Organization Active NPI

Metro Milwaukee Medical Inc

  • Family Medicine Physician
  • West Allis, WI
National Provider Identifier
1104065226
Registry record updated May 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
46478 Issued in WI
Legal business name
METRO MILWAUKEE MEDICAL INC
Practice address
8901 W Lincoln Ave
West Allis, WI 53227-2409
Phone
(262) 957-7251
NPI assigned
Feb 12, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2009

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

Authorized official

Name
Dr. Ami Prag, M.D.
Title
Phisician
Phone
(262) 957-7251

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 46478 WI Primary

Addresses

Primary practice location

8901 W Lincoln Ave
West Allis, WI 53227-2409

Mailing address

17345 Civic Dr
P O Box No 1570
Brookfield, WI 53045-5305
Phone (262) 957-7251

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1234396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242950400000",
    "number": "1104065226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17345 CIVIC DR",
            "address_2": "P O BOX NO 1570",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530455305",
            "telephone_number": "262-957-7251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8901 W LINCOLN AVE",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532272409",
            "telephone_number": "262-957-7251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METRO MILWAUKEE MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-12",
        "last_updated": "2009-05-22",
        "status": "A",
        "authorized_official_last_name": "PRAG",
        "authorized_official_first_name": "AMI",
        "authorized_official_title_or_position": "PHISICIAN",
        "authorized_official_telephone_number": "262-957-7251",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "46478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Allis, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2009; 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.