Parkland Family Physicians SC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

29409 Issued in WI

Legal business name

PARKLAND FAMILY PHYSICIANS SC

Practice address

4448 W Loomis Road
Suite #101
Greenfield, WI 53220-4817

Phone

(414) 282-4443

Fax

(414) 282-2278

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Donald D Nimmer, MDNPI 1477555951

Title

Vice President

Phone

(414) 282-4443

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

Practitioners 1

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

• Donald David Nimmer, M.D.

  • Family Medicine Physician
  • Greenfield, WI
  • NPI 1477555951
  NPD (past) Authorized official

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214784000000",
    "number": "1518079771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4448 W LOOMIS ROAD",
            "address_2": "SUITE #101",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532204817",
            "telephone_number": "414-282-4443",
            "fax_number": "414-282-2278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4448 W LOOMIS ROAD",
            "address_2": "SUITE #101",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532204817",
            "telephone_number": "414-282-4443",
            "fax_number": "414-282-2278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKLAND FAMILY PHYSICIANS SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2008-06-30",
        "status": "A",
        "authorized_official_last_name": "NIMMER",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "414-282-4443",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "29409",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "29494",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32767900",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "W010282",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary M Papandria, PHD HSPP
• Amanda Papenfus, OTR/L
• Carleen Faith Paprocki, M.S., OTR/L
• Jill Melissa Paque, MPT
• Kinjal Parekh
• Parkview Counseling Associates
• Emily Maloney Passehl, M.A., CCC-SLP
• Heather Passow, COTA
• Chirag Patel, M.D.
• Nileshkumar Patel, MD

• Family Medicine Physician in Greenfield, WI
• Providers in Greenfield, 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 Jun 30, 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.