
| Grouping | Managed Care Organizations |
| Classification | Point of Service |
| This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477192359 | I'm A Star Youth and Family Services Inc | Point of Service | 4007 W North Ave, Milwaukee, WI 53208-1318 | 2019-12-25 |
| 1649726837 | Alahnui Health Services LLC | Point of Service | 9000 W Kaul Ave, Milwaukee, WI 53225-2018 | 2016-08-29 |
| 1952852121 | Omni Family Medical Sc | Point of Service | 7810 W Good Hope Rd, Milwaukee, WI 53223-4518 | 2016-10-21 |
| 1891172243 | New Hope Youth and Family Services | Point of Service | 3535 W State St, Milwaukee, WI 53208-3233 | 2015-05-05 |
| 1851738298 | A Promise of Hope for Mothers | Point of Service | 2220 W National Ave, Milwaukee, WI 53204-1033 | 2013-05-24 |
| 1003108515 | Clinica Panamericana LLC | Point of Service | 1225 W Historic Mitchell St, 211, Milwaukee, WI 53204-3383 | 2011-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174178040 | Justin C Brondstad At Your Service LLC | Point of Service | 1215 W Cramer St, Fort Atkinson, WI 53538-1001 | 2019-08-07 |
| 1417436528 | Hayworth Fence Co | Point of Service | 720 N Hillcrest Pkwy, Altoona, WI 54720-2702 | 2018-08-09 |
| 1194269407 | Checkpoint Industries | Point of Service | 8330 N Teutonia Ave, 103, Brown Deer, WI 53209-1550 | 2016-12-06 |
| 1437524485 | Christopher Gunderson | Point of Service | 911 Jackson St # 213, Wausau, WI 54403-5696 | 2015-12-02 |
| 1235502493 | The Smith LLC | Point of Service | 9545 S 20th St Ste 2, Oak Creek, WI 53154-4929 | 2015-11-09 |
| 1992185631 | Care for All Ages | Point of Service | 1308 S Norwood Ave, Green Bay, WI 54304-1001 | 2015-06-08 |
| 1467847509 | Health Grades | Point of Service | 2927 Coho St, Madison, WI 53713-3069 | 2015-04-06 |
| 1326449604 | Soul To Soul Massage LLC | Point of Service | 604 E 3rd St, Marshfield, WI 54449-4511 | 2014-09-05 |
| 1558702233 | Mary L. Feltz | Point of Service | 5958 Main St, Auburndale, WI 54412-9004 | 2013-07-10 |
| 1518254945 | Therapeutic Home Services | Point of Service | 9484 Festival Avenue, Sparta, WI 54656 | 2011-07-06 |
| Find all providers with the same taxonomy | ||||
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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.