Goodwill Industries of Southeastern Wisconsin, Inc.

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

GOODWILL INDUSTRIES OF SOUTHEASTERN WISCONSIN, INC.

Practice address

6055 N 91St St
Milwaukee, WI 53225-1710

Phone

(414) 353-6400

Fax

(414) 358-4283

NPI assigned

Nov 16, 2007

Last updated

Nov 16, 2007By 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

Mr. Charles J. Stadler

Title

Vice President and Cfo

Phone

(414) 358-4319

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1195171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195171200000",
    "number": "1306027578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6055 N 91ST ST",
            "address_2": "P.O. BOX 250973",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532251710",
            "telephone_number": "414-353-6400",
            "fax_number": "414-358-4283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6055 N 91ST ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532251710",
            "telephone_number": "414-353-6400",
            "fax_number": "414-358-4283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODWILL INDUSTRIES OF SOUTHEASTERN WISCONSIN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-16",
        "last_updated": "2007-11-16",
        "status": "A",
        "authorized_official_last_name": "STADLER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "VICE PRESIDENT AND CFO",
        "authorized_official_telephone_number": "414-358-4319",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Regina Goodman, MSW, LCSW
• Robert Leland Goodman
• Sarah Goodman, DPT
• Vicki L Goodman, C.N.M.
• David Malcolm Goodsett Jr., DDS
• Aharon Beth Goodwin, NP
• China Goodwin, LPN
• Jonathan George Goodwin, APRN-NP
• Benjamin Henry Goot, MD
• Kandavar Gopal, MD

• Case Management Agency in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Case Management Agency in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2007; 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.