Active NPI
Saint Victor One, M.D
- General Practice Physician
- Milwaukee, WI
National Provider Identifier
1396032405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 59931-20
- Practice address
- 9008 W Burleigh St
Milwaukee, WI 53222-3632 - Phone
- (262) 724-6867
- NPI assigned
- Jul 9, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 59931-20 | WI | Primary |
Addresses
Primary practice location
9008 W Burleigh St
Milwaukee, WI 53222-3632
Mailing address
1345 N Jefferson St # 134
Milwaukee, WI 53202-2644
Phone (262) 724-6867
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 59931-20 | WI | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health Asset Management, MD S.C. | Current | Accepting new patients |
Locations
1345 N Jefferson St
Milwaukee, WI 53202
Phone (414) 398-0051
9008 W Burleigh St
Milwaukee, WI 53222
Phone (262) 724-6867
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Primary Care Clinic/Center
- Milwaukee, WI
- NPI 1215543954
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310169600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582502400000",
"number": "1396032405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1345 N JEFFERSON ST # 134",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532022644",
"telephone_number": "262-724-6867"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9008 W BURLEIGH ST",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532223632",
"telephone_number": "262-724-6867"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ONE",
"first_name": "SAINT",
"middle_name": "VICTOR",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-07-09",
"last_updated": "2020-02-24",
"certification_date": "2020-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "WI",
"license": "59931-20",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.