Greater Milwaukee Plastic Surgeons SC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

GREATER MILWAUKEE PLASTIC SURGEONS SC

Practice address

13800 W North Avenue
Suite 110
Brookfield, WI 53005

Phone

(262) 717-4000

Fax

(262) 641-7435

NPI assigned

May 3, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Tim Mark Menzel, MBA

Title

Business Manager

Phone

(262) 717-4030

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Thomas E Kinney, MD

  • Plastic Surgery Physician
  • Brookfield, WI
  • NPI 1447254875

  Specialist

  Medicare reassignment Care Compare group NPD
• Philip L Sonderman, MD

  • Plastic Surgery Physician
  • Brookfield, WI
  • NPI 1992709323

  Specialist

  Medicare reassignment Care Compare group NPD
• Daniel Butz, MD

  • Plastic and Reconstructive Surgery Physician
  • Brookfield, WI
  • NPI 1598070179
  NPD

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210291200000",
    "number": "1154389484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13800 W NORTH AVENUE",
            "address_2": "SUITE 110",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "53005",
            "telephone_number": "262-717-4000",
            "fax_number": "262-641-7435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13800 W NORTH AVENUE",
            "address_2": "SUITE 110",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "53005",
            "telephone_number": "262-717-4000",
            "fax_number": "262-641-7435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER MILWAUKEE PLASTIC SURGEONS SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-03",
        "last_updated": "2008-05-09",
        "status": "A",
        "authorized_official_last_name": "MENZEL",
        "authorized_official_first_name": "TIM",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "262-717-4030",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32836200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elliot Grant
• Jacob Gravenkamp
• Great Lakes Radiation Oncology,
• Great Midwest Medical, Inc.
• Great Midwest Pain Specialists, S.C.
• Debra Greeley, SLP
• Sarah Green, PSYD, LMFT
• Trelisha M Green
• Greenbrook Dentistry S C
• Greenfield Rehabilitation Agency, Inc. (Rehab Resources)

• Specialist in Brookfield, WI
• Providers in Brookfield, WI by specialty
• Specialist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2008; 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.