Maritime Family Medicine

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

MARITIME FAMILY MEDICINE

Doing business as

Oak Creek Family Medicine

Practice address

8825 S Howell Ave
Oak Creek, WI 53154-3760

Phone

(414) 764-0920

Fax

(414) 764-8134

NPI assigned

Jan 30, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Stephen Allen Smith, BS

Title

Manager Vice President

Phone

(414) 764-0920

Specialties & licenses 1

Addresses

Other names 1

• Oak Creek Family Medicine Doing business as

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457497943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8825 S HOWELL AVE",
            "city": "OAK CREEK",
            "state": "WI",
            "postal_code": "531543760",
            "telephone_number": "414-764-0920",
            "fax_number": "414-764-8134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8825 S HOWELL AVE",
            "city": "OAK CREEK",
            "state": "WI",
            "postal_code": "531543760",
            "telephone_number": "414-764-0920",
            "fax_number": "414-764-8134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARITIME FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "MANAGER VICE PRESIDENT",
        "authorized_official_telephone_number": "414-764-0920",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BS"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oak Creek Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Arshmeet Mahal, DMD
• Hanan S Mahmoud, RN
• Yaeshomarie De Los Angeles Maldonado Martinez
• Jovon Mann
• Angela Mares
• Sarah Marshall
• Erik Christopher Marter
• Sadie Martin, ATC
• Elizabeth Masik
• Darcy Mason, LPC-IT, SAC-IT

• Clinic/Center in Oak Creek, WI
• Providers in Oak Creek, WI by specialty
• Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.