Family Doctors, SC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

21429 Issued in WI

Legal business name

FAMILY DOCTORS, SC

Practice address

3267 S 16TH St
Suite 208
Milwaukee, WI 53215-4500

Phone

(414) 643-7448

Fax

(414) 643-7482

NPI assigned

Jul 6, 2006

Organization subpart

No

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

Authorized official

Name

Suresh K Misra, MDNPI 1174588768

Title

Owner

Phone

(414) 643-7448

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Suresh K Misra, MD

  • Family Medicine Physician
  • Milwaukee, WI
  • NPI 1174588768
  Medicare reassignment NPD Authorized official
• Gregory J Kuhr, MD

  • Family Medicine Physician
  • New Berlin, WI
  • NPI 1720049844
  NPD (past)
• Aasim Mohammed, M.D

  • Pulmonary Disease Physician
  • Burlington, WI
  • NPI 1326477233
  NPD (past)

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193184000000",
    "number": "1043242811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3267 S 16TH ST",
            "address_2": "SUITE 208",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532154500",
            "telephone_number": "414-643-7448",
            "fax_number": "414-643-7482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3267 S 16TH ST",
            "address_2": "SUITE 208",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532154500",
            "telephone_number": "414-643-7448",
            "fax_number": "414-643-7482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY DOCTORS, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2007-10-24",
        "status": "A",
        "authorized_official_last_name": "MISRA",
        "authorized_official_first_name": "SURESH",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-643-7448",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "21429",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "21251200",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CH8008",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Family 1St PNCC Services, LLC.
• Family Care Home Health
• Family Care Services LLC
• Family Connect
• Family Connections Resource Center LLC
• Family First Supportive Services Inc
• Family First Wi
• Family Focus Healthcare Services
• Family Guidance
• Family Healing and Wellness Center LLC

• Family Medicine Physician in Milwaukee, WI
• Providers in Milwaukee, 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 Oct 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.