Organization Active NPI

Uho - YMCA of Metropolitan Milwaukee

  • Health Educator
  • Franklin, WI
National Provider Identifier
1508523770
Registry record updated Nov 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health EducatorTaxonomy code 174H00000X
Legal business name
UHO - YMCA OF METROPOLITAN MILWAUKEE
Practice address
7095 S Ballpark Dr Ste 120
Franklin, WI 53132-6908
Phone
(414) 224-9622
NPI assigned
Nov 23, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2021

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

Authorized official

Name
Lisa Coombs-Gerou
Title
Coo
Phone
(414) 274-0708

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health EducatorGroup: 193400000X SINGLE SPECIALTY GROUP 174H00000X Primary

Addresses

Primary practice location

7095 S Ballpark Dr Ste 120
Franklin, WI 53132-6908

Mailing address

345 W Saint Paul Ave Ste 2174
Milwaukee, WI 53203-3099
Phone (414) 274-0708

Other practice location 1

9250 N Green Bay Rd
Brown Deer, WI 53209-1104
Phone (414) 354-9622

Other names 1

  • UHO YMCAMKE Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hmisiak@ymcamke.org Direct Young Men's Christian Association of Metropolitan Milwaukee, Inc.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, IN, KY, NC, VA, FL, OH, MN8 enrollments

Enrollment records 8

Enrollment IDStateProvider typePAC IDDetails
O20220906000788 WI MDPP Supplier - in-Person MDPP Supplier 8022492370 Practice locations: Sheboygan, WI; Richland Center, WI; Onalaska, WI; Mount Pleasant, WI; La Crosse, WI; Little Chute, WI; Boscobel, WI; Franklin, WI…
O20230424001772 IN MDPP Supplier - in-Person MDPP Supplier 8022492370 Practice locations: Westfield, IN; Lebanon, IN; Fishers, IN; La Porte, IN; Indianapolis, IN; Avon, IN; Beech Grove, IN
O20240402004203 KY MDPP Supplier - in-Person MDPP Supplier 8022492370 Practice locations: Louisville, KY
O20241009002291 NC MDPP Supplier - in-Person MDPP Supplier 8022492370 Practice locations: Wilmington, NC; Greensboro, NC; Whitsett, NC; Reidsville, NC; Leland, NC; Jamestown, NC; Eden, NC; Clinton, NC
O20241009002677 VA MDPP Supplier - in-Person MDPP Supplier 8022492370 Practice locations: Falmouth, VA; Fredericksburg, VA; King George, VA
O20241108001741 FL MDPP Supplier - in-Person MDPP Supplier 8022492370 Practice locations: Yulee, FL; St Augustine, FL; Ponte Vedra, FL; Orange Park, FL; Jacksonville, FL; Fleming Island, FL; Fernandina Beach, FL
O20250115003596 OH MDPP Supplier - in-Person MDPP Supplier 8022492370 Practice locations: Akron, OH; Westlake, OH; Warrensville Heights, OH; North Royalton, OH; Lyndhurst, OH; Lakewood, OH; Cleveland, OH; Cuyahoga Falls, OH…
O20250820000486 MN MDPP Supplier - in-Person MDPP Supplier 8022492370 Practice locations: Brainerd, MN

National Provider Directory

National Provider Directory

Locations

2075 Town Center Blvd
Fleming Island, FL 32003
Phone (904) 264-4292

6610 N Shadeland Ave
Indianapolis, IN 46220
Phone (316) 266-9622

602 Oak St
Brainerd, MN 56401
Phone (218) 454-2554

3216 Horse Pen Creek Rd
Greensboro, NC 27410
Phone (336) 478-9622

9250 N Green Bay Rd
Brown Deer, WI 53209
Phone (414) 354-9622

7095 S Ballpark Dr
Ste 120
Franklin, WI 53132
Phone (414) 224-9622

7095 S Ballpark Dr
Franklin, WI 53132
Phone (414) 224-9622

345 W Saint Paul Ave
Unit 2174
Milwaukee, WI 53201

Practitioners & affiliated clinicians

Practitioners 26

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1637625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637625600000",
    "number": "1508523770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 W SAINT PAUL AVE STE 2174",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532033099",
            "telephone_number": "414-274-0708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7095 S BALLPARK DR STE 120",
            "city": "FRANKLIN",
            "state": "WI",
            "postal_code": "531326908",
            "telephone_number": "414-224-9622"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9250 N Green Bay Rd",
            "address_purpose": "LOCATION",
            "city": "Brown Deer",
            "state": "WI",
            "postal_code": "532091104",
            "country_code": "US",
            "telephone_number": "414-354-9622",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "UHO - YMCA OF METROPOLITAN MILWAUKEE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-23",
        "last_updated": "2021-11-23",
        "certification_date": "2021-11-23",
        "status": "A",
        "authorized_official_last_name": "COOMBS-GEROU",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "414-274-0708"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hmisiak@ymcamke.org",
            "affiliation": "Y",
            "endpointDescription": "Hanna's email for now",
            "affiliationName": "Young Men's Christian Association of Metropolitan Milwaukee, Inc.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Mail",
            "address_1": "7095 S Ballpark Dr Ste 120",
            "city": "Franklin",
            "state": "WI",
            "country_code": "US",
            "postal_code": "531326908",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "UHO YMCAMKE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Franklin, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.