Organization Active NPI

Medical Care Specialists, Inc.

  • Diagnostic Ultrasound Physician
  • New Berlin, WI
National Provider Identifier
1659357572
Registry record updated Apr 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Ultrasound PhysicianTaxonomy code 2085U0001X
Legal business name
MEDICAL CARE SPECIALISTS, INC.
Practice address
2665 S Moorland Rd
#208
New Berlin, WI 53151-2900
Phone
(262) 784-9221
Fax
(262) 784-9227
NPI assigned
Dec 22, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2009

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

Authorized official

Name
Clarice Miller
Title
Co-Owner
Phone
(262) 784-9221

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Ultrasound PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085U0001X Primary

Addresses

Primary practice location

2665 S Moorland Rd
#208
New Berlin, WI 53151-2900

Mailing address

2665 S Moorland Rd
#208
New Berlin, WI 53151-2900
Phone (262) 784-9221

Other identifiers 1

IdentifierTypeStateIssuer
21278800MedicaidWI

National Provider Directory

National Provider Directory

Locations

N87W16458 Appleton Ave
Ste A
Menomonee Falls, WI 53051

N86W16258 Appleton Ave
Ste A
Menomonee Falls, WI 53051
Phone (262) 784-9221

N87W16458 Appleton Ave
Menomonee Falls, WI 53051

2665 S Moorland Rd
Ste 208
New Berlin, WI 53151
Phone (262) 784-9221

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240272000000",
    "number": "1659357572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2665 S MOORLAND RD",
            "address_2": "#208",
            "city": "NEW BERLIN",
            "state": "WI",
            "postal_code": "531512900",
            "telephone_number": "262-784-9221",
            "fax_number": "262-784-9227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2665 S MOORLAND RD",
            "address_2": "#208",
            "city": "NEW BERLIN",
            "state": "WI",
            "postal_code": "531512900",
            "telephone_number": "262-784-9221",
            "fax_number": "262-784-9227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL CARE SPECIALISTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-22",
        "last_updated": "2009-04-21",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "CLARICE",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "262-784-9221"
    },
    "taxonomies": [
        {
            "code": "2085U0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "21278800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Berlin, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2009; 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.