Active NPI
Ma Remedios Quejada-Baylon, MD
- Pediatrics Physician
- Milwaukee, WI
National Provider Identifier
1205843083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 33957
- Practice address
- 756 N 35TH St
Suite 101
Milwaukee, WI 53208-3360 - Phone
- (414) 342-2511
- Fax
- (414) 342-2209
- NPI assigned
- Aug 2, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 33957 | WI | Primary |
Addresses
Primary practice location
756 N 35TH St
Suite 101
Milwaukee, WI 53208-3360
Mailing address
2425 N 128TH St
Brookfield, WI 53005-5233
Phone (262) 352-9081
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 32185500 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33957 | WI | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baylon Family Physicians, LTD. | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- maria.quejada-baylon.1@19559.direct.athenahealth.com
- https://api.platform.athenahealth.com/19559/brand/1/csg/1/fhir/r4
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatrics Physician
- Milwaukee, WI
- NPI 1346257185
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1205843083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2425 N 128TH ST",
"city": "BROOKFIELD",
"state": "WI",
"postal_code": "530055233",
"telephone_number": "262-352-9081",
"fax_number": "262-938-0227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "756 N 35TH ST",
"address_2": "SUITE 101",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532083360",
"telephone_number": "414-342-2511",
"fax_number": "414-342-2209"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUEJADA-BAYLON",
"first_name": "MA REMEDIOS",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "WI",
"license": "33957",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "32185500",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.