Organization Active NPI

Craig a. Siverhus, MD SC

  • Surgery Physician
  • Milwaukee, WI
National Provider Identifier
1144428269
Registry record updated Jul 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
30501 Issued in WI
Legal business name
CRAIG A. SIVERHUS, MD SC
Practice address
2015 E Newport Ave
Suite 305
Milwaukee, WI 53211-2984
Phone
(414) 961-0531
NPI assigned
Jul 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2007

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

Authorized official

Name
Dr. Craig A. Siverhus, M.D.
Title
President
Phone
(414) 961-0531

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 30501 WI Primary

Addresses

Primary practice location

2015 E Newport Ave
Suite 305
Milwaukee, WI 53211-2984

Mailing address

2015 E Newport Ave
Suite 305
Milwaukee, WI 53211-2984

Other identifiers 1

IdentifierTypeStateIssuer
32027700MedicaidWI

National Provider Directory

National Provider Directory

Locations

2015 E Newport Ave
#305
Milwaukee, WI 53211
Phone (414) 961-0531

NPI Registry JSON

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184025600000",
    "number": "1144428269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2015 E NEWPORT AVE",
            "address_2": "SUITE 305",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532112984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 E NEWPORT AVE",
            "address_2": "SUITE 305",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532112984",
            "telephone_number": "414-961-0531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAIG A. SIVERHUS, MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-10",
        "last_updated": "2007-07-10",
        "status": "A",
        "authorized_official_last_name": "SIVERHUS",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "414-961-0531",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "WI",
            "license": "30501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32027700",
            "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 Jul 10, 2007; 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.