NORTH AVENUE FAMILY MEDICAL CENTER (NPI# 1942437009) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942437009 |
| Entity Type | Organization |
| Organization Name | NORTH AVENUE FAMILY MEDICAL CENTER |
| Practice Address |
1134 W North Ave Milwaukee WI 53205-1333 |
| Practice Telephone | 4143749575 |
| Practice Fax Number | 4143749580 |
| Mailing Telephone | 4143749575 |
| Mailing Fax Number | 4143749580 |
| Enumeration Date | 2009-06-16 |
| Last Update Date | 2009-12-23 |
| Authorized Official Name | DR. ABALO NUNYAKPE (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 4143749575 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Street Address |
1134 W NORTH AVE |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53205-1333 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558732339 | Omni Family Medical Sc | Point of Service | 1134 W North Ave, Milwaukee, WI 53205-1333 | 2015-10-19 |
| 1083973507 | Omnicare Pharmacy Inc | Pharmacy | 1134 W North Ave, Milwaukee, WI 53205-1333 | 2012-05-04 |
| 1003184995 | Robin L Berk | Pharmacist | 1134 W North Ave, Third Floor, Milwaukee, WI 53205-1333 | 2011-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467931691 | The Salvation Army - Wisconsin and Upper Michigan | Counselor | 1730 N 7th Street, Milwaukee, WI 53205 | 2018-08-08 |
| 1821596909 | Robert Leland Goodman | Counselor | 1134 W. North Ave, Second Floor, Milwaukee, WI 53205 | 2018-01-24 |
| 1265980767 | Wisconsin Healthcare Services | Clinic/Center | 2462 West Lisbon Avenue, Milwaukee, WI 53205 | 2016-09-14 |
| 1841667466 | St. Ann Center for Intergenerational Care | Public Health or Welfare | 2450 W North Ave, Milwaukee, WI 53205 | 2015-08-31 |
| 1407252646 | Abdelrahman H. Alarga | Pharmacist | 1919 W North Ave., Milwaukee, WI 53205 | 2014-11-17 |
| 1679981328 | Life Changing Ministries Substance Abuse Services | Clinic/Center | 1134 W North Ave 2nd Floor, Milwaukee, WI 53205 | 2014-07-25 |
| 1891031969 | Robin Michelle Benjamin | Licensed Practical Nurse | 1536 N 20th, Mil., WI 53205 | 2012-12-18 |
| 1275712937 | Bruce G Hartwell | Dentist | 901 W Winnebago St, Suite Ll-01, Milwaukee, WI 53205 | 2007-10-30 |
| 1407978521 | Westside Healthcare Association, Inc | Clinic/Center | 1452 N. 7th Street, Milwaukee, WI 53205 | 2007-04-06 |
| 1740316181 | Neville Winston Duncan | Family Medicine | 1134 W North Ave Fl 2, Milwaukee, WI 53205 | 2007-02-27 |
| Find all providers in zip 53205 | ||||
| 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 |
| 1235388604 | Oakwood Family Medical Clinic,s.c. | Clinic/Center | 1845 N Farwell Ave Ste 207, Milwaukee, WI 53202-1715 | 2008-09-10 |
| 1386803757 | Dr. Joseph S Kostrzewski Sc | Clinic/Center | 1717 W Greenfield Ave, Milwaukee, WI 53204-2658 | 2008-06-02 |
| 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.