Omni Family Medical SC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

OMNI FAMILY MEDICAL SC

Practice address

7810 W Good Hope Rd
Milwaukee, WI 53223-4518

Phone

(414) 586-9255

Fax

(414) 760-6219

NPI assigned

Sep 3, 2019

Organization subpart

Yes

Parent organization

OMNI FAMILY MEDICAL SCAs reported in NPPES

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

Authorized official

Name

Kwesi Grant-Acquah

Title

MD

Phone

(414) 374-9575

Specialties & licenses 1

Addresses

Other names 1

• Omni Family Medical SC Former legal business name

Tax ID family

Omni Family Medical SC2 organizations share this tax ID, including this one

Part of

Omni Family Medical SC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Omni Family Medical SC

  • Point of Service
  • Milwaukee, WI
  • NPI 1558732339
  NPD tax ID

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

{
    "created_epoch": "1567468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567468800000",
    "number": "1033767017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7810 W GOOD HOPE RD",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532234518",
            "telephone_number": "414-586-9255",
            "fax_number": "414-760-6219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7810 W GOOD HOPE RD",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532234518",
            "telephone_number": "414-586-9255",
            "fax_number": "414-760-6219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMNI FAMILY MEDICAL SC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OMNI FAMILY MEDICAL SC",
        "enumeration_date": "2019-09-03",
        "last_updated": "2019-09-03",
        "status": "A",
        "authorized_official_last_name": "GRANT-ACQUAH",
        "authorized_official_first_name": "KWESI",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "414-374-9575"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Omni Family Medical SC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Kathleen A Omelina, NP
• Omnawal Transportation LLC
• Omni Enrichment, Incorporation
• Omni Family Medical Clinic SC
• Omni Family Medical Clinic Urgent Care, S.C.
• Omni Family Medical SC
• Omni Family Medical SC
• Omnicare Pharmacy Inc
• Wasiu A Omotayo
• On the Rize Transportation LLC

• Internal Medicine Physician in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Internal Medicine Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2019; 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.