NPIMap

Organization Active NPI

Froedtert & the Medical College of Wisconsin Community Physicians Inc

Doing business as Hatco Workplace Clinic

  • Non-Pharmacy Dispensing Site
  • Milwaukee, WI
National Provider Identifier
1477188100
Registry record updated Mar 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
Legal business name
FROEDTERT & THE MEDICAL COLLEGE OF WISCONSIN COMMUNITY PHYSICIANS INC
Doing business as
Hatco Workplace Clinic
Practice address
635 S 28TH St
Milwaukee, WI 53215-1201
Phone
(414) 615-1229
NPI assigned
Mar 3, 2020
Last updated
Mar 3, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
FROEDTERT & THE MEDICAL COLLEGE OF WISCONSIN COMMUNITY PHYSICIANSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 3, 2020

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

Authorized official

Name
Randall Newman
Title
VP Finance
Phone
(414) 777-7963

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X Primary

Addresses

Primary practice location

635 S 28TH St
Milwaukee, WI 53215-1201

Mailing address

635 S 28TH St
Milwaukee, WI 53215-1201

Other names 1

  • Hatco Workplace Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Froedtert the Medical College of Wisconsin Community Physicians19 organizations share this tax ID, including this one
Part of
Froedtert the Medical College of Wisconsin Community Physicians

Other organizations with this tax ID 18

Organizations that report the same tax identification number in the National Provider Directory.

View all 18

Locations

635 S 28th St
Milwaukee, WI 53215
Phone (414) 615-1229

NPI Registry JSON

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

{
    "created_epoch": "1583193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583193600000",
    "number": "1477188100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "635 S 28TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532151201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 S 28TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532151201",
            "telephone_number": "414-615-1229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FROEDTERT & THE MEDICAL COLLEGE OF WISCONSIN COMMUNITY PHYSICIANS INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FROEDTERT & THE MEDICAL COLLEGE OF WISCONSIN COMMUNITY PHYSICIANS",
        "enumeration_date": "2020-03-03",
        "last_updated": "2020-03-03",
        "certification_date": "2020-03-03",
        "status": "A",
        "authorized_official_last_name": "NEWMAN",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_title_or_position": "VP FINANCE",
        "authorized_official_telephone_number": "414-777-7963"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hatco Workplace Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 3, 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.