Milwaukee General & Vascular Surgery SC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

MILWAUKEE GENERAL & VASCULAR SURGERY SC

Practice address

10400 W North Ave
#480
Milwaukee, WI 53226-2425

Phone

(414) 778-6670

Fax

(414) 778-6672

NPI assigned

Apr 4, 2007

Organization subpart

No

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

Authorized official

Name

Gregory Alan Ekbom, MDNPI 1326163304

Title

Vice President Partner

Phone

(414) 778-6670

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 4

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

• Gregory Alan Ekbom, MD

  • Surgery Physician
  • Milwaukee, WI
  • NPI 1326163304
  NPD (past) Authorized official
• James W Burhop, MD

  • Surgery Physician
  • Brookfield, WI
  • NPI 1063492593
  NPD (past)
• Christopher S Wilson, MD

  • Surgery Physician
  • Milwaukee, WI
  • NPI 1053494559
  NPD (past)
• James Harley Woods, MD

  • Surgery Physician
  • Milwaukee, WI
  • NPI 1285759274
  NPD (past)

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277337600000",
    "number": "1508988239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10400 W NORTH AVE",
            "address_2": "#480",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532262425",
            "telephone_number": "414-778-6670",
            "fax_number": "414-778-6672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10400 W NORTH AVE",
            "address_2": "#480",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532262425",
            "telephone_number": "414-778-6670",
            "fax_number": "414-778-6672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILWAUKEE GENERAL & VASCULAR SURGERY SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2010-06-24",
        "status": "A",
        "authorized_official_last_name": "EKBOM",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "VICE PRESIDENT PARTNER",
        "authorized_official_telephone_number": "414-778-6670",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "21261700",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD PIN",
            "identifier": "C01747",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Milwaukee Eye & Cataract Clinic S.C.
• Milwaukee Eye Care Associates S.C.
• Milwaukee Eye Care Associates S.C.
• Milwaukee Eye Care Associates S.C.
• Milwaukee Family Vision Center Inc
• Milwaukee Goldline Transit LLC
• Milwaukee Happy House LLC
• Milwaukee Happy House LLC
• Milwaukee Health Care Inc.
• Milwaukee Health Care, LLC

• Surgery Physician in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Surgery Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2010; 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.