Fleming Dermatopathology, LLC

Primary specialty

Dermatopathology PhysicianTaxonomy code 207ND0900X

Legal business name

FLEMING DERMATOPATHOLOGY, LLC

Practice address

1661 N Water St
#500
Milwaukee, WI 53202-2085

Phone

(414) 446-3450

NPI assigned

Sep 18, 2009

Last updated

Dec 12, 2024By 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

Matthew G Fleming, MDNPI 1962453787

Title

President

Phone

(414) 446-3450

Specialties & licenses 2

Addresses

Locations

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.

• Matthew G Fleming, MD

  • Dermatology Physician
  • Milwaukee, WI
  • NPI 1962453787
  Authorized official Same address or phone

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

{
    "created_epoch": "1253232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733961600000",
    "number": "1366776601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1003",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672011003",
            "telephone_number": "800-425-6236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1661 N WATER ST",
            "address_2": "#500",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532022085",
            "telephone_number": "414-446-3450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLEMING DERMATOPATHOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-18",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A",
        "authorized_official_last_name": "FLEMING",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "414-446-3450",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara E Fleet, MD
• Amanda Flegner
• Rebecca Marie Flegner, PSYD
• Kristine Irene Fleis, PT
• Magdalena Flejsierowicz, MD
• Emma M Fleming, LCSW
• Glen Victor Fleming, BA SAC-IT
• Joseph Fleming
• Matthew G Fleming, MD
• Brooke Eileen Flesher, AU.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2024; 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.