North Shore Concierge Clinic

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

52008-20 Issued in WI

Legal business name

NORTH SHORE CONCIERGE CLINIC

Practice address

W62N225 Washington Ave
Cedarburg, WI 53012-2726

Phone

(262) 421-5133

Fax

(855) 832-0258

NPI assigned

Feb 12, 2015

Last updated

Feb 12, 2015By 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

Tracy M GeigerNPI 1255456653

Title

Owner

Phone

(262) 421-5133

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Tracy M Geiger, MD

  • Family Medicine Physician
  • Brookfield, WI
  • NPI 1255456653
  Authorized official Same address or phone

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

{
    "created_epoch": "1423699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423699200000",
    "number": "1336530336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W77N731 HARVEST LN",
            "city": "CEDARBURG",
            "state": "WI",
            "postal_code": "530121744",
            "telephone_number": "715-409-0565",
            "fax_number": "855-832-0258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W62N225 WASHINGTON AVE",
            "city": "CEDARBURG",
            "state": "WI",
            "postal_code": "530122726",
            "telephone_number": "262-421-5133",
            "fax_number": "855-832-0258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SHORE CONCIERGE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-12",
        "last_updated": "2015-02-12",
        "status": "A",
        "authorized_official_last_name": "GEIGER",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "262-421-5133"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "52008-20",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joy A Myers, PH.D.
• Myles Tonnacliff PH.D, LLC
• Nicholas Nadolny, OTR
• Melissa Neitzel, LPC-IT
• Emily Marie Neveu
• North Shore Eye Health and Wellness, SC (North Shore Eye Health and Wellness)
• Northshore Clinic & Consultants, Inc.
• NSH Cedarburg LLC
• Katherine Emma Obrien, OTR/L
• Patricia Jo Odwyer, RPH, CGP

• Family Medicine Physician in Cedarburg, WI
• Providers in Cedarburg, WI by specialty
• Family Medicine Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.