Active NPI
Nadine Haddad, M.D.
- Family Medicine Physician
- South Milwaukee, WI
National Provider Identifier
1578724357
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 56396
- Practice address
- 100 15TH Ave
South Milwaukee, WI 53172-1160 - Phone
- (414) 645-1808
- Fax
- (414) 645-1170
- NPI assigned
- Jun 24, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 56396 | WI | Primary |
Addresses
Primary practice location
100 15TH Ave
South Milwaukee, WI 53172-1160
Mailing address
100 15TH Ave
South Milwaukee, WI 53172-1160
Phone (414) 645-1808
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 56396 | WI | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214265600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1409011200000",
"number": "1578724357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 15TH AVE",
"city": "SOUTH MILWAUKEE",
"state": "WI",
"postal_code": "531721160",
"telephone_number": "414-645-1808",
"fax_number": "414-645-1170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 15TH AVE",
"city": "SOUTH MILWAUKEE",
"state": "WI",
"postal_code": "531721160",
"telephone_number": "414-645-1808",
"fax_number": "414-645-1170"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HADDAD",
"first_name": "NADINE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-24",
"last_updated": "2014-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WI",
"license": "56396",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.