NPIMap

Organization Active NPI

Froedtert & the Medical College of Wisconsin Community Physicians Inc.

  • Non-Pharmacy Dispensing Site
  • Wauwatosa, WI
National Provider Identifier
1649626540
Registry record updated Jul 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
Legal business name
FROEDTERT & THE MEDICAL COLLEGE OF WISCONSIN COMMUNITY PHYSICIANS INC.
Practice address
7725 W North Ave
Wauwatosa, WI 53213-1720
Phone
(414) 777-3406
NPI assigned
May 10, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2016

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

Authorized official

Name
Barbra Fagan
Title
Director Business Development
Phone
(262) 253-5105

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X Primary

Addresses

Primary practice location

7725 W North Ave
Wauwatosa, WI 53213-1720

Mailing address

W126N7338 Flint Dr
Menomonee Falls, WI 53051-4532
Phone (262) 253-5105

Other names 1

  • Workforce Health Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Froedtert Med Coll of Wi19 organizations share this tax ID, including this one

Other organizations with this tax ID 18

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

View all 18

Locations

W126N7338 Flint Dr
Menomonee Falls, WI 53051
Phone (262) 253-5400

7725 W North Ave
Wauwatosa, WI 53213
Phone (414) 479-8936

Practitioners & affiliated clinicians

Practitioners 61

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

View all 61

NPI Registry JSON

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

{
    "created_epoch": "1462838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468972800000",
    "number": "1649626540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W126N7338 FLINT DR",
            "city": "MENOMONEE FALLS",
            "state": "WI",
            "postal_code": "530514532",
            "telephone_number": "262-253-5105",
            "fax_number": "262-253-5152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7725 W NORTH AVE",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532131720",
            "telephone_number": "414-777-3406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FROEDTERT & THE MEDICAL COLLEGE OF WISCONSIN COMMUNITY PHYSICIANS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-10",
        "last_updated": "2016-07-20",
        "status": "A",
        "authorized_official_last_name": "FAGAN",
        "authorized_official_first_name": "BARBRA",
        "authorized_official_title_or_position": "DIRECTOR BUSINESS DEVELOPMENT",
        "authorized_official_telephone_number": "262-253-5105"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Workforce Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wauwatosa, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2016; 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.