NPIMap

Organization Active NPI

Childrens Hospital of Wisconsin Inc

  • Children's Hospital
  • Milwaukee, WI
National Provider Identifier
1205281110
Registry record updated Apr 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Children's HospitalTaxonomy code 282NC2000X
License
123314 Issued in IA
Legal business name
CHILDRENS HOSPITAL OF WISCONSIN INC
Practice address
8915 W Connell Ave
Milwaukee, WI 53226-3067
Phone
(414) 266-2000
NPI assigned
Apr 28, 2016
Last updated
Apr 28, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2016

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

Authorized official

Name
Theresa Mikhailov, MD,PHD
Title
Director, Ped. Critical Care NP
Phone
(414) 266-2438

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Children's Hospital 282NC2000X 123314 IA Primary

Addresses

Primary practice location

8915 W Connell Ave
Milwaukee, WI 53226-3067

Mailing address

1695 N Jones Blvd Apt 10
North Liberty, IA 52317-8824
Phone (507) 251-0673

Other names 1

  • CHildrens Hospital of Wisconsin Other name

Care Compare: Dialysis facility

Medicare Care Compare
Listed as
Childrens WisconsinCCN 522319
Ownership
Non-profit
Certified
Oct 19, 1987
Medicare certification status
ActiveFrom the Provider of Services file
Dialysis stations
6

Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address.

National Provider Directory

National Provider Directory
Tax ID family
Children's Hospital of Wiscosnin Inc22 organizations share this tax ID, including this one

Other organizations with this tax ID 21

Organizations that report the same tax identification number in the National Provider Directory.

View all 21

Locations

8915 W Connell Ave
Wauwatosa, WI 53226
Phone (414) 266-2950

NPI Registry JSON

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

{
    "created_epoch": "1461801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461801600000",
    "number": "1205281110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1695 N JONES BLVD APT 10",
            "city": "NORTH LIBERTY",
            "state": "IA",
            "postal_code": "523178824",
            "telephone_number": "507-251-0673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8915 W CONNELL AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532263067",
            "telephone_number": "414-266-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDRENS HOSPITAL OF WISCONSIN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-28",
        "last_updated": "2016-04-28",
        "status": "A",
        "authorized_official_last_name": "MIKHAILOV",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "DIRECTOR, PED. CRITICAL CARE NP",
        "authorized_official_telephone_number": "414-266-2438",
        "authorized_official_credential": "MD,PHD"
    },
    "taxonomies": [
        {
            "code": "282NC2000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Children",
            "state": "IA",
            "license": "123314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHildrens Hospital of Wisconsin",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.