MILWAUKEE HEALTH SERVICES, INC. (NPI# 1821028887) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821028887 |
| Entity Type | Organization |
| Organization Name | MILWAUKEE HEALTH SERVICES, INC. |
| Other Organization Name | MARTIN LUTHER KING HERITAGE HEALTH CENTER |
| Practice Address |
2555 N Martin Luther King Dr Milwaukee WI 53212-2709 |
| Practice Telephone | 4142673702 |
| Practice Fax Number | 4145628084 |
| Mailing Telephone | 4142673702 |
| Mailing Fax Number | 4143721697 |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2015-08-07 |
| Authorized Official Name | TITO L IZARD (PRESIDENT/CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 4143728080 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
8681-42 | WI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 32958200 | 05 | |
| WI | 36228200 | 05 |
| Other Name | Type Code |
|---|---|
| Martin Luther King Heritage Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376570663 | Milwaukee Health Services, Inc. | Pharmacy | 8200 W Silver Spring Dr, Milwaukee, WI 53218-2552 | 2006-06-26 |
| 1316980709 | Milwaukee Health Services, Inc. | Clinic/Center | 2555 N Martin Luther King Dr, Milwaukee, WI 53212-2709 | 2006-06-14 |
| Street Address |
2555 N MARTIN LUTHER KING DR |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53212-2709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679569289 | Enid A Okokon | Pediatrics | 2555 N Martin Luther King Dr, Milwaukee Health Services, Inc., Milwaukee, WI 53212-2709 | 2005-09-20 |
| 1447859996 | Emilee Kae Packee | Nurse Practitioner | 2555 N Martin Luther King Dr, Milwaukee, WI 53212-2709 | 2020-10-25 |
| 1225516289 | Lyndsay Napoli | Nurse Practitioner | 2555 N Martin Luther King Dr, Milwaukee, WI 53212-2709 | 2018-08-01 |
| 1962998260 | Michelle R Aumann | Dentist | 2555 N Martin Luther King Dr, Milwaukee, WI 53212-2709 | 2018-07-10 |
| 1740776525 | Adela Brodek | Dentist | 2555 N Martin Luther King Dr, Milwaukee, WI 53212-2709 | 2018-07-05 |
| 1922524206 | Therese Marie Bowes | Physician Assistant | 2555 N Martin Luther King Dr, Milwaukee, WI 53212-2709 | 2017-08-17 |
| 1477078897 | Kristin Marie Johnson | Physician Assistant | 2555 N Martin Luther King Dr, Milwaukee, WI 53212-2709 | 2017-08-07 |
| 1821512948 | Tyler D Carle | Physician Assistant | 2555 N Martin Luther King Dr, Milwaukee, WI 53212-2709 | 2017-07-31 |
| 1285157354 | Duachy Vang | Registered Nurse | 2555 N Martin Luther King Dr, Milwaukee, WI 53212 | 2017-07-20 |
| 1669843876 | Megan Mary Ray | Nurse Practitioner | 2555 N Martin Luther King Dr, Milwaukee Health Services, Inc., Milwaukee, WI 53212-2709 | 2015-10-14 |
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| 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 | 3336C0002X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Clinic Pharmacy |
| A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982252813 | Froedtert Health Pharmacy LLC | Pharmacy | 9200 W Wisconsin Ave Ste 100e, Milwaukee, WI 53226-3522 | 2019-09-04 |
| 1720012941 | Aurora Sinai Medical | Pharmacy | 1230 W Grant St, Milwaukee, WI 53215-2732 | 2006-07-11 |
| 1649247743 | Wheaton Franciscan Holdings, Inc. | Pharmacy | 2400 West Villard, Milwaukee, WI 53029-4999 | 2006-03-07 |
| 1487029351 | Aurora Pharmacy | Pharmacy | 1575 N Rivercenter Dr, Milwaukee, WI 53212-3978 | 2015-12-03 |
| 1447521927 | Aurora Pharmacy Inc. | Pharmacy | 1055 N Mayfair Rd, Suite 100, Milwaukee, WI 53226-3436 | 2012-01-16 |
| 1023253028 | City of Milwaukee Health Dept | Pharmacy | 841 N Broadway Fl 3, Milwaukee, WI 53202-3639 | 2008-12-05 |
| 1619127941 | City of Milwaukee Health Department | Pharmacy | 841 N Broadway Fl 3, Milwaukee, WI 53202-3639 | 2008-09-23 |
| 1154597292 | Froedtert Memorial Lutheran Hospital, Inc. | Pharmacy | 9200 W Wisconsin Ave, Ste 200c, Milwaukee, WI 53226-3522 | 2008-05-07 |
| 1861573446 | Froedtert Memorial Lutheran Hospital, Inc. | Pharmacy | 9200 W Wisconsin Ave, Suite 100e, Milwaukee, WI 53226-3522 | 2006-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487213237 | Aurora Pharmacy Inc | Pharmacy | 9000 W Sura Ln Ste 100, Greenfield, WI 53228-3477 | 2019-06-06 |
| 1295208114 | Aurora Pharmacy Inc | Pharmacy | 1475 W Grand Ave Ste 100, Port Washington, WI 53074-2074 | 2019-01-03 |
| 1144705880 | Aurora Pharmacy Inc. | Pharmacy | 135 Jackson St Ste 100, Oshkosh, WI 54901-4713 | 2018-09-28 |
| 1336634229 | Aurora Pharmacy Inc. | Pharmacy | 3003 University Dr Ste 1, Marinette, WI 54143-4110 | 2018-06-25 |
| 1285128215 | Aurora Pharmacy Inc | Pharmacy | 3509 Dewey Street, Suite 100, Manitowoc, WI 54220 | 2018-06-22 |
| 1629592688 | Aurora Pharmacy Inc | Pharmacy | 200 E Ryan Rd Ste 101, Oak Creek, WI 53154-4563 | 2017-08-01 |
| 1003362179 | Aurora Pharmacy Inc | Pharmacy | 12500 Aurora Dr Ste 1000, Pleasant Prairie, WI 53158-1227 | 2016-08-29 |
| 1578984571 | Aurora Pharmacy Inc. | Pharmacy | 201 E. Morrissey Dr, Suite 100, Elkhorn, WI 53121 | 2013-12-18 |
| 1952630857 | Marshfield Clinic, Inc. | Pharmacy | 1000 N Oak Ave Ste 300, Marshfield, WI 54449 | 2009-12-24 |
| 1164603403 | Walgreen Co | Pharmacy | 1979 Lime Kiln Rd, Bellevue, WI 54311-6219 | 2007-11-15 |
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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.