CHILDREN'S MEDICAL GROUP (NPI# 1932454089) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932454089 |
| Entity Type | Organization |
| Organization Name | CHILDREN'S MEDICAL GROUP |
| Other Organization Name | DOWNTOWN HEALTH CENTER |
| Practice Address |
1020 N 12th St Milwaukee WI 53233-1308 |
| Practice Telephone | 4142778900 |
| Practice Fax Number | 4142778939 |
| Mailing Telephone | 4142778900 |
| Mailing Fax Number | 4142778939 |
| Enumeration Date | 2012-07-16 |
| Last Update Date | 2012-07-16 |
| Authorized Official Name | SMRITI KHARE (PRESIDENT - CHILDREN'S MEDICAL GRP) |
| Authorized Official Telephone | 4142666404 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Downtown Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467996991 | Children's Medical Group | Pediatrics | N168w22730 Prairie View Lane, Jackson, WI 53037 | 2016-12-19 |
| 1700222981 | Children's Medical Group | Counselor | 7300 S 13th St, Suite 201, Oak Creek, WI 53154-1832 | 2013-05-15 |
| 1275708539 | Children's Medical Group | Pediatrics | 24906 75th St, Salem, WI 53168-9705 | 2008-04-28 |
| 1174999163 | Children's Medical Group | Pediatrics | 7861 State Road 60, Cedarburg, WI 53012-9305 | 2015-08-13 |
| 1992171987 | Children's Medical Group | Pediatrics | 611 Veterans Ave Ste 106, West Bend, WI 53090-2545 | 2015-08-13 |
| 1174999262 | Children's Medical Group | Pediatrics | 8800 Washington Ave, Suite 300, Mount Pleasant, WI 53406-3701 | 2015-08-12 |
| 1497154538 | Children's Medical Group | Pediatrics | 7322 W Rawson Ave, Franklin, WI 53132-8104 | 2014-08-14 |
| 1831502327 | Children's Medical Group | Pediatrics | 3365 S 103rd St Ste 210, Milwaukee, WI 53227-4161 | 2014-06-03 |
| 1417299488 | Children's Medical Group | Nurse Practitioner | 2320 W Burleigh St, Milwaukee, WI 53206-1751 | 2013-03-18 |
| 1972845931 | Children's Medical Group | Nurse Practitioner | 1350 W North Ave, Milwaukee, WI 53205-1257 | 2013-03-18 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | CHILDREN'S MEDICAL GROUP INC. | 601 Childrens Ln, Norfolk, Virginia 23507-1910 |
| Street Address |
1020 N 12TH ST |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53233-1308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003882994 | Soryal A Soryal | Internal Medicine | 1020 N 12th St, 3rd Floor, Milwaukee, WI 53233-1308 | 2006-02-28 |
| 1114533478 | Rebecca Ann Biskup | Massage Therapist | 1020 N 12th St, Milwaukee, WI 53233-1308 | 2020-09-21 |
| 1215547369 | Kimberly Dee Chobanian Balash | Advanced Practice Midwife | 1020 N 12th St, Milwaukee, WI 53233-1308 | 2020-08-04 |
| 1073132387 | Marybeth M Hordyk | Social Worker | 1020 N 12th St, Milwaukee, WI 53233-1308 | 2020-04-16 |
| 1336774132 | Kari L Jensen | Social Worker | 1020 N 12th St, Milwaukee, WI 53233-1308 | 2020-03-12 |
| 1881232270 | Pamela Newbury-scheife | Nurse Practitioner | 1020 N 12th St, Milwaukee, WI 53233-1308 | 2019-12-16 |
| 1093360380 | Keith C Rindahl | Nurse Practitioner | 1020 N 12th St, Milwaukee, WI 53233-1308 | 2019-08-05 |
| 1780153387 | Ashanti Dean | Advanced Practice Midwife | 1020 N 12th St, Milwaukee, WI 53233-1308 | 2018-11-13 |
