Midwest Surgical Professionals LLC

Primary specialty

Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X

License

61806-20 Issued in WI

Legal business name

MIDWEST SURGICAL PROFESSIONALS LLC

Practice address

19275 W Capitol Dr
Suite 205
Brookfield, WI 53045-2742

Phone

(262) 701-7040

Fax

(262) 701-4978

NPI assigned

Jul 27, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Anand D Patel, M.D.

Title

Member

Phone

(414) 988-3223

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1437955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478649600000",
    "number": "1194100511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19275 W CAPITOL DR",
            "address_2": "SUITE 205",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530452742",
            "telephone_number": "262-701-7040",
            "fax_number": "262-701-4978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19275 W CAPITOL DR",
            "address_2": "SUITE 205",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530452742",
            "telephone_number": "262-701-7040",
            "fax_number": "262-701-4978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST SURGICAL PROFESSIONALS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-27",
        "last_updated": "2016-11-09",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "ANAND",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "414-988-3223",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "WI",
            "license": "61806-20",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Otolaryngology/Facial Plastic Surgery Physician in Brookfield, WI
• Providers in Brookfield, WI by specialty
• Otolaryngology/Facial Plastic Surgery Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2016; 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.