PERINATAL CENTER OF WISCONSIN, INC. (NPI# 1619022274) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619022274 |
Entity Type | Organization |
Organization Name | PERINATAL CENTER OF WISCONSIN, INC. |
Practice Address |
3353 N Dr Martin Luther King Dr Milwaukee WI 53212-1455 |
Practice Telephone | 4143721000 |
Practice Fax Number | 4143726000 |
Mailing Telephone | 4143721000 |
Mailing Fax Number | 4143726000 |
Enumeration Date | 2007-01-24 |
Last Update Date | 2007-09-07 |
Authorized Official Name | JANINE JAMES (PRESIDENT) |
Authorized Official Telephone | 4143721000 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | 30676500 | 05 |
Street Address |
3353 N DR MARTIN LUTHER KING DR |
City | MILWAUKEE |
State | WI |
Zip Code | 53212-1455 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609481001 | Beth Leanna | Counselor | Benedict Center 1849 N Dr. Marin Luther King Dr., Suite 101, Milwaukee, WI 53212 | 2020-09-11 |
1326683749 | A.b.d.h. Counseling Services LLC | Clinic/Center | 518 E Concordia Avenue, Milwaukee, WI 53212 | 2019-11-08 |
1467095703 | Ifrah Hameed | Psychologist | 1849 N Doctor M.l.k. Jr Dr# 101, Milwaukee, WI 53212 | 2019-10-18 |
1386293330 | Rachel Mae Nelson Bagha | Student in an Organized Health Care Education/Training Program | 1849 N Doctor M.l.k. Jr Dr #101, Milwaukee, WI 53212 | 2019-09-11 |
1164085205 | Mary Sue Daase Bowen | Counselor | 2821 N 4th Street, Milwaukee, WI 53212 | 2019-04-15 |
1649733189 | Stacey King | Counselor | Rivershore Comprehensive Treatment Facility, 3703 N Richards St, Milwaukee Wi, Milwaukee, WI 53212 | 2019-04-11 |
1710447701 | Scott William Stauder | Student in an Organized Health Care Education/Training Program | 1121 E. North Ave., Milwaukee, WI 53212 | 2019-03-25 |
1821561168 | Lydia Ann Mendez | Counselor | 3703 N Richards St, Milwaukee, WI 53212 | 2019-01-09 |
1851863302 | Glen Victor Fleming | Counselor | 2821 North 4th Street Suite 210, Milwaukee, WI 53212 | 2018-12-21 |
1093285140 | Megan Marie Volp | Advanced Practice Midwife | 2555 N Doctor M.l.k. Jr Dr, Milwaukee, WI 53212 | 2018-12-03 |
Find all providers in zip 53212 |
Taxonomy Code | 207VG0400X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Obstetrics & Gynecology |
Specialization | Gynecology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043255367 | Colleen Anne Keane-mullooly | Obstetrics & Gynecology | 302 N Jackson St, Milwaukee, WI 53202-5904 | 2006-06-19 |
1922347194 | Jessica L. Hoelzle | Obstetrics & Gynecology | 2311 N Prospect Ave, Unit C, Milwaukee, WI 53211-4445 | 2013-02-07 |
1689614471 | Adolf Stafl | Obstetrics & Gynecology | 2801 W Kinnickinnic River Pkwy, Suite 535, Milwaukee, WI 53215-3669 | 2006-06-08 |
1457305005 | Patricia J. Dolhun | Obstetrics & Gynecology | 788 N Jefferson St, Suite 201, Milwaukee, WI 53202-3718 | 2006-05-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750899357 | Helen Manning | Obstetrics & Gynecology | University of Wisconsin Gynecology 600 Highland Avenue, Madison, WI 53792-0001 | 2018-01-17 |
1326427824 | Kathleen P Penzenstadler | Obstetrics & Gynecology | 4202 W Oakwood Park Ct Ste 120, Franklin, WI 53132-9565 | 2015-05-29 |
1508187949 | Jessica Love Thomason | Obstetrics & Gynecology | 4914 W Parkview Dr, Mequon, WI 53092-2027 | 2010-06-21 |
1669703195 | Ik Hak Bae | Obstetrics & Gynecology | 2116 Craig Rd., Eau Claire, WI 54701 | 2010-01-22 |
1104091685 | Cara Robinson King | Obstetrics & Gynecology | 1528 Vilas Ave, Madison, WI 53711-2228 | 2008-04-25 |
1841368206 | Dennis Dean Christensen | Obstetrics & Gynecology | 3706 Orin Rd, Madison, WI 53704-3643 | 2006-12-01 |
1497860639 | Irfane M Khatib | Obstetrics & Gynecology | 1110 Oak Ridge Dr, Eau Claire, WI 54701-6133 | 2006-08-20 |
1013965615 | Edward G Vogel | Obstetrics & Gynecology | 2641 Development Dr, Green Bay, WI 54311-4240 | 2006-05-05 |
1386617447 | Jill P Wohlfeil | Obstetrics & Gynecology | W359n5002 Brown St, Suite 208, Oconomowoc, WI 53066-3366 | 2006-02-09 |
1487023297 | Share The Health Free Gynecology Clinic, Inc. | Obstetrics & Gynecology | 5801 Research Park Blvd, Suite 400, Madison, WI 53719-6002 | 2015-09-22 |
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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.