Organization Active NPI

Jeremias B. Vinluan M.D. S.C.

  • Family Medicine Physician
  • Milwaukee, WI
National Provider Identifier
1003963794
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
JEREMIAS B. VINLUAN M.D. S.C.
Practice address
756 N 35TH St
Suite 204
Milwaukee, WI 53208-3360
Phone
(414) 342-2606
Fax
(414) 342-0789
NPI assigned
Jan 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Virginia Vinluan
Title
Office Manager
Phone
(414) 342-2606

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

756 N 35TH St
Suite 204
Milwaukee, WI 53208-3360

Mailing address

756 N 35TH St
Suite 204
Milwaukee, WI 53208-3360
Phone (414) 342-2606

National Provider Directory

National Provider Directory

Locations

756 N 35th St
Ste 204
Milwaukee, WI 53208
Phone (414) 342-2606

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003963794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "756 N 35TH ST",
            "address_2": "SUITE 204",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532083360",
            "telephone_number": "414-342-2606",
            "fax_number": "414-342-0789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "756 N 35TH ST",
            "address_2": "SUITE 204",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532083360",
            "telephone_number": "414-342-2606",
            "fax_number": "414-342-0789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEREMIAS B. VINLUAN M.D. S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VINLUAN",
        "authorized_official_first_name": "VIRGINIA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "414-342-2606"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.