Organization Active NPI

Froedtert Health

  • Non-Pharmacy Dispensing Site
  • Milwaukee, WI
National Provider Identifier
1609617133
Registry record updated Jun 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
Legal business name
FROEDTERT HEALTH
Practice address
901 N 9TH St
Milwaukee, WI 53233-1425
Phone
(414) 978-5974
NPI assigned
Jun 6, 2024
Organization subpart
Yes
Parent organization
FROEDTERT &THE MEDICAL COLLEGE OF WISCONSIN COMMUNITY PHYSICIANS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 6, 2024

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

Authorized official

Name
Mrs. Alicia Maitland
Title
VP Finance
Phone
(414) 777-3979

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X Primary

Addresses

Primary practice location

901 N 9TH St
Milwaukee, WI 53233-1425

Mailing address

901 N 9TH St
Milwaukee, WI 53233-1425
Phone (414) 978-5974

National Provider Directory

National Provider Directory
Tax ID family
Froedtert and the Medical College of Wisconsin Community Physicians10 organizations share this tax ID, including this one
Part of
Froedtert Med Coll of Wi

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Locations

901 N 9th St
Milwaukee, WI 53233
Phone (414) 289-5949

NPI Registry JSON

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

{
    "created_epoch": "1717632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717632000000",
    "number": "1609617133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 N 9TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532331425",
            "telephone_number": "414-978-5974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 N 9TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532331425",
            "telephone_number": "414-978-5974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FROEDTERT HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FROEDTERT &THE MEDICAL COLLEGE OF WISCONSIN COMMUNITY PHYSICIANS, INC.",
        "enumeration_date": "2024-06-06",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A",
        "authorized_official_last_name": "MAITLAND",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_title_or_position": "VP FINANCE",
        "authorized_official_telephone_number": "414-777-3979",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Jun 6, 2024; 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.