Midwest Infectious Disease

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

27387-20 Issued in WI

Legal business name

MIDWEST INFECTIOUS DISEASE

Practice address

2900 W Oklahoma Ave
Milwaukee, WI 53215-4330

Phone

(414) 649-3872

Fax

(414) 375-0192

NPI assigned

Mar 25, 2011

Organization subpart

No

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

Authorized official

Name

John C Christianson, MDNPI 1114021151

Title

President

Phone

(414) 649-3872

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John C Christianson, M.D

  • Infectious Disease Physician
  • Milwaukee, WI
  • NPI 1114021151
  Medicare reassignment NPD Authorized official
• Kathryn Valukas, APNP

  • Nurse Practitioner
  • Milwaukee, WI
  • NPI 1407129893
  Medicare reassignment NPD

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

{
    "created_epoch": "1301011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301356800000",
    "number": "1174822480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 S JAMES ST",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530057191",
            "telephone_number": "414-649-3872",
            "fax_number": "414-375-0192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 W OKLAHOMA AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532154330",
            "telephone_number": "414-649-3872",
            "fax_number": "414-375-0192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST INFECTIOUS DISEASE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-25",
        "last_updated": "2011-03-29",
        "status": "A",
        "authorized_official_last_name": "CHRISTIANSON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "414-649-3872",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "WI",
            "license": "27387-20",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Midwest Medical Supply Co. Inc.
• Midwest Medical Transport Company LLC
• Midwest Nephrology Associates, S.C.
• Midwest Nephrology Associates, SC
• Midwest Orthopedic Specialty Hospital, LLC

• Infectious Disease Physician in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Infectious Disease Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2011; 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.