Milwaukee Family Practice SC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MILWAUKEE FAMILY PRACTICE SC

Practice address

4931 S 27TH St
Ste 200
Greenfield, WI 53221-2652

Phone

(414) 546-3400

Fax

(414) 546-3500

NPI assigned

Dec 7, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Hector M Lopez, MDNPI 1952389876

Title

Physician

Phone

(414) 546-3400

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Hector M Lopez, MD

  • Family Medicine Physician
  • Greenfield, WI
  • NPI 1952389876
  Authorized official Same address or phone
• Jean Marie Riquelme, MD

  • Family Medicine Physician
  • Verona, WI
  • NPI 1568446128
  NPD (past)

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

{
    "created_epoch": "1133913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1033194642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4931 S 27TH ST",
            "address_2": "STE 200",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532212652",
            "telephone_number": "414-546-3400",
            "fax_number": "414-546-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4931 S 27TH ST",
            "address_2": "STE 200",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532212652",
            "telephone_number": "414-546-3400",
            "fax_number": "414-546-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILWAUKEE FAMILY PRACTICE SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "HECTOR",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "414-546-3400",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32889900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lareesha Miller
• Milwaukee ASC LLC (Milwaukee Endoscopy Center)
• Milwaukee Catholic Home, Inc.
• Milwaukee Family Dental Clinic, S.C.
• Milwaukee Family Health Clinic LLC
• Milwaukee Medical Weight Loss & Medispa, Inc.
• Milwaukee Radiologists LTD
• Mindful Journeys Wisconsin LLC
• Jessica Mindiola
• Jenna M Mineau, PA

• Family Medicine Physician in Greenfield, WI
• Providers in Greenfield, WI by specialty
• Family Medicine Physician in Wisconsin

• 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.