Michael Marlowe McNett, MD

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

License

53179 Issued in WI

Practice address

3305 S 20TH St Ste 100
Milwaukee, WI 53215-4940

Phone

(414) 645-1984

NPI assigned

May 17, 2006

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Michael McNett MD SC

  dba The Fibromyalgia Treatment Centers of America

  • Pain Medicine Physician
  • Chicago, IL
  • NPI 1487855219
  NPD (past) Authorized official
• Lakeshore Medical Clinic, LLC

  • Family Medicine Physician
  • St Francis, WI
  • NPI 1003861188
  NPD (past)
• Bonaventure Medical Foundation, LLC

  dba Alexian Brothers Medical Foundation

  • Family Medicine Physician
  • Elk Grove Village, IL
  • NPI 1588775647
  NPD (past)
• Fox Valley Immediate Care Center, LTD

  • Family Medicine Physician
  • East Dundee, IL
  • NPI 1780908178
  NPD (past)

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1386696003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 W FOREST HOME AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532152843",
            "telephone_number": "414-389-2131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3305 S 20TH ST STE 100",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532154940",
            "telephone_number": "414-645-1984"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2424 S 90th St",
            "address_2": "Ste 306",
            "address_purpose": "LOCATION",
            "city": "West Allis",
            "state": "WI",
            "postal_code": "532272455",
            "country_code": "US",
            "telephone_number": "414-328-7680",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCNETT",
        "first_name": "MICHAEL",
        "middle_name": "MARLOWE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2022-07-21",
        "certification_date": "2021-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "53179",
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "IL",
            "license": "36065355",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "WI",
            "license": "53179",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100020099",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David McNeal, PH.D.
• Nikki McNeal
• Pamela R McNealy, MSW
• Robbie Lashell McNeice
• Anne Marie McNeil, PA
• Marybeth McNichols, R.N.
• John Patrick McNicoll, DO
• Jessica Loren McNulty, PHYSICIAN ASSISTANT
• Rebecca Ann McNulty
• Tamyra Sharyan McNutt

• Pain Medicine Physician in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Pain Medicine Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.