Organization Active NPI

Cardiac Rhythm Specialists SC

  • Clinical Cardiac Electrophysiology Physician
  • Milwaukee, WI
National Provider Identifier
1386746188
Registry record updated Dec 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
Legal business name
CARDIAC RHYTHM SPECIALISTS SC
Practice address
2801 W Kinnickinnic River Pkwy
Suite 425
Milwaukee, WI 53215-3669
Phone
(414) 962-7500
Fax
(414) 962-7501
NPI assigned
Sep 2, 2006
Last updated
Dec 17, 2007By the provider in NPPES
Organization subpart
Yes
Parent organization
CARDIAC RHYTHM SPECIALISTS SCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 17, 2007

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

Authorized official

Name
Deborah E Bjorn
Title
Administrator
Phone
(414) 962-7500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Cardiac Electrophysiology Physician 207RC0001X NU Primary

Addresses

Primary practice location

2801 W Kinnickinnic River Pkwy
Suite 425
Milwaukee, WI 53215-3669

Mailing address

2015 E Newport Ave
Suite 703
Milwaukee, WI 53211-2984
Phone (414) 962-7500

Other identifiers 2

IdentifierTypeStateIssuer
21282500MedicaidWI
DB9261OtherMEDICARE RR GROUP NUMBER

National Provider Directory

National Provider Directory
Tax ID family
Cardiac Rhythm Spec SC5 organizations share this tax ID, including this one
Part of
Cardiac Rhythm Spec SC

Other organizations with this tax ID 4

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

Locations

2801 W Kinnickinnic River Pkwy
Ste 425
Milwaukee, WI 53215
Phone (414) 649-7800

NPI Registry JSON

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197849600000",
    "number": "1386746188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2015 E NEWPORT AVE",
            "address_2": "SUITE 703",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532112984",
            "telephone_number": "414-962-7500",
            "fax_number": "414-962-7501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 W KINNICKINNIC RIVER PKWY",
            "address_2": "SUITE 425",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532153669",
            "telephone_number": "414-962-7500",
            "fax_number": "414-962-7501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIAC RHYTHM SPECIALISTS SC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CARDIAC RHYTHM SPECIALISTS SC",
        "enumeration_date": "2006-09-02",
        "last_updated": "2007-12-17",
        "status": "A",
        "authorized_official_last_name": "BJORN",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "414-962-7500"
    },
    "taxonomies": [
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "21282500",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR GROUP NUMBER",
            "identifier": "DB9261",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2007; 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.