Badger Care LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

53833 Issued in WI

Legal business name

BADGER CARE LLC

Practice address

1300 S Green Bay Rd
#205
Mount Pleasant, WI 53406-4469

Phone

(347) 276-9281

Fax

(414) 247-9004

NPI assigned

Jul 10, 2011

Last updated

Jul 10, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Salam U Syed, MD

Title

President/Owner

Phone

(347) 276-9281

Specialties & licenses 1

Addresses

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Badger Care LLC

  • Family Medicine Physician
  • Deforest, WI
  • NPI 1417498718
  NPPES parent name

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

{
    "created_epoch": "1310256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310256000000",
    "number": "1578850699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9009 N WHITE OAK LN",
            "address_2": "#226",
            "city": "BAYSIDE",
            "state": "WI",
            "postal_code": "532176201",
            "telephone_number": "347-276-9281",
            "fax_number": "414-247-9004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 S GREEN BAY RD",
            "address_2": "#205",
            "city": "MOUNT PLEASANT",
            "state": "WI",
            "postal_code": "534064469",
            "telephone_number": "347-276-9281",
            "fax_number": "414-247-9004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BADGER CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-10",
        "last_updated": "2011-07-10",
        "status": "A",
        "authorized_official_last_name": "SYED",
        "authorized_official_first_name": "SALAM",
        "authorized_official_middle_name": "U",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "347-276-9281",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "WI",
            "license": "53833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heatherly D Awad, LPN
• Axis BH LLC
• Sameh E Azab, DDS
• Mustafa Syed Azimuddin, DO
• Joshua Raymond Babcock, PA-C
• William Paul Bake, D.O.
• Kaylee Nicole Balchitis
• Alicia S Balistreri
• Mary L Ballard, DDS
• Jeff Banas, OD

• General Practice Physician in Mount Pleasant, WI
• Providers in Mount Pleasant, WI by specialty
• General Practice Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2011; 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.