CHILDRENS PHYSICIAN GROUP PC (NPI# 1700992450) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700992450 |
| Entity Type | Organization |
| Organization Name | CHILDRENS PHYSICIAN GROUP PC |
| Practice Address |
9000 W Wisconsin Ave Ms 958 Milwaukee WI 53226-3518 |
| Practice Telephone | 4142667615 |
| Practice Fax Number | 4142661853 |
| Mailing Telephone | 4142667615 |
| Mailing Fax Number | 4142661853 |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2010-12-06 |
| Authorized Official Name | THOMAS DUNIGAN (PRESIDENT) |
| Authorized Official Telephone | 4142666404 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207NP0225X |
Dermatology Specialization: Pediatric Dermatology |
Allopathic & Osteopathic Physicians | ||
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| N | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 2080P0202X |
Pediatrics Specialization: Pediatric Cardiology |
Allopathic & Osteopathic Physicians | ||
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians |
| Street Address |
9000 W WISCONSIN AVE MS 958 |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53226-3518 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568466928 | Deborah Costakos | Ophthalmology | 9000 W Wisconsin Ave, Pediatric Ophthalmology, Milwaukee, WI 53226-4874 | 2005-06-13 |
| 1477154748 | Tara Anne Peloza | Registered Nurse | 9000 W Wisconsin Ave, Milwaukee, WI 53226-4874 | 2020-11-04 |
| 1518567676 | Carolyn Mcnally Scoptur | Nurse Practitioner | 9000 W Wisconsin Ave, Milwaukee, WI 53226-4874 | 2020-10-28 |
| 1053910091 | Casey Wolter | Audiologist | 9000 W Wisconsin Ave, Milwaukee, WI 53226-4874 | 2020-10-21 |
| 1558976001 | Rachel Sawdy | Nurse Practitioner | 9000 W Wisconsin Ave, Milwaukee, WI 53226-4874 | 2020-09-11 |
| 1205441128 | Kathleen Maloney | Nurse Practitioner | 9000 W Wisconsin Ave, Milwaukee, WI 53226-4874 | 2020-09-09 |
| 1992319065 | Mariia Steffeny | Nurse Practitioner | 9000 W Wisconsin Ave, Milwaukee, WI 53226-4874 | 2020-09-04 |
| 1871106575 | Elisabeth Mary Vogt | Clinical Neuropsychologist | 9000 W Wisconsin Ave, Milwaukee, WI 53226-4874 | 2020-08-24 |
| 1912517277 | Theresa Lauer Kapke | Psychologist | 9000 W Wisconsin Ave, Milwaukee, WI 53226-4874 | 2020-08-03 |
| 1003425380 | Khira Ahmed-yahia | Nurse Practitioner | 9000 W Wisconsin Ave, Milwaukee, WI 53226-4874 | 2020-07-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912511155 | Alexander Harlan | Pharmacist | 900 N 92nd St, Milwaukee, WI 53226 | 2020-09-04 |
| 1558985762 | Armghan Haider Ans | Student in an Organized Health Care Education/Training Program | 9200 W. Wisconsin Ave. Froedtert Hospital & Medical Col, Milwaukee, WI 53226 | 2020-06-03 |
| 1669001103 | Kimberly Tyler | Student in an Organized Health Care Education/Training Program | 8701 W Watertown Plank Road, Medical College of Wisconsin Dept of Internal Medicine, Wauwatosa, WI 53226 | 2020-04-06 |
| 1972131993 | Francesca Meloy Devine | Student in an Organized Health Care Education/Training Program | Medical Education Office: Children's Corporate Center, 999 N. 92nd St., Suite 730, Milwaukee, WI 53226 | 2020-03-27 |
| 1285275248 | Sharitta Alford | Technician | 12250 West North Avenue, Apartment 142b, Wauwatosa, WI 53226 | 2019-10-01 |
| 1619528023 | Linda Marie Sabatinelli | Technician | 12107 W. Woodland Ave, Wauwatosa, WI 53226 | 2019-09-26 |
| 1598310195 | Matthew Laviolette | Surgery | Medical College of Wisconsin, 8701 Watertown Plank Rd., Surgical Oncology, Milwaukee, WI 53226 | 2019-08-09 |
| 1962056432 | Lyndsey Marie Bratberg | Physician Assistant | F&mcw Clinical Cancer Center 9200 W. Wisconsin Ave., Milwaukee, WI 53226 | 2019-08-01 |
| 1659832855 | Benjamin David Seadler | Surgery | Mcw, Department of Surgery, 8701 Watertown Plank Road, Milwaukee, WI 53226 | 2019-03-29 |
| 1861953267 | Michael Dryden | Student in an Organized Health Care Education/Training Program | 8701 Watertown Plank Rd., Milwaukee, WI 53226 | 2019-03-27 |
| Find all providers in zip 53226 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295919173 | Denis Nathan | Psychiatry & Neurology | 2589 N Terrace Ave, Milwaukee, WI 53211-3821 | 2007-12-27 |
| 1235355496 | Ayman Ahmad Gheith | Psychiatry & Neurology | 2801 W Kinnickinnic River Pkwy Ste 630, Milwaukee, WI 53215-5212 | 2007-04-17 |
| 1881764652 | Neurowisconsin Sc | Psychiatry & Neurology | 3033 S 27th St, 302, Milwaukee, WI 53215 | 2006-11-09 |
| 1669405742 | Marc Jeffrey Novom | Psychiatry & Neurology | 8989 N Port Washington Road, Suite 122, Milwaukee, WI 53217 | 2006-07-09 |
| 1356389258 | Veronica N Sosa | Psychiatry & Neurology | 2801 W Kinnickinnic Pkwy, Suite 570, Milwaukee, WI 53215-3669 | 2006-06-03 |
| 1770534513 | Hendrikus G Krouwer | Psychiatry & Neurology | 2350 N Lake Dr. Ste G01, Csm Cancer Center-milwaukee, Milwaukee, WI 53211-4528 | 2006-05-15 |
| 1194776922 | Serena Wan-si Wan-si Hung | Psychiatry & Neurology | Froedtert & Med College Clin - West, 9200 West Wisconsin Avenue, Milwaukee, WI 53226 | 2006-05-15 |
| 1861489536 | Rizwanullah Arain | Psychiatry & Neurology | 6026 W Lisbon Ave, Milwaukee, WI 53210-2114 | 2005-09-28 |
| 1689136129 | Ryan Lee | Psychiatry & Neurology | 8701 W Watertown Plank Rd, Milwaukee, WI 53226-3548 | 2019-04-03 |
| 1700316122 | Kevin Chow | Psychiatry & Neurology | 8701 W Watertown Plank Rd, Milwaukee, WI 53226-3548 | 2017-06-18 |
| Find all providers in MILWAUKEE | ||||
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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.