NPIMap

Organization Active NPI

Practice Management Group Inc

  • Family Medicine Physician
  • Waukesha, WI
National Provider Identifier
1255367454
Registry record updated Dec 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PRACTICE MANAGEMENT GROUP INC
Practice address
1111 Delafield Street
Ste 218
Waukesha, WI 53188-3403
Phone
(262) 574-9093
Fax
(262) 542-2803
NPI assigned
Jun 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2015

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

Authorized official

Name
Mr. Harinder S Gill, M.D.
Title
Partner
Phone
(262) 542-0074

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Health Service Clinic/Center 261QH0100X

Addresses

Primary practice location

1111 Delafield Street
Ste 218
Waukesha, WI 53188-3403

Mailing address

1111 Delafield Street
Suite 218
Waukesha, WI 53188-3403
Phone (262) 574-9093

Other names 1

  • Eagle Medical Center Doing business as

National Provider Directory

National Provider Directory

Locations

W355S9085 Godfrey Ln
Eagle, WI 53119
Phone (262) 574-9093

1111 Delafield St
Ste 218
Waukesha, WI 53188
Phone (262) 542-8185

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449446400000",
    "number": "1255367454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 DELAFIELD STREET",
            "address_2": "SUITE 218",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531883403",
            "telephone_number": "262-574-9093",
            "fax_number": "262-542-2803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 DELAFIELD STREET",
            "address_2": "STE 218",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531883403",
            "telephone_number": "262-574-9093",
            "fax_number": "262-542-2803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRACTICE MANAGEMENT GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-23",
        "last_updated": "2015-12-07",
        "status": "A",
        "authorized_official_last_name": "GILL",
        "authorized_official_first_name": "HARINDER",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "262-542-0074",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eagle Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 7, 2015; 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.