NPIMap

Organization Active NPI

Midwest Nephrology Associates, S.C.

  • Nephrology Physician
  • Waukesha, WI
National Provider Identifier
1487848743
Registry record updated Nov 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
MIDWEST NEPHROLOGY ASSOCIATES, S.C.
Practice address
111 Ann Street
Waukesha, WI 53188-5163
Phone
(262) 542-6179
Fax
(262) 542-6182
NPI assigned
Aug 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2008

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

Authorized official

Name
Mr. Gregory V Warren, M.D.
Title
President
Phone
(414) 762-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X Primary

Addresses

Primary practice location

111 Ann Street
Waukesha, WI 53188-5163

Mailing address

111 Ann Street
Waukesha, WI 53188-5163
Phone (262) 542-6179

National Provider Directory

National Provider Directory
Tax ID family
Midwest Nephrology-Capi2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1188432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226620800000",
    "number": "1487848743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 ANN STREET",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531885163",
            "telephone_number": "262-542-6179",
            "fax_number": "262-542-6182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 ANN STREET",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531885163",
            "telephone_number": "262-542-6179",
            "fax_number": "262-542-6182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST NEPHROLOGY ASSOCIATES, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-30",
        "last_updated": "2008-11-14",
        "status": "A",
        "authorized_official_last_name": "WARREN",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "414-762-2020",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waukesha, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2008; 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.