Active NPI
Mauricio Tovar MD SC
- Obstetrics & Gynecology Physician
- Greenfield, WI
National Provider Identifier
1043313505
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 31738
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 32105700 | Medicaid | WI |
National Provider Directory
National Provider DirectoryNPI 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.