Active NPI
OB-GYN Affiliates, S.C.
- Specialist
- Brookfield, WI
National Provider Identifier
1609905769
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- OB-GYN AFFILIATES, S.C.
- Practice address
- 19475 W North Ave
Suite 400
Brookfield, WI 53045-4199 - Phone
- (262) 780-4000
- Fax
- (262) 780-4090
- NPI assigned
- Mar 5, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Dennis A Sobczak
- Title
- Physician
- Phone
- (262) 780-4000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | WI | Primary |
Addresses
Primary practice location
19475 W North Ave
Suite 400
Brookfield, WI 53045-4199
Mailing address
19475 W North Ave
Suite 400
Brookfield, WI 53045-4199
Phone (262) 780-4000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 32813500 | Medicaid | WI |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Brookfield, WI
- NPI 1932165636
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173052800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1609905769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19475 W NORTH AVE",
"address_2": "SUITE 400",
"city": "BROOKFIELD",
"state": "WI",
"postal_code": "530454199",
"telephone_number": "262-780-4000",
"fax_number": "262-780-4090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19475 W NORTH AVE",
"address_2": "SUITE 400",
"city": "BROOKFIELD",
"state": "WI",
"postal_code": "530454199",
"telephone_number": "262-780-4000",
"fax_number": "262-780-4090"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OB-GYN AFFILIATES, S.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-05",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SOBCZAK",
"authorized_official_first_name": "DENNIS",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "262-780-4000",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "WI",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "32813500",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brookfield, 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.