NPIMap

Organization Active NPI

Wi Institute for Neurologic & Sleep Disorders, SC

  • Specialist
  • Milwaukee, WI
National Provider Identifier
1275589848
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
357021 Issued in WI
Legal business name
WI INSTITUTE FOR NEUROLOGIC & SLEEP DISORDERS, SC
Practice address
945 N 12TH St
Suite 4602
Milwaukee, WI 53233-1305
Phone
(414) 219-7450
Fax
(414) 219-5503
NPI assigned
May 25, 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
Paul Anthony Nausieda, MD
Title
President
Phone
(414) 219-7462

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X 357021 WI Primary

Addresses

Primary practice location

945 N 12TH St
Suite 4602
Milwaukee, WI 53233-1305

Mailing address

945 N 12TH St
Suite 4602
Milwaukee, WI 53233-1305
Phone (414) 219-7450

Other identifiers 1

IdentifierTypeStateIssuer
32753100MedicaidWI

National Provider Directory

National Provider Directory

Locations

700 N Bloomfield Rd
Lake Geneva, WI 53147
Phone (414) 219-7462

945 N 12th St
#4602
Milwaukee, WI 53233
Phone (414) 219-7450

945 N 12th St
Ste 4602
Milwaukee, WI 53233
Phone (414) 219-7450

Practitioners & affiliated clinicians

Practitioners 6

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": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275589848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "945 N 12TH ST",
            "address_2": "SUITE 4602",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532331305",
            "telephone_number": "414-219-7450",
            "fax_number": "414-219-5503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 N 12TH ST",
            "address_2": "SUITE 4602",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532331305",
            "telephone_number": "414-219-7450",
            "fax_number": "414-219-5503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WI INSTITUTE FOR NEUROLOGIC & SLEEP DISORDERS, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NAUSIEDA",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "414-219-7462",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "WI",
            "license": "357021",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32753100",
            "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 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.