SOUTHSIDE PRIMARY CARE (NPI# 1871644047) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871644047 |
| Entity Type | Organization |
| Organization Name | SOUTHSIDE PRIMARY CARE |
| Practice Address |
2727 W Cleveland Ave Milwaukee WI 53215-2908 |
| Mailing Address |
3053 W Drexel Ave Unit 121 Franklin WI 53132-7923 |
| Practice Telephone | 4143845420 |
| Practice Fax Number | 4143840134 |
| Mailing Telephone | 4143899992 |
| Mailing Fax Number | 4143840134 |
| Enumeration Date | 2007-01-15 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MISS CARLISA RIVERA-ROBLES (FAMILY NURSE PRACTITIONER) |
| Authorized Official Telephone | 4143845420 |
| Authorized Official Credential | RN, APNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
2826033 | WI | Ambulatory Health Care Facilities |
| Street Address |
2727 W CLEVELAND AVE |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53215-2908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891799284 | Remedios Senora Alcera-poe | Pediatrics | 2727 W Cleveland Ave, Milwaukee, WI 53215-2908 | 2005-06-13 |
| 1811556640 | Quan Tran | Dentist | 2727 W Cleveland Ave, Milwaukee, WI 53215-2956 | 2019-06-05 |
| 1487102000 | Lisa Kelley | Physical Therapist | 2727 W Cleveland Ave, Milwaukee, WI 53215-2956 | 2016-09-12 |
| 1154786697 | Access Recovery Mental Health Services | Clinic/Center | 2727 W Cleveland Ave, Suite 204, Milwaukee, WI 53215-2956 | 2015-12-29 |
| 1255708798 | Physiotherapy Associates Inc | Clinic/Center | 2727 W Cleveland Ave, Milwaukee, WI 53215-2956 | 2015-09-01 |
| 1932454279 | Podomedik Clinics LLC. | Clinic/Center | 2727 W Cleveland Ave, Suite 100, Milwaukee, WI 53215-2956 | 2012-07-23 |
| 1245406982 | Medical Management Associates LLC | Family Medicine | 2727 W Cleveland Ave, Milwaukee, WI 53215-2956 | 2008-05-02 |
| 1427222082 | Southside Pediatrics Assoc | Pediatrics | 2727 W Cleveland Ave, Milwaukee, WI 53215 | 2008-04-15 |
| 1457523649 | Advanced Dental Center LLC | Dentist | 2727 W Cleveland Ave, 2nd Fl, Milwaukee, WI 53215-2908 | 2008-03-27 |
| 1376615583 | Andrew Somthala Onela | Dentist | 2727 W Cleveland Ave, Milwaukee, WI 53215-2956 | 2006-11-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841829918 | Joshua Michael Brooks | Student in an Organized Health Care Education/Training Program | Aurora St. Lukes Medical Center 2901 W Oklahoma Ave, Milwaukee, WI 53215 | 2020-04-02 |
| 1053967091 | Kristina Strupp | Clinical Nurse Specialist | 2900 W. Oaklahoma Avenue, Milwaukee, WI 53215 | 2019-08-15 |
| 1427510296 | Madelyn Pickle | Student in an Organized Health Care Education/Training Program | 2801 W. Kinnickinnic Rd Ste 250, Milwaukee, WI 53215 | 2019-04-02 |
| 1932601838 | Elizabeth D Morawski | Nurse Practitioner | 2801 Kinnickinnic Parkway, Suite 630, Milwaukee, WI 53215 | 2018-03-06 |
| 1457872673 | Canzata Kimberly Dent | Counselor | 2727 W. Cleveland Suite 204, Milwaukee, WI 53215 | 2017-06-28 |
| 1538689955 | Christian Pena | Durable Medical Equipment & Medical Supplies | 2800 W Forest Home Ave, Suite 100, Milwaukee, WI 53215 | 2017-06-27 |
| 1386178804 | Dane A Olsen | Family Medicine | 801 W Kinnickinnic River Pkwy., Suite 250, Milwaukee, WI 53215 | 2017-04-12 |
| 1811443492 | Thomas Diamond | Physical Therapist | 2901 Kinnickinnic Parkway, Milwaukee, WI 53215 | 2016-09-01 |
| 1487055133 | Sam Khalili | Otolaryngology | 2801 W Kinnickinnic River Pkwy # 680, Milwaukee, WI 53215 | 2014-09-12 |
| 1992105621 | Nicole R Hall | Nurse Practitioner | 2901 S Kinnickinnic Ave, Milwaukee, WI 53215 | 2014-08-29 |
| Find all providers in zip 53215 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033625983 | Premiere Medical LLC | Clinic/Center | 6877 N Seville Ave, Milwaukee, WI 53209-2645 | 2017-12-14 |
| 1972043503 | Harmony Health Services | Clinic/Center | 5120 W Townsend St, Milwaukee, WI 53216-3231 | 2017-03-01 |
| 1770952152 | Quad/med, LLC | Clinic/Center | 4400 W State St, Building 54, Milwaukee, WI 53208-3140 | 2015-09-16 |
| 1588074991 | Quad/med, LLC | Clinic/Center | 1301 West Canal Street, Milwaukee, WI 53208 | 2014-05-07 |
| 1891125522 | Quad/med, LLC | Clinic/Center | 4400 W State St Bldg 54, Milwaukee, WI 53208-3140 | 2013-11-15 |
| 1528498243 | Quad/med, LLC | Clinic/Center | 122 W Greenfield Ave # 4thb-5, Milwaukee, WI 53204-2946 | 2013-11-15 |
| 1407109093 | Padre Pio Clinic Inc. | Clinic/Center | 1727 S 9th St, Milwaukee, WI 53204-3519 | 2012-10-19 |
| 1831461326 | Padre Pio Pediatrics LLC | Clinic/Center | 929 W Mitchell St, Milwaukee, WI 53204-3534 | 2012-01-31 |
| 1942437009 | North Avenue Family Medical Center | Clinic/Center | 1134 W North Ave, Milwaukee, WI 53205-1333 | 2009-06-16 |
| 1235388604 | Oakwood Family Medical Clinic,s.c. | Clinic/Center | 1845 N Farwell Ave Ste 207, Milwaukee, WI 53202-1715 | 2008-09-10 |
| 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.