NPIMap

Organization Active NPI

Planned Parenthood of Wisconsin

Doing business as Jackson Street

  • Ambulatory Family Planning Facility
  • Milwaukee, WI
National Provider Identifier
1407021900
Registry record updated Dec 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Family Planning FacilityTaxonomy code 261QA0005X
Legal business name
PLANNED PARENTHOOD OF WISCONSIN
Doing business as
Jackson Street
Practice address
302 N Jackson St
Milwaukee, WI 53202-5904
Phone
(414) 289-3769
NPI assigned
Apr 25, 2008
Last updated
Dec 18, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2012

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

Authorized official

Name
Theresa Fosbinder
Title
Patient Services
Phone
(414) 289-3762

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Family Planning Facility 261QA0005X Primary
Non-Pharmacy Dispensing Site 332900000X

Addresses

Primary practice location

302 N Jackson St
Milwaukee, WI 53202-5904

Mailing address

302 N Jackson St
Milwaukee, WI 53202-5904

Other names 1

  • Jackson Street Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Jackson Street2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

1201 Caledonia St
La Crosse, WI 54603
Phone (608) 775-8380

2222 S Park St
Ste 210
Madison, WI 53713
Phone (608) 251-6546

801 E Capitol Dr
Milwaukee, WI 53212
Phone (414) 273-1410

Practitioners & affiliated clinicians

Practitioners 31

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.

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1209081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355788800000",
    "number": "1407021900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 N JACKSON ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532025904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 N JACKSON ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532025904",
            "telephone_number": "414-289-3769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLANNED PARENTHOOD OF WISCONSIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-25",
        "last_updated": "2012-12-18",
        "status": "A",
        "authorized_official_last_name": "FOSBINDER",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "PATIENT SERVICES",
        "authorized_official_telephone_number": "414-289-3762"
    },
    "taxonomies": [
        {
            "code": "261QA0005X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Family Planning Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jackson Street",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 18, 2012; 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.