Affiliated ENT, SC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

AFFILIATED ENT, SC

Practice address

2500 N Mayfair Rd Ste 450
Milwaukee, WI 53226-1443

Phone

(414) 475-9300

NPI assigned

Sep 1, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. John J Kelly, MD

Title

President

Phone

(414) 475-9300

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Gwen M Kandula, AU.D, MBA

  • Audiologist
  • Milwaukee, WI
  • NPI 1518933969
  NPD (past)
• Madan N Kandula, MD

  • Otolaryngology Physician
  • Milwaukee, WI
  • NPI 1275521288
  NPD (past)

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265544498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N87W16462 JACOBSON DR",
            "city": "MENOMONEE FALLS",
            "state": "WI",
            "postal_code": "530512833",
            "telephone_number": "262-255-1040",
            "fax_number": "262-255-4090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 N MAYFAIR RD STE 450",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532261443",
            "telephone_number": "414-475-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFILIATED ENT, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "414-475-9300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Affectionate Hands Afh LLC
• Affectionate Hands Afh LLC
• Megan A Affeldt, PA-C
• Marina Affi Koprowski, M.D.
• Aboud Affi, M.D.
• Affiliated Home Health Care, Inc.
• Affiliated Iinfectious Disease Consultants of Wisconsin SC
• Affiliated Medical Imaging
• Affiliated Podiatrists SC
• Affiliated Surgery Center Inc

• Medical Specialty Clinic/Center in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Medical Specialty Clinic/Center in Wisconsin

• 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.