The Providers' Group Inc

Primary specialty

Point of ServiceTaxonomy code 305S00000X

Legal business name

THE PROVIDERS' GROUP INC

Practice address

3429 N 1St St
Milwaukee, WI 53212-1528

Phone

(414) 732-8636

NPI assigned

Dec 24, 2010

Organization subpart

No

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

Authorized official

Name

Tatia P Jackson

Title

Excutive Director

Phone

(414) 732-8636

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1293148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293148800000",
    "number": "1083918528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3429 N 1ST ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532121528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3429 N 1ST ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532121528",
            "telephone_number": "414-732-8636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PROVIDERS' GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-24",
        "last_updated": "2010-12-24",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "TATIA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "EXCUTIVE DIRECTOR",
        "authorized_official_telephone_number": "414-732-8636"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Point of Service in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Point of Service in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2010; 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.