NPIMap

Organization Active NPI

The Medical College of Wisconsin Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • West Allis, WI
National Provider Identifier
1356892376
Registry record updated Oct 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
License
18653-40 Issued in WI
Legal business name
THE MEDICAL COLLEGE OF WISCONSIN INC
Practice address
11340 W Theodore Trecker Way
West Allis, WI 53214-1135
Phone
(800) 881-5101
NPI assigned
Oct 14, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2016

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

Authorized official

Name
Katherine Nora Gharibian, PHARM.D.
Title
Assistant Professor
Phone
(414) 955-2859

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X 18653-40 WI Primary

Addresses

Primary practice location

11340 W Theodore Trecker Way
West Allis, WI 53214-1135

Mailing address

8701 W Watertown Plank Rd
Medical Education Building M1552
Milwaukee, WI 53226-3548
Phone (414) 955-2859

National Provider Directory

National Provider Directory
Tax ID family
Medical College of Wi6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

8701 Watertown Plank Rd
Bldg M1552
Milwaukee, WI 53226

NPI Registry JSON

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

{
    "created_epoch": "1476403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476403200000",
    "number": "1356892376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8701 W WATERTOWN PLANK RD",
            "address_2": "MEDICAL EDUCATION BUILDING M1552",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532263548",
            "telephone_number": "414-955-2859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11340 W THEODORE TRECKER WAY",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532141135",
            "telephone_number": "800-881-5101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MEDICAL COLLEGE OF WISCONSIN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-14",
        "last_updated": "2016-10-14",
        "status": "A",
        "authorized_official_last_name": "GHARIBIAN",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "NORA",
        "authorized_official_title_or_position": "ASSISTANT PROFESSOR",
        "authorized_official_telephone_number": "414-955-2859",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "WI",
            "license": "18653-40",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Allis, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2016; 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.