Family Pediatrics, Inc.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

45299-021 Issued in WI

Legal business name

FAMILY PEDIATRICS, INC.

Practice address

3601 30TH Ave
Kenosha, WI 53144-1695

Phone

(262) 564-0611

NPI assigned

Sep 28, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Zaigham Ullah Tahir, DO

Title

President

Phone

(262) 564-0611

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1254096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254096000000",
    "number": "1518291376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 30TH AVE",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531441695",
            "telephone_number": "262-564-0611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 30TH AVE",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531441695",
            "telephone_number": "262-564-0611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY PEDIATRICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-28",
        "last_updated": "2009-09-28",
        "status": "A",
        "authorized_official_last_name": "TAHIR",
        "authorized_official_first_name": "ZAIGHAM",
        "authorized_official_middle_name": "ULLAH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "262-564-0611",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "WI",
            "license": "45299-021",
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "IL",
            "license": "036.102772",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Familia Dental Kenosha LLC
• Family Care Chiropractic Center, Inc.
• Family Foot & Ankle Clinics of Wisconsin LLC
• Family Foot & Ankle Clinics of Wisconsin,LLC
• Family Foot Clinics of Wisconsin SC (none)
• Family Psychiatric Care, LLC
• Family to Family Home Care LLC
• Rebecca A Fapso, RN
• David Eric Farkas, MD
• Leah F. Farley, M.D.

• Primary Care Clinic/Center in Kenosha, WI
• Providers in Kenosha, WI by specialty
• Primary Care Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2009; 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.