Organization Active NPI

Neurological Surgery SC

  • Neurological Surgery Physician
  • Milwaukee, WI
National Provider Identifier
1235232810
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
18499 Issued in WI
Legal business name
NEUROLOGICAL SURGERY SC
Practice address
3201 So 16TH Street
Suite 2025
Milwaukee, WI 53215-4534
Phone
(414) 645-8977
Fax
(414) 645-8988
NPI assigned
Sep 7, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Lawrence Jeffrey Frazin, MDNPI 1821190232
Title
President
Phone
(414) 645-8977

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207T00000X 18499 WI Primary

Addresses

Primary practice location

3201 So 16TH Street
Suite 2025
Milwaukee, WI 53215-4534

Mailing address

3201 So 16TH Street
Suite 2025
Milwaukee, WI 53215-4534
Phone (414) 645-8977

National Provider Directory

National Provider Directory

Locations

3201 S 16th St
Ste 2025
Milwaukee, WI 53215
Phone (414) 385-2710

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235232810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 SO 16TH STREET",
            "address_2": "SUITE 2025",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532154534",
            "telephone_number": "414-645-8977",
            "fax_number": "414-645-8988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 SO 16TH STREET",
            "address_2": "SUITE 2025",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532154534",
            "telephone_number": "414-645-8977",
            "fax_number": "414-645-8988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROLOGICAL SURGERY SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FRAZIN",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "JEFFREY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "414-645-8977",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": "WI",
            "license": "18499",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 22, 2020; 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.