Eleos Medical Group

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

H2528127056407 Issued in WI

Legal business name

ELEOS MEDICAL GROUP

Practice address

4429 W Fond Du Lac Ave
Suite #6
Milwaukee, WI 53216-3444

Phone

(414) 459-3319

Fax

(414) 444-8810

NPI assigned

Mar 26, 2014

Last updated

Mar 26, 2014By 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

Mrs. Tammi Lynette Hayes-McGowan

Title

President

Phone

(414) 628-1004

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1395792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395792000000",
    "number": "1194142356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4429 W FOND DU LAC AVE",
            "address_2": "SUITE #6",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532163444",
            "telephone_number": "414-459-3319",
            "fax_number": "414-444-8810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4429 W FOND DU LAC AVE",
            "address_2": "SUITE #6",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532163444",
            "telephone_number": "414-459-3319",
            "fax_number": "414-444-8810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEOS MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-26",
        "last_updated": "2014-03-26",
        "status": "A",
        "authorized_official_last_name": "HAYES-MCGOWAN",
        "authorized_official_first_name": "TAMMI",
        "authorized_official_middle_name": "LYNETTE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "414-628-1004",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "WI",
            "license": "H2528127056407",
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "WI",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Non-emergency Medical Transport (VAN) in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Non-emergency Medical Transport (VAN) in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2014; 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.