Active NPI
Pathfinder Medical Group
- Family Medicine Physician
- Milwaukee, WI
National Provider Identifier
1437572831
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 35906-20
- Legal business name
- PATHFINDER MEDICAL GROUP
- Practice address
- 216 Milwaukee St
Suite 2D
Milwaukee, WI 53202 - Phone
- (262) 240-1031
- NPI assigned
- Jan 22, 2014
- 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
- Scott Morcott, M.D
- Title
- Cheif Medical Officer
- Phone
- (847) 757-8686
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 35906-20 | WI | Primary |
Addresses
Primary practice location
216 Milwaukee St
Suite 2D
Milwaukee, WI 53202
Mailing address
191 E Deerpath Ste 102
Lake Forest, IL 60045-1900
Phone (847) 686-7284
National Provider Directory
National Provider DirectoryLocations
191 E Deerpath
Ste 102
Lake Forest, IL 60045
272 E Deerpath
Ste 204
Lake Forest, IL 60045
219 N Milwaukee St
Ste 105
Milwaukee, WI 53202
216 Milwaukee St
Ste 2D
Milwaukee, WI 53202
Phone (262) 240-1031
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1390348800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1570492800000",
"number": "1437572831",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "191 E DEERPATH STE 102",
"city": "LAKE FOREST",
"state": "IL",
"postal_code": "600451900",
"telephone_number": "847-686-7284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "216 MILWAUKEE ST",
"address_2": "SUITE 2D",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "53202",
"telephone_number": "262-240-1031"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PATHFINDER MEDICAL GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2014-01-22",
"last_updated": "2019-10-08",
"status": "A",
"authorized_official_last_name": "MORCOTT",
"authorized_official_first_name": "SCOTT",
"authorized_official_title_or_position": "CHEIF MEDICAL OFFICER",
"authorized_official_telephone_number": "847-757-8686",
"authorized_official_credential": "M.D"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "WI",
"license": "35906-20",
"primary": true
}
],
"identifiers": [],
"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 Oct 8, 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.