SJK Geriatrics and Palliative Care Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

39845-020 Issued in WI

Legal business name

SJK GERIATRICS AND PALLIATIVE CARE INC.

Practice address

7380 S Cambridge Dr
Franklin, WI 53132-1975

Phone

(414) 529-5707

Fax

(414) 425-0509

NPI assigned

May 16, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Steve J Kim, MDNPI 1053394320

Title

President

Phone

(414) 247-9005

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 2

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

• Steve J Kim, MD

  • Internal Medicine Physician
  • Franklin, WI
  • NPI 1053394320
  Medicare reassignment Care Compare group NPD Authorized official
• Joan M Kaczinski, NP

  • Family Nurse Practitioner
  • Milwaukee, WI
  • NPI 1255484325
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568332800000",
    "number": "1093921793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 639",
            "city": "THIENSVILLE",
            "state": "WI",
            "postal_code": "530920639",
            "telephone_number": "414-247-9005",
            "fax_number": "414-247-9004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7380 S CAMBRIDGE DR",
            "city": "FRANKLIN",
            "state": "WI",
            "postal_code": "531321975",
            "telephone_number": "414-529-5707",
            "fax_number": "414-425-0509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SJK GERIATRICS AND PALLIATIVE CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2019-09-13",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "STEVE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "414-247-9005",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "39845-020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32494100",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS RENDERING ID",
            "identifier": "220987055005",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Debra J Singleton, CADCII
• Blama Sirleaf, BSN, RN
• Steven Richard Sirus, MD
• Shadan A Sirwan
• Site 4 Eyes
• Emily Jane Skibinski, DDS
• Kathleen Slawianowski, LPC
• Sleep Health Wisconsin LLC
• Arieonna Smith
• Brianna Smith, AGNP-C

• Internal Medicine Physician in Franklin, WI
• Providers in Franklin, WI by specialty
• Internal Medicine Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.