NPIMap

Organization Active NPI

Wisconsin Cardiovascular Group

  • Specialist
  • Milwaukee, WI
National Provider Identifier
1528053295
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
22535 Issued in WI
Legal business name
WISCONSIN CARDIOVASCULAR GROUP
Practice address
2315 N Lake Dr
Milwaukee, WI 53211-4518
Phone
(414) 271-1633
Fax
(414) 271-5071
NPI assigned
Sep 19, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. David W. Grambow, M. D.NPI 1235178674
Title
Cariologist
Phone
(414) 271-1633

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 22535 WI Primary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 29385 WI
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 28836 WI
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 45947 WI
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 21728 WI

Addresses

Primary practice location

2315 N Lake Dr
Milwaukee, WI 53211-4518

Mailing address

2315 N Lake Dr
Milwaukee, WI 53211-4518
Phone (414) 271-1633

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1127088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1528053295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315 N LAKE DR",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532114518",
            "telephone_number": "414-271-1633",
            "fax_number": "414-271-5071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 N LAKE DR",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532114518",
            "telephone_number": "414-271-1633",
            "fax_number": "414-271-5071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISCONSIN CARDIOVASCULAR GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRAMBOW",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "CARIOLOGIST",
        "authorized_official_telephone_number": "414-271-1633",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M. D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "WI",
            "license": "22535",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "WI",
            "license": "29385",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "WI",
            "license": "28836",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "WI",
            "license": "45947",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "WI",
            "license": "21728",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.