ALICIA E IDLER-PEREZ


Address: 1308 S 16th St, Milwaukee, WI 53204-2711
Phone: 4148310100

ALICIA E IDLER-PEREZ (NPI# 1770838641) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1770838641
Entity Type Individual
Full Name ALICIA E IDLER-PEREZ
Credential MD
Practice Address 1308 S 16th St
Milwaukee
WI 53204-2711
Mailing Address 8532 W Capitol Dr
Milwaukee
WI 53222-1848
Practice Telephone 4148310100
Practice Fax Number 4148311584
Mailing Telephone 4144632607
Mailing Fax Number 4144636743
Enumeration Date 2012-07-17
Last Update Date 2012-07-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080A0000X Pediatrics
Specialization: Adolescent Medicine
57249-20 WI Allopathic & Osteopathic Physicians

Office Location

Street Address 1308 S 16TH ST
City MILWAUKEE
State WI
Zip Code 53204-2711

Providers in the same location

NPI Name Taxonomy Address Enumeration
1285655787 Caroline Leon Nurse Practitioner 1308 S 16th St, Milwaukee, WI 53204-2711 2006-07-21
1134303621 Southeastern Family Practice Sc Internal Medicine 1308 S 16th St, Milwaukee, WI 53204-2711 2007-12-20

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NPI Name Taxonomy Address Enumeration
1528423290 Blue Ribbon Healthcare LLC Health Maintenance Organization 1743 South1st Street, Milwaukee, WI 53204 2015-12-23
1215336599 Marsha Vann Counselor 1028 N 9th St, Milwaukee, WI 53204 2014-08-22
1891109260 Melissa Bendever Counselor 1111 South 6th Street, Milwaukee, WI 53204 2014-06-13
1942585823 Theresa Marie Hintze Counselor 600 W Virginia Atlas Ste 203, Milwaukee, WI 53204 2011-10-11
1922395151 Palmas & Ram Rudra LLC Chiropractor 1247 S. Cesar E. Chaves Drive, Milwaukee, WI 53204 2011-07-08
1225355183 Victoria A White Family Medicine 16th Street Community Health Center, 1032 S Cesar E. Chavez Drive, Milwaukee, WI 53204 2010-04-30
1174850499 Dnt Associates Inc. Dentist 710 W. Historic Mitchell St., Mitchell Street Dental, Milwaukee, WI 53204 2009-11-06
1851559124 Michael L Kitzinger Social Worker 1201 W Historic Mitchell St, Milwaukee, WI 53204 2008-05-23
1083778781 Douglas Ralph Higbie Psychologist 634 W Mitchell St, Milwaukee, WI 53204 2006-12-20
1013019413 Romeo C Lo Md Internal Medicine 1672 S 9th St, 2nd Floor, Milwaukee, WI 53204 2006-09-05
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Taxonomy Information

Taxonomy Code 2080A0000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Adolescent Medicine

Taxonomy Definition

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1801154000 Kathryn E Gannon-loew Pediatrics 540 N 16th St, Milwaukee, WI 53233-2160 2012-04-25
1518165380 Syed N Hasnain Pediatrics 1971 W Capitol Dr, Milwaukee, WI 53206-1909 2007-07-03
1629292206 Thomas Henry Kowalski Pediatrics 3872 S Lake Dr Unit 404, Milwaukee, WI 53235-5236 2007-04-13
1649221482 Mary Susan Jay Pediatrics 8915 W Connell Ave, Milwaukee, WI 53226-3067 2006-05-15
1396740296 Najwa A Beit Shawish Pediatrics 3003 W Good Hope Rd, Milwaukee, WI 53209-2042 2005-06-16
1477694818 Edward James Muellerleile Pediatrics 8532 W Capitol Dr, Milwaukee, WI 53222-1827 2007-02-09
1659484020 Sarah J. Lerand Pediatrics 9000 W Wisconsin Ave, Milwaukee, WI 53226-3518 2006-08-17
1770534661 Wendi Ehrman Pediatrics 5433 W Fond Du Lac Ave, Midtown Pediatrics, Milwaukee, WI 53216-1382 2006-05-15

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1922392067 Mary Guillot Pediatrics 999 N 92nd St Ste 460, Wauwatosa, WI 53226 2011-06-07
1144555178 Katsumi Neeno Pediatrics 2341 Tradition Ln, Janesville, WI 53545-0723 2009-10-08
1588857841 Leah W Mcavoy Pediatrics 5471 W Waterford Ln Ste B, Appleton, WI 54913-8510 2007-08-21
1912929803 Mary L. Ganz Pediatrics 1290 Betsy Ross Ct, Brookfield, WI 53045-5362 2006-07-23
1164463261 Pradeep Gopi Kumar Pediatrics 8348 Washington Ave, Mount Pleasant, WI 53406-3733 2006-06-09
1962478040 Peter S Karofsky Pediatrics 2711 Allen Blvd, Middleton Teen Clinic, Middleton, WI 53562 2006-02-27
1376769794 Paula J. Cody Pediatrics 2880 University Ave, Madison, WI 53705-3644 2007-04-17
1700948502 Jeri A Nelson Pediatrics 1300 South Dr., Winnebago, WI 54985-0009 2006-12-15
1942369269 Mariano F Deguzman Pediatrics 3734 7th Ave, Suite 1, Kenosha, WI 53140 2006-12-06
1194759498 Margaret M. Hennessy Pediatrics 3807 Spring St, Racine, WI 53405-1667 2006-07-10
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Competitor

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City MILWAUKEE
Zip Code 53204

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Dataset Information

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.

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