NPIMap

Organization Active NPI

Oakwood Family Medical Clinic,S.C.

  • Primary Care Clinic/Center
  • Milwaukee, WI
National Provider Identifier
1235388604
Registry record updated Nov 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
36860 Issued in WI
Legal business name
OAKWOOD FAMILY MEDICAL CLINIC,S.C.
Practice address
1845 N Farwell Ave Ste 207
Milwaukee, WI 53202-1715
Phone
(414) 270-0777
NPI assigned
Sep 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2008

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

Authorized official

Name
Dr. Craig Alan Reich, M.D.
Title
President
Phone
(414) 270-0777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 36860 WI Primary

Addresses

Primary practice location

1845 N Farwell Ave Ste 207
Milwaukee, WI 53202-1715

Mailing address

1845 N Farwell Ave Ste 207
Milwaukee, WI 53202-1715
Phone (414) 270-0777

Other identifiers 1

IdentifierTypeStateIssuer
21263100MedicaidWI

National Provider Directory

National Provider Directory

Locations

1845 N Farwell Ave
Ste 207
Milwaukee, WI 53202
Phone (414) 270-0777

NPI Registry JSON

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

{
    "created_epoch": "1221004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227225600000",
    "number": "1235388604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1845 N FARWELL AVE STE 207",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532021715",
            "telephone_number": "414-270-0777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1845 N FARWELL AVE STE 207",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532021715",
            "telephone_number": "414-270-0777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKWOOD FAMILY MEDICAL CLINIC,S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-10",
        "last_updated": "2008-11-21",
        "status": "A",
        "authorized_official_last_name": "REICH",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "414-270-0777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "WI",
            "license": "36860",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "21263100",
            "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 Nov 21, 2008; 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.