Milwaukee Kidney Associates SC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

MILWAUKEE KIDNEY ASSOCIATES SC

Practice address

1575 River Center Dr
Ste 104
Milwaukee, WI 53212

Phone

(414) 274-7520

Fax

(414) 274-7525

NPI assigned

Feb 14, 2006

Organization subpart

No

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

Authorized official

Name

Paul George Jenkins, MDNPI 1053386862

Title

President

Phone

(414) 274-7520

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Paul George Jenkins, MD

  • Nephrology Physician
  • Milwaukee, WI
  • NPI 1053386862
  NPD (past) Authorized official
• Anushayanthan Alfred, M.D., M.P.H

  • Nephrology Physician
  • Glendale, WI
  • NPI 1871765859
  NPD (past)
• Debesh Chandra Mazumdar, M.D.

  • Nephrology Physician
  • Milwaukee, WI
  • NPI 1427032960
  NPD (past)

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366416778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1575 RIVER CENTER DR",
            "address_2": "STE 104",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "53212",
            "telephone_number": "414-274-7520",
            "fax_number": "414-274-7525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1575 RIVER CENTER DR",
            "address_2": "STE 104",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "53212",
            "telephone_number": "414-274-7520",
            "fax_number": "414-274-7525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILWAUKEE KIDNEY ASSOCIATES SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "414-274-7520",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Milwaukee Home Healthcare, LLC
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• Milwaukee Indonesia Medical Clinic
• Milwaukee Internal Medicine Associates Inc
• Milwaukee LGBT Community Center
• Milwaukee Medical Associates, SC
• Milwaukee Medical Supply LLC
• Milwaukee Mental Health and Consulting , LLC
• Milwaukee Mental Health Associates, Inc

• Nephrology Physician in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Nephrology Physician in Wisconsin

• 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.