Fatima Aziz
Individual provider Active NPI Obstetrics & Gynecology Physician · Slinger, WI
NPI 1154736874 · NPPES record last updated Nov 18, 2021
Key facts
- NPI
- 1154736874
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- 62434 (WI)
- Practice address
- 1061 E Commerce Blvd
Slinger, WI 53086-9326 - Phone
- (262) 644-2900
- NPI assigned
- Jun 23, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 21
Medicare Care Compare profile
- Specialty
- Obstetrics/Gynecology
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Aurora Advanced Healthcare, Inc.
Practice addresses (Care Compare)
1061 E Commerce Boulevard
Slinger, WI 53086-9326
Phone (262) 644-2900
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140805002550 | WI | Practitioner - Obstetrics/Gynecology | 1951528579 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 62434 | WI | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aurora Advanced Healthcare, Inc. | Obstetrics & Gynecology | Current |
Accepting new patients |
| Aurora Advanced Healthcare Inc | Current |
Accepting new patients |
Locations
3003 W Good Hope Rd
Glendale, WI 53209
Phone (414) 352-3100
12203 N Corporate Pkwy
Mequon, WI 53092
Phone (262) 387-8200
3301 W Forest Home Ave
Milwaukee, WI 53215
Phone (414) 389-2233
1475 W Grand Ave
Port Washington, WI 53074
Phone (262) 268-5100
1061 E Commerce Blvd
Slinger, WI 53086
Phone (262) 644-2900
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 62434 | WI | Yes |
Addresses
Primary practice location
1061 E Commerce Blvd
Slinger, WI 53086-9326
Mailing address
3003 W Good Hope Rd
Milwaukee, WI 53209-2042
Phone (414) 352-3100
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100039794 | Medicaid | WI |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | faziz118020@direct.myadvocateaurora.org | Direct | |
| FHIR URL | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ |
Other providers in Slinger, WI
- Aurora Medical Center of Washington County, Inc.
- Aurora Medical Group, Inc.
- Aurora Medical Group, Inc.
- Aurora Pharmacy, Inc.
- Autumn Oaks Platinum LLC
- Ann M Bell
- Marcie Bennethum
- Jill Blanchard
- Body Harmonics, Inc.
- Stacey Lynn Brandt
All providers in Slinger, WI · Obstetrics & Gynecology Physician in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 18, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.