Alliance ENT and Hearing Center, SC

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

ALLIANCE ENT AND HEARING CENTER, SC

Practice address

2727 N Mayfair Rd Ste I
Wauwatosa, WI 53222-4400

Phone

(414) 727-0910

Fax

(414) 727-0920

NPI assigned

Nov 21, 2007

Last updated

Jul 22, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Anthony A Rieder, M.D.NPI 1710989090

Title

Owner

Phone

(414) 727-0910

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 5

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.

• Anthony A Rieder, M.D.

  • Otolaryngology Physician
  • Wauwatosa, WI
  • NPI 1710989090
  Medicare reassignment Care Compare group NPD Authorized official
• Matthew Thomas Greulich, M.D.

  • Otolaryngology Physician
  • Milwaukee, WI
  • NPI 1528358074
  Medicare reassignment Care Compare group NPD
• Stephanie Kelly Drew, FNP-C

  • Family Nurse Practitioner
  • Wauwatosa, WI
  • NPI 1235408691
  NPD
• Ellen Marie Ketter, PA-C

  • Physician Assistant
  • Wauwatosa, WI
  • NPI 1942653480
  NPD
• Nathan David Berg, AU.D.

  • Audiologist
  • Hales Corners, WI
  • NPI 1558640052
  NPD (past)

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

{
    "created_epoch": "1195603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721606400000",
    "number": "1184805848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26071",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532260071",
            "telephone_number": "414-727-0910",
            "fax_number": "414-727-0920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 N MAYFAIR RD STE I",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532224400",
            "telephone_number": "414-727-0910",
            "fax_number": "414-727-0920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIANCE ENT AND HEARING CENTER, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-21",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A",
        "authorized_official_last_name": "RIEDER",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-727-0910",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Otolaryngology Physician in Wauwatosa, WI
• Providers in Wauwatosa, WI by specialty
• Otolaryngology Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; 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.