Organization Active NPI

Nicole L B Sternitzky MD SC

  • Obstetrics & Gynecology Physician
  • Waukesha, WI
National Provider Identifier
1225296270
Registry record updated Aug 31, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
49347020 Issued in WI
Legal business name
NICOLE L B STERNITZKY MD SC
Practice address
20611 Watertown Rd
Suite E
Waukesha, WI 53186-1871
Phone
(262) 798-1910
NPI assigned
May 27, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2009

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

Authorized official

Name
Nicole L B Sternitzky, MD
Title
Owner
Phone
(262) 798-1910

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 49347020 WI Primary

Addresses

Primary practice location

20611 Watertown Rd
Suite E
Waukesha, WI 53186-1871

Mailing address

20611 Watertown Rd
Suite E
Waukesha, WI 53186-1871
Phone (262) 798-1910

Other identifiers 1

IdentifierTypeStateIssuer
34882600MedicaidWI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1211846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251676800000",
    "number": "1225296270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20611 WATERTOWN RD",
            "address_2": "SUITE E",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531861871",
            "telephone_number": "262-798-1910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20611 WATERTOWN RD",
            "address_2": "SUITE E",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531861871",
            "telephone_number": "262-798-1910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICOLE L B STERNITZKY MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-27",
        "last_updated": "2009-08-31",
        "status": "A",
        "authorized_official_last_name": "STERNITZKY",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "L B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "262-798-1910",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "WI",
            "license": "49347020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34882600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waukesha, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2009; 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.