Milwaukee Nephrology Care Inc

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

42642-020 Issued in WI

Legal business name

MILWAUKEE NEPHROLOGY CARE INC

Practice address

19050 Blue Ridge CT
Brookfield, WI 53045-5103

Phone

(414) 202-1724

Fax

(888) 315-3739

NPI assigned

Mar 18, 2010

Last updated

Sep 30, 2010By 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

Dr. Ryan D Holzmacher, M.D.NPI 1598700601

Title

President

Phone

(414) 202-1724

Specialties & licenses 2

Addresses

Other identifiers 1

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.

• Ryan D Holzmacher, MD

  • Internal Medicine Physician
  • Greenfield, WI
  • NPI 1598700601
  Authorized official Same address or phone

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

{
    "created_epoch": "1268870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285804800000",
    "number": "1386968428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19050 BLUE RIDGE CT",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530455103",
            "telephone_number": "414-202-1724",
            "fax_number": "888-315-3739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19050 BLUE RIDGE CT",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530455103",
            "telephone_number": "414-202-1724",
            "fax_number": "888-315-3739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILWAUKEE NEPHROLOGY CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-18",
        "last_updated": "2010-09-30",
        "status": "A",
        "authorized_official_last_name": "HOLZMACHER",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "414-202-1724",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "WI",
            "license": "42642-020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34749000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Keonda Milton
• Milwaukee Clinic of Ortho Surgery LTD (Milwaukee Clinic of Orthopedic Surgery)
• Milwaukee Eye Care Associates S.C.
• Milwaukee Eye Care Associates S.C.
• Milwaukee Eye Surgeons SC
• Milwaukee Psychiatric Physicians Chartered
• Natasha Marie Ming, RDH
• Kristina Marie Mingus, NP
• Susan C Minikel, MD
• Vanessa Minor, MS, LPC, CSAC

• Health Service Clinic/Center in Brookfield, WI
• Providers in Brookfield, WI by specialty
• Health Service Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2010; 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.