MCMC Primary Care LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

MCMC PRIMARY CARE LLC

Practice address

5310 W Capitol Dr
Milwaukee, WI 53216-2263

Phone

(414) 431-5004

NPI assigned

Oct 19, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Syed Gouse Mohiuddin, M.D

Title

Director

Phone

(414) 431-5004

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1568544633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5310 W CAPITOL DR",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532162263",
            "telephone_number": "414-431-5004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5310 W CAPITOL DR",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532162263",
            "telephone_number": "414-431-5004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCMC PRIMARY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOHIUDDIN",
        "authorized_official_first_name": "SYED",
        "authorized_official_middle_name": "GOUSE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "414-431-5004",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Katharine McMahon, PT
• Patrick McMahon
• Conner Jeffrey McMains, MD
• Catherine McManus, M.D.
• Patricia McManus, PH.D, RN
• MCMC Radiology Services, LLC
• MCMC Urgicare LLC
• MCMC Urgicare LLC (Wisconsin Urgent Care)
• Cydni McMillian, DNP, FNP-BC
• Lora Denise McMillian, RN

• Primary Care Clinic/Center in Milwaukee, WI
• Providers in Milwaukee, 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 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.