Wisconsin Telehealthcare Network

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

WISCONSIN TELEHEALTHCARE NETWORK

Practice address

5600 W Brown Deer Rd
Suite 228
Milwaukee, WI 53223-2311

Phone

(414) 416-8301

NPI assigned

Dec 7, 2015

Organization subpart

No

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

Authorized official

Name

Khristina M Tolbert

Title

Owner

Phone

(414) 416-8301

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1449446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449446400000",
    "number": "1164897872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W146 S6974 CATALINA DRIVE",
            "city": "MUSKEGO",
            "state": "WI",
            "postal_code": "53150",
            "telephone_number": "414-416-3801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5600 W BROWN DEER RD",
            "address_2": "SUITE 228",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532232311",
            "telephone_number": "414-416-8301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISCONSIN TELEHEALTHCARE NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-07",
        "last_updated": "2015-12-07",
        "status": "A",
        "authorized_official_last_name": "TOLBERT",
        "authorized_official_first_name": "KHRISTINA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-416-8301"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "WI",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Clinic/Center in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Primary Care Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2015; 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.