Organization Active NPI

Mauricio Tovar MD SC

  • Obstetrics & Gynecology Physician
  • Greenfield, WI
National Provider Identifier
1043313505
Registry record updated Jun 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
31738 Issued in WI
Legal business name
MAURICIO TOVAR MD SC
Practice address
4931 S 27TH St
Suite 100
Greenfield, WI 53221
Phone
(414) 281-9533
Fax
(414) 281-9548
NPI assigned
Sep 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2008

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

Authorized official

Name
Mr. Mauricio Tovar, MD
Title
MD Owner
Phone
(414) 281-9533

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X 31738 WI Primary

Addresses

Primary practice location

4931 S 27TH St
Suite 100
Greenfield, WI 53221

Mailing address

PO Box 511774
Milwaukee, WI 53202
Phone (414) 281-9533

Other identifiers 1

IdentifierTypeStateIssuer
32105700MedicaidWI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1043313505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 511774",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "53202",
            "telephone_number": "414-281-9533",
            "fax_number": "414-281-9548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4931 S 27TH ST",
            "address_2": "SUITE 100",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "53221",
            "telephone_number": "414-281-9533",
            "fax_number": "414-281-9548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAURICIO TOVAR MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-07",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "TOVAR",
        "authorized_official_first_name": "MAURICIO",
        "authorized_official_title_or_position": "MD OWNER",
        "authorized_official_telephone_number": "414-281-9533",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "WI",
            "license": "31738",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32105700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenfield, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; 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.