Organization Active NPI

Midwest Center for Women'S Health

  • Specialist
  • Kenosha, WI
National Provider Identifier
1194903518
Registry record updated Dec 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
036071201 Issued in IL
Legal business name
MIDWEST CENTER FOR WOMEN'S HEALTH
Practice address
10222 74TH St Ste 200
Kenosha, WI 53142-6810
Phone
(262) 697-9200
Fax
(262) 697-9206
NPI assigned
Feb 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2011

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

Authorized official

Name
Mrs. Susan Masliansky
Title
Office Manager
Phone
(262) 697-9200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 036071201 IL Primary

Addresses

Primary practice location

10222 74TH St Ste 200
Kenosha, WI 53142-6810

Mailing address

PO Box 1363
Skokie, IL 60076-8363
Phone (262) 697-9200

Other identifiers 1

IdentifierTypeStateIssuer
036071201MedicaidIL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1202342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324512000000",
    "number": "1194903518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1363",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600768363",
            "telephone_number": "262-697-9200",
            "fax_number": "262-697-9206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10222 74TH ST STE 200",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531426810",
            "telephone_number": "262-697-9200",
            "fax_number": "262-697-9206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST CENTER FOR WOMEN'S HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-07",
        "last_updated": "2011-12-22",
        "status": "A",
        "authorized_official_last_name": "MASLIANSKY",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "262-697-9200",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "IL",
            "license": "036071201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036071201",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenosha, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2011; 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.