Active NPI
Patrick a. Krzyzewski, D.P.M.
- Customized Equipment (DME)
- Milwaukee, WI
National Provider Identifier
1407159692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Customized Equipment (DME)
- License
- 477-25
- Legal business name
- PATRICK A. KRZYZEWSKI, D.P.M.
- Practice address
- 7635 W Oklahoma Ave
Suite 110
Milwaukee, WI 53219-3600 - Phone
- (414) 546-3100
- Fax
- (414) 546-1881
- NPI assigned
- Dec 10, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Patrick Albert Krzyzewski, D.P.M.
- Title
- Ceo
- Phone
- (414) 546-3100
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Customized Equipment (DME) | 332BC3200X | 477-25 | WI | Primary |
| Prosthetic/Orthotic Supplier | 335E00000X | 477-25 | WI |
Addresses
Primary practice location
7635 W Oklahoma Ave
Suite 110
Milwaukee, WI 53219-3600
Mailing address
7635 W Oklahoma Ave
Suite 110
Milwaukee, WI 53219-3600
Phone (414) 546-3100
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053496067 | Other | NPI-PRACTITIONER | |
| 30016800 | Medicaid | WI |
National Provider Directory
National Provider DirectoryLocations
7635 W Oklahoma Ave
Ste 110
Milwaukee, WI 53219
Phone (414) 546-3100
Interoperability endpoints
- https://api.platform.athenahealth.com/12744/brand/1/csg/1/fhir/r4
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291939200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678147200000",
"number": "1407159692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7635 W OKLAHOMA AVE",
"address_2": "SUITE 110",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532193600",
"telephone_number": "414-546-3100",
"fax_number": "414-546-1881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7635 W OKLAHOMA AVE",
"address_2": "SUITE 110",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532193600",
"telephone_number": "414-546-3100",
"fax_number": "414-546-1881"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PATRICK A. KRZYZEWSKI, D.P.M.",
"organizational_subpart": "NO",
"enumeration_date": "2010-12-10",
"last_updated": "2023-03-07",
"status": "A",
"authorized_official_last_name": "KRZYZEWSKI",
"authorized_official_first_name": "PATRICK",
"authorized_official_middle_name": "ALBERT",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "414-546-3100",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.P.M."
},
"taxonomies": [
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": "WI",
"license": "477-25",
"primary": true
},
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": "WI",
"license": "477-25",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI-PRACTITIONER",
"identifier": "1053496067",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30016800",
"state": "WI"
}
],
"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 Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.