Active NPI
Shafi Medical Center SC
- Family Medicine Physician
- Milwaukee, WI
National Provider Identifier
1053408203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- SHAFI MEDICAL CENTER SC
- Practice address
- 1919 W North Ave
#200
Milwaukee, WI 53205 - Phone
- (414) 387-1000
- Fax
- (414) 287-1010
- NPI assigned
- Oct 9, 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
- Mohammad Shafi, MD
- Title
- Owner/President
- Phone
- (414) 287-1000
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Clinical Genetics (M.D.) Physician | 207SG0201X | |||
| Obstetrics & Gynecology Physician | 207V00000X | |||
| Pediatrics Physician | 208000000X | |||
| Surgery Physician | 208600000X |
Addresses
Primary practice location
1919 W North Ave
#200
Milwaukee, WI 53205
Mailing address
4555 W Schroeder Dr
#170
Milwaukee, WI 53223-1475
Phone (414) 365-3210
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 32686800 | Medicaid | WI |
National Provider Directory
National Provider DirectoryLocations
1218 W Kilbourn Ave
Ste 200
Milwaukee, WI 53233
Phone (414) 219-7370
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160352000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1337644800000",
"number": "1053408203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4555 W SCHROEDER DR",
"address_2": "#170",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532231475",
"telephone_number": "414-365-3210",
"fax_number": "414-365-3225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1919 W NORTH AVE",
"address_2": "#200",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "53205",
"telephone_number": "414-387-1000",
"fax_number": "414-287-1010"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHAFI MEDICAL CENTER SC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-09",
"last_updated": "2012-05-22",
"status": "A",
"authorized_official_last_name": "SHAFI",
"authorized_official_first_name": "MOHAMMAD",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "414-287-1000",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207SG0201X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Medical Genetics, Clinical Genetics (M.D.)",
"state": null,
"license": null,
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "32686800",
"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 May 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.