Caine Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

34605 Issued in WI

Legal business name

CAINE INC

Practice address

620 Bell St
Waukesha, WI 53186-5172

Phone

(414) 313-4652

NPI assigned

Sep 11, 2013

Organization subpart

No

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

Authorized official

Name

Glenn Caine

Title

President

Phone

(414) 313-4652

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.

• Lisa M Soboleski, PA

  • Physician Assistant
  • Wauwatosa, WI
  • NPI 1053427682
  NPD (past)

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

{
    "created_epoch": "1378857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378857600000",
    "number": "1356776215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11114 W MEQUANIGO DR",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532273051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 BELL ST",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531865172",
            "telephone_number": "414-313-4652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAINE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-11",
        "last_updated": "2013-09-11",
        "status": "A",
        "authorized_official_last_name": "CAINE",
        "authorized_official_first_name": "GLENN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "414-313-4652"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "34605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tina M Butzine
• Anna Bykowski, MS, OTR/L
• Mirta Lilian Cabrera, LPC
• Ashley Elizabeth Cabunac
• Dawn M Cagney, MS, CSAC, LPC
• Ashley Susan Callahan, RDH
• Nanette M Cambronero, FNP
• Christy L Campbell, RN
• Jalesha K Campbell, MS
• James Marcel Campeaux, 2047132 CSAC 1161213

• Family Medicine Physician in Waukesha, WI
• Providers in Waukesha, 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 Sep 11, 2013; 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.