Active NPI
Gynecology Associates of Wisconsin
- Obstetrics & Gynecology Physician
- Milwaukee, WI
National Provider Identifier
1417419359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- GYNECOLOGY ASSOCIATES OF WISCONSIN
- Practice address
- 10900 W Potter Rd
Milwaukee, WI 53226-3424 - Phone
- (414) 213-2102
- NPI assigned
- Apr 1, 2019
- 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. Stephen McAvoy
- Title
- President
- Phone
- (414) 213-2102
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | Primary |
Addresses
Primary practice location
10900 W Potter Rd
Milwaukee, WI 53226-3424
Mailing address
5315 Fox Glen CT
New Berlin, WI 53146-3935
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100034597 | Medicaid | WI | |
| 34815000 | Medicaid | WI | |
| 32134000 | Medicaid | WI | |
| 32536900 | Medicaid | WI | |
| 100049142 | Medicaid | WI | |
| 100057159 | Medicaid | WI |
National Provider Directory
National Provider DirectoryLocations
10900 W Potter Rd
Wauwatosa, WI 53226
Phone (414) 774-9227
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554076800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1554076800000",
"number": "1417419359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5315 FOX GLEN CT",
"city": "NEW BERLIN",
"state": "WI",
"postal_code": "531463935"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10900 W POTTER RD",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532263424",
"telephone_number": "414-213-2102"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GYNECOLOGY ASSOCIATES OF WISCONSIN",
"organizational_subpart": "NO",
"enumeration_date": "2019-04-01",
"last_updated": "2019-04-01",
"status": "A",
"authorized_official_last_name": "MCAVOY",
"authorized_official_first_name": "STEPHEN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "414-213-2102",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100034597",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "34815000",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "32134000",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "32536900",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100049142",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100057159",
"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 Apr 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.