Private Clinic.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PRIVATE CLINIC.

Practice address

10501 W Research Drive
Suite G200
Milwaukee, WI 53226

Phone

(262) 442-3912

Fax

(414) 302-1040

NPI assigned

Aug 24, 2023

Organization subpart

No

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

Authorized official

Name

Ms. Ania A Person, NP, ADNP

Title

President

Phone

(262) 442-3912

Specialties & licenses 1

Addresses

Other names 1

• The Private Clinic Doing business as

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

{
    "created_epoch": "1692835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693267200000",
    "number": "1487438875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10501 W RESEARCH DRIVE",
            "address_2": "SUITE G200",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "53226",
            "telephone_number": "262-442-3912",
            "fax_number": "414-302-1040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10501 W RESEARCH DRIVE",
            "address_2": "SUITE G200",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "53226",
            "telephone_number": "262-442-3912",
            "fax_number": "414-302-1040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIVATE CLINIC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-24",
        "last_updated": "2023-08-29",
        "status": "A",
        "authorized_official_last_name": "PERSON",
        "authorized_official_first_name": "ANIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "262-442-3912",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "NP, ADNP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Private Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Private Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Family Medicine Physician in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Family Medicine Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2023; 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.