North Shore Internal Medicine Specialist, SC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

NORTH SHORE INTERNAL MEDICINE SPECIALIST, SC

Practice address

140 S Main St
Thiensville, WI 53092-1956

Phone

(262) 242-3369

Fax

(262) 242-3219

NPI assigned

Mar 3, 2008

Last updated

Mar 14, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mehran Edalatpour, MDNPI 1548248347

Title

President

Phone

(262) 242-3369

Specialties & licenses 2

Addresses

Practitioners 1

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.

• Mehran Edalatpour, M.D.

  • Internal Medicine Physician
  • Milwaukee, WI
  • NPI 1548248347
  Authorized official Same address or phone

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

{
    "created_epoch": "1204502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205452800000",
    "number": "1669642997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 INDUSTRIAL LOOP",
            "city": "GREENDALE",
            "state": "WI",
            "postal_code": "531292452",
            "telephone_number": "414-423-4100",
            "fax_number": "414-423-4134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 S MAIN ST",
            "city": "THIENSVILLE",
            "state": "WI",
            "postal_code": "530921956",
            "telephone_number": "262-242-3369",
            "fax_number": "262-242-3219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SHORE INTERNAL MEDICINE SPECIALIST, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-03",
        "last_updated": "2008-03-14",
        "status": "A",
        "authorized_official_last_name": "EDALATPOUR",
        "authorized_official_first_name": "MEHRAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "262-242-3369",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew John McGuire, D.C.
• Robert Meilbeck, PT, DPT
• Milwaukee Psychiatry SC
• Kathryn Mueller
• National Birth Centers, Inc.
• Nadine Ellyn O Kane, RN
• Natalia Ottesen, LPC
• Ozaukee Chiropractic Clinic, LTD
• Ozaukee Medical Group, LLC
• Pamela F. Elgin LPC LLC

• Internal Medicine Physician in Thiensville, WI
• Providers in Thiensville, WI by specialty
• Internal Medicine Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2008; 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.