Organization Active NPI

Pathfinder Medical Group

  • Family Medicine Physician
  • Milwaukee, WI
National Provider Identifier
1437572831
Registry record updated Oct 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35906-20 Issued in WI
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

Updated by the provider on Oct 8, 2019

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.