NPIMap

Organization Active NPI

Marquette University

  • Audiologist
  • Milwaukee, WI
National Provider Identifier
1629556592
Registry record updated Aug 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Legal business name
MARQUETTE UNIVERSITY
Practice address
604 N 16TH St RM 223
Milwaukee, WI 53233-2117
Phone
(414) 288-7426
Fax
(414) 288-3980
NPI assigned
Aug 2, 2018
Last updated
Aug 2, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2018

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

Authorized official

Name
William E Cullinan
Title
Dean of College of Health Sciences4
Phone
(414) 288-5053

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X Primary

Addresses

Primary practice location

604 N 16TH St RM 223
Milwaukee, WI 53233-2117

Mailing address

604 N 16TH St RM 223
Milwaukee, WI 53233-2117
Phone (414) 288-7426

Other names 1

  • Marquette University-Speech Pathology & Audiology Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180824001954 WI Part B Supplier - Clinic/Group Practice 0648221028 Receives reassigned benefits from 1 practitioner
Practice locations: Milwaukee, WI

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Marquette University6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

1452 N 7th St
#3
Milwaukee, WI 53205
Phone (414) 933-9100

1834 W Wisconsin Ave
#100
Milwaukee, WI 53233
Phone (414) 933-9100

525 N 16th St
Ste 311
Milwaukee, WI 53233
Phone (414) 288-1400

561 N 15th St
Milwaukee, WI 53233
Phone (414) 288-4556

604 N 16th St
Rm 223
Milwaukee, WI 53233
Phone (414) 288-7426

Practitioners & affiliated clinicians

Practitioners 32

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1533168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533168000000",
    "number": "1629556592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 N 16TH ST RM 223",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532332117",
            "telephone_number": "414-288-7426",
            "fax_number": "414-288-3980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 N 16TH ST RM 223",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532332117",
            "telephone_number": "414-288-7426",
            "fax_number": "414-288-3980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARQUETTE UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-02",
        "last_updated": "2018-08-02",
        "status": "A",
        "authorized_official_last_name": "CULLINAN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DEAN OF COLLEGE OF HEALTH SCIENCES4",
        "authorized_official_telephone_number": "414-288-5053"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marquette University-Speech Pathology & Audiology",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Marquette University-Speech Pathology & Audiology",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Aug 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.