Active NPI
Anthony F Graziano, M.D.
- Emergency Medicine Physician
- Milwaukee, WI
National Provider Identifier
1619956026
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 33802-020
- Practice address
- 945 North 12TH Street
Milwaukee, WI 53201 - Phone
- (414) 219-7880
- Fax
- (414) 219-4941
- NPI assigned
- Jan 13, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 33802-020 | WI | Primary |
Addresses
Primary practice location
945 North 12TH Street
Milwaukee, WI 53201
Mailing address
38209 Genesee Lake Rd
Oconomowoc, WI 53066
Phone (262) 965-2344
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 31965500 | Medicaid | WI |
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 |
|---|---|---|---|
| 33802-020 | WI | MD | Emergency Medicine Physician |
Interoperability endpoints
- anthony.graziano@direct.forthc.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1619956026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38209 GENESEE LAKE RD",
"city": "OCONOMOWOC",
"state": "WI",
"postal_code": "53066",
"telephone_number": "262-965-2344",
"fax_number": "414-219-4941"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "945 NORTH 12TH STREET",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "53201",
"telephone_number": "414-219-7880",
"fax_number": "414-219-4941"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAZIANO",
"first_name": "ANTHONY",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "WI",
"license": "33802-020",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "31965500",
"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 Jul 8, 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.