Milwaukee Center for Diagnostic Imaging LLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

MILWAUKEE CENTER FOR DIAGNOSTIC IMAGING LLC

Practice address

2445 North Mayfair Rd
Suite 100
Wauwatosa, WI 53226

Phone

(414) 774-7226

Fax

(414) 774-6004

NPI assigned

Mar 3, 2006

Organization subpart

No

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

Authorized official

Name

Donald D Jacobsen

Title

Officer on the Board Asst Secretary

Phone

(952) 543-6500

Specialties & licenses 1

Addresses

Other names 1

• Center for Diagnostic Imaging Doing business as

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Guillermo Carrera, MD

  • Diagnostic Radiology Physician
  • Milwaukee, WI
  • NPI 1821049214
  NPD (past)
• Scott D Rand, MD

  • Neuroradiology Physician
  • Milwaukee, WI
  • NPI 1932151636
  NPD (past)
• Robert H. Dorwart, M.D.

  • Diagnostic Radiology Physician
  • Carmel, IN
  • NPI 1861408981
  NPD (past)
• Kurt P Schellhas, MD

  • Diagnostic Radiology Physician
  • St Louis Park, MN
  • NPI 1447227236
  NPD (past)

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

{
    "created_epoch": "1141344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093782435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2088",
            "address_2": "DEPT 4058",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532012088",
            "telephone_number": "952-542-8553",
            "fax_number": "952-513-6880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2445 NORTH MAYFAIR RD",
            "address_2": "SUITE 100",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "53226",
            "telephone_number": "414-774-7226",
            "fax_number": "414-774-6004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILWAUKEE CENTER FOR DIAGNOSTIC IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JACOBSEN",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OFFICER ON THE BOARD ASST SECRETARY",
        "authorized_official_telephone_number": "952-543-6500"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center for Diagnostic Imaging",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Milos Tomich DPM SC
• Milwaukee Academy
• Milwaukee Academy
• Milwaukee Academy
• Milwaukee Academy
• Milwaukee Diagnostic Services SC
• Milwaukee Foot & Ankle Surgical Associates LLC
• Milwaukee Gi Specialists SC
• Milwaukee Hand Specialists, S.C.
• Milwaukee Obstetrics & Gynecology, S.C.

• Diagnostic Radiology Physician in Wauwatosa, WI
• Providers in Wauwatosa, WI by specialty
• Diagnostic Radiology Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.