Active NPI
Barbara-Anne Faison, M.D.
- Family Medicine Physician
- Milwaukee, WI
National Provider Identifier
1043306731
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 24910
- Practice address
- 7810 West Good Hope Road
Milwaukee, WI 53223-4518 - Phone
- (414) 586-9255
- Fax
- (414) 586-9282
- NPI assigned
- Oct 4, 2006
- Last updated
- Jan 23, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 24910 | WI | Primary |
| General Practice Physician | 208D00000X | 24910 | WI |
Addresses
Primary practice location
7810 West Good Hope Road
Milwaukee, WI 53223-4518
Mailing address
1134 W. North Avenue
Milwaukee, WI 53205-1134
Phone (414) 374-9575
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043306731 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Med Alliance S.C. | General Practice | Past | Accepting new patients |
| North Avenue Family Medical Center | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Primary Care Clinic/Center
- Milwaukee, WI
- NPI 1942437009
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1232668800000",
"number": "1043306731",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1134 W. NORTH AVENUE",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532051134",
"telephone_number": "414-374-9575",
"fax_number": "414-586-9282"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7810 WEST GOOD HOPE ROAD",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532234518",
"telephone_number": "414-586-9255",
"fax_number": "414-586-9282"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAISON",
"first_name": "BARBARA-ANNE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-04",
"last_updated": "2009-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WI",
"license": "24910",
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "WI",
"license": "24910",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1043306731",
"state": "WI"
}
],
"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 Jan 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.