| 1295229037 | Emilie I Franchow | Psychologist | 1020 N 12th St, Milwaukee, WI 53233-1308 | 2018-06-15 |
| 1447757596 | Traci J Hempler | Counselor | 1020 N 12th St, Milwaukee, WI 53233-1308 | 2018-04-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104454750 | Henok Desta Hardilo | Student in an Organized Health Care Education/Training Program | Aurora Sinai Medical Center 945 N 12th Street, Milwaukee, WI 53233 | 2020-03-30 |
| 1821633314 | Ann E Millard | Occupational Therapist | 560 N. 16th Street, Room 214a, Milwaukee, WI 53233 | 2019-11-08 |
| 1306480918 | Teng Kai Ong | Dentist | 1801 West Wisconsin Ave., Milwaukee, WI 53233 | 2019-11-06 |
| 1356800478 | Nebiyu Abera Tilahun | Student in an Organized Health Care Education/Training Program | Aurora Sinai Medical Center, 945 N. 12th Street, Milwaukee, WI 53233 | 2019-03-18 |
| 1548748387 | Emily Claire Goetz | Physical Therapist | 945 N. 12th St. Suite 1100, Milwaukee, WI 53233 | 2018-08-03 |
| 1801373378 | Froedtert & The Medical College of Wisconsin Community Physicians | Non-Pharmacy Dispensing Site | 1721 W Canal St, Milwaukee, WI 53233 | 2018-07-26 |
| 1184170706 | Lauren Troll | Physical Therapist | 925 N 12th Street, Milwaukee, WI 53233 | 2016-09-01 |
| 1942694401 | Iryna Nemesh | Internal Medicine | 1020 N 12th St Fl 2, Milwaukee, WI 53233 | 2015-03-23 |
| 1649676032 | Matina Angelopoulou | Dentist | 1801 West Winsconsin Ave, Milwaukee, WI 53233 | 2014-11-12 |
| 1780007831 | John Ladisa | Technician, Other | 1637 W. Wisconsin Ave, Room 311, Milwaukee, WI 53233 | 2014-01-27 |
| Find all providers in zip 53233 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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/certificatio - 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437767977 | St Francs Pediatrics | Pediatrics | 3201 S 16th St Ste 100, Milwaukee, WI 53215-4579 | 2020-07-21 |
| 1467972950 | Cameron Trammell Shamsi Kasmai | Pediatrics | 9000 W Wisconsin Ave # Ms 681, Milwaukee, WI 53226-4874 | 2017-06-26 |
| 1669903993 | Kristin Zorn | Pediatrics | 8701 W Watertown Plank Rd # Mfrc3018, Milwaukee, WI 53226-3548 | 2017-03-27 |
| 1487195822 | Jane A Rivas | Pediatrics | 9000 W Wisconsin Ave # C550, Milwaukee, WI 53226-4874 | 2017-03-18 |
| 1013390582 | Devashis Mukherjee | Pediatrics | 8915 W Connell Ct, Milwaukee, WI 53226 | 2015-07-02 |
| 1154715639 | Palak Shah | Pediatrics | 8915 W Connell Court, Milwaukee, WI 53226 | 2015-03-24 |
| 1285028886 | Alexandria Holliday | Pediatrics | 999 N 92nd St Ste C460, Milwaukee, WI 53226 | 2015-03-23 |
| 1033526603 | Vijay S Kumbar | Pediatrics | 3003 W Good Hope Rd Apt S-711, Milwaukee, WI 53209-2042 | 2014-07-16 |
| 1275897019 | Monica B Musete | Pediatrics | 3201 S 16th St Ste 1020, Milwaukee, WI 53215-4532 | 2012-06-26 |
| 1427384486 | Sarah J. Pratt | Pediatrics | 3062 E Newport Ct, Milwaukee, WI 53211-2910 | 2009-10-27 |
| Find all providers in MILWAUKEE | ||||
Please comment or provide details below to improve the information on CHILDREN'S MEDICAL GROUP.
| 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.