Active NPI
Subdoc
- Clinic/Center
- Milwaukee, WI
National Provider Identifier
1477023729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- SUBDOC
- Practice address
- 7275 N Port Washington Rd Apt 314
Milwaukee, WI 53217-3337 - Phone
- (414) 467-8884
- Fax
- (414) 435-3126
- NPI assigned
- Nov 29, 2018
- 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
- Karina Chelsky
- Title
- Administrator
- Phone
- (414) 467-8884
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | |||
| Family Medicine Physician | 207Q00000X | |||
| Clinic/Center | 261Q00000X | Primary | ||
| Research Clinic/Center | 261QR1100X |
Addresses
Primary practice location
7275 N Port Washington Rd Apt 314
Milwaukee, WI 53217-3337
Mailing address
7275 N Port Washington Rd Apt 314
Milwaukee, WI 53217-3337
Phone (414) 467-8884
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543449600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1653436800000",
"number": "1477023729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7275 N PORT WASHINGTON RD APT 314",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532173337",
"telephone_number": "414-467-8884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7275 N PORT WASHINGTON RD APT 314",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532173337",
"telephone_number": "414-467-8884",
"fax_number": "414-435-3126"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUBDOC",
"organizational_subpart": "NO",
"enumeration_date": "2018-11-29",
"last_updated": "2022-05-25",
"certification_date": "2022-05-25",
"status": "A",
"authorized_official_last_name": "CHELSKY",
"authorized_official_first_name": "KARINA",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "414-467-8884"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Peer Specialist",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QR1100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Research",
"state": null,
"license": null,
"primary": false
}
],
"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 May 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.