NPIMap

Organization Active NPI

Froedtert Health

  • Non-Pharmacy Dispensing Site
  • Milwaukee, WI
National Provider Identifier
1245013572
Registry record updated Aug 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
Legal business name
FROEDTERT HEALTH
Practice address
841 N Broadway
Milwaukee, WI 53202-3640
Phone
(414) 286-5079
NPI assigned
Aug 18, 2023
Last updated
Aug 18, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
FROEDTERT AND THE MEDICAL COLLEGE OF WIAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 18, 2023

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

Authorized official

Name
Blaine John O'Connell
Title
Cfo
Phone
(414) 805-4291

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X Primary

Addresses

Primary practice location

841 N Broadway
Milwaukee, WI 53202-3640

Mailing address

W129N7055 Northfield Dr
Menomonee Falls, WI 53051-0538

National Provider Directory

National Provider Directory
Tax ID family
Froedtert and the Medical College of Wisconsin Community Physicians10 organizations share this tax ID, including this one
Part of
Froedtert and the Medical College of Wisconsin Community Physicians

Other organizations with this tax ID 9

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

Locations

841 N Broadway
Milwaukee, WI 53202
Phone (414) 286-5079

NPI Registry JSON

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

{
    "created_epoch": "1692316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692316800000",
    "number": "1245013572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W129N7055 NORTHFIELD DR",
            "city": "MENOMONEE FALLS",
            "state": "WI",
            "postal_code": "530510538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "841 N BROADWAY",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532023640",
            "telephone_number": "414-286-5079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FROEDTERT HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FROEDTERT AND THE MEDICAL COLLEGE OF WI",
        "enumeration_date": "2023-08-18",
        "last_updated": "2023-08-18",
        "certification_date": "2023-08-18",
        "status": "A",
        "authorized_official_last_name": "O'CONNELL",
        "authorized_official_first_name": "BLAINE",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "414-805-4291"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "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 18, 2023; 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.