Organization Active NPI

Perinatal Center of Wisconsin, Inc.

  • Gynecology Physician
  • Milwaukee, WI
National Provider Identifier
1619022274
Registry record updated Sep 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
Legal business name
PERINATAL CENTER OF WISCONSIN, INC.
Practice address
3353 N Dr Martin Luther King Dr
Milwaukee, WI 53212-1455
Phone
(414) 372-1000
Fax
(414) 372-6000
NPI assigned
Jan 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2007

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

Authorized official

Name
Janine James, MD
Title
President
Phone
(414) 372-1000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VG0400X Primary

Addresses

Primary practice location

3353 N Dr Martin Luther King Dr
Milwaukee, WI 53212-1455

Mailing address

3353 N Dr Martin Luther King Dr
Milwaukee, WI 53212-1455
Phone (414) 372-1000

Other identifiers 1

IdentifierTypeStateIssuer
30676500MedicaidWI

National Provider Directory

National Provider Directory

Locations

3353 N Mlk Dr
Milwaukee, WI 53212
Phone (414) 372-1000

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189123200000",
    "number": "1619022274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3353 N DR MARTIN LUTHER KING DR",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532121455",
            "telephone_number": "414-372-1000",
            "fax_number": "414-372-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3353 N DR MARTIN LUTHER KING DR",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532121455",
            "telephone_number": "414-372-1000",
            "fax_number": "414-372-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERINATAL CENTER OF WISCONSIN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2007-09-07",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "JANINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "414-372-1000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30676500",
            "state": "WI"
        }
    ],
    "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 Sep 7, 2007; 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.