Greater Milwaukee Medical Services

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

GREATER MILWAUKEE MEDICAL SERVICES

Practice address

7620 W Burleigh St
Milwaukee, WI 53222-5002

Phone

(414) 444-6000

Fax

(888) 664-5360

NPI assigned

Jul 6, 2006

Organization subpart

No

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

Authorized official

Name

CJ Raychel

Title

Compliance Officer

Phone

(414) 444-6000

Specialties & licenses 4

Addresses

Other identifiers 5

Other names 1

• M.R. Sethi, MD SC Former legal business name

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Andrea L Bequest, PA

  • Medical Physician Assistant
  • Milwaukee, WI
  • NPI 1003179839
  NPD (past)
• Katherine E Damon, P.A.

  • Physician Assistant
  • Milwaukee, WI
  • NPI 1669679759
  NPD (past)
• Ryan D Holzmacher, MD

  • Internal Medicine Physician
  • Greenfield, WI
  • NPI 1598700601
  NPD (past)
• Mohammad R Sethi, MD

  • Internal Medicine Physician
  • Milwaukee, WI
  • NPI 1689654576
  NPD (past)
• Douglas Jerome Woida, MS PAS, PA-C

  • Physician Assistant
  • Milwaukee, WI
  • NPI 1790823045
  NPD (past)

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391990400000",
    "number": "1639100720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11943",
            "city": "SHOREWOOD",
            "state": "WI",
            "postal_code": "532110943",
            "telephone_number": "414-444-6000",
            "fax_number": "888-664-5360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7620 W BURLEIGH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532225002",
            "telephone_number": "414-444-6000",
            "fax_number": "888-664-5360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER MILWAUKEE MEDICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2014-02-10",
        "status": "A",
        "authorized_official_last_name": "RAYCHEL",
        "authorized_official_first_name": "CJ",
        "authorized_official_title_or_position": "COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "414-444-6000"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "04-03601",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "21309300",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4064161",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "184893491542",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WPS",
            "identifier": "109500484",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "M.R. Sethi, MD SC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• General Practice Physician in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• General Practice Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2014; 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.