Endocrine Clinic of Kenosha , S.C.

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

45853020 Issued in WI

Legal business name

ENDOCRINE CLINIC OF KENOSHA , S.C.

Practice address

3535 30TH Ave
Suite 101B
Kenosha, WI 53144-1632

Phone

(262) 842-0420

Fax

(262) 842-0423

NPI assigned

Dec 12, 2007

Last updated

Dec 12, 2007By 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. Farah Salahuddin, M.D.

Title

Owner

Phone

(262) 842-0420

Specialties & licenses 1

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.

• Aftab A Ansari, MDSC

  • Orthopaedic Surgery Physician
  • Kenosha, WI
  • NPI 1124182068
  NPD (past)

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

{
    "created_epoch": "1197417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197417600000",
    "number": "1407039548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 30TH AVE",
            "address_2": "SUITE 101B",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531441632",
            "telephone_number": "262-842-0420",
            "fax_number": "262-842-0423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 30TH AVE",
            "address_2": "SUITE 101B",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531441632",
            "telephone_number": "262-842-0420",
            "fax_number": "262-842-0423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDOCRINE CLINIC OF KENOSHA , S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-12",
        "last_updated": "2007-12-12",
        "status": "A",
        "authorized_official_last_name": "SALAHUDDIN",
        "authorized_official_first_name": "FARAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "262-842-0420",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "WI",
            "license": "45853020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34438700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emer Eye Care S.C.
• Benjamin Emer, O.D.
• Peter L Emer, O.D.
• Encompass Remote Inc
• Andrew Joseph Endl
• Michael Aaron Engel, DPM
• Rhianon Lyn Engelbrecht, REGISTERED NURSE
• Enhance Rehabilitation
• Laura Erbentraut
• Ernesto Buencamino MD SC

• Endocrinology, Diabetes & Metabolism Physician in Kenosha, WI
• Providers in Kenosha, WI by specialty
• Endocrinology, Diabetes & Metabolism Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.