Organization Active NPI

Garland W. Yarborough M.D S,C

  • Primary Care Clinic/Center
  • Milwaukee, WI
National Provider Identifier
1669911277
Registry record updated Feb 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
23313 Issued in WI
Legal business name
GARLAND W. YARBOROUGH M.D S,C
Practice address
2500 W Layton Ave
Suite250
Milwaukee, WI 53221-5420
Phone
(414) 269-9373
Fax
(414) 323-7779
NPI assigned
Feb 15, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2017

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

Authorized official

Name
Lisa Ferra
Title
Manager
Phone
(414) 207-1058

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 23313 WI
Primary Care Clinic/Center 261QP2300X 23313 WI Primary

Addresses

Primary practice location

2500 W Layton Ave
Suite250
Milwaukee, WI 53221-5420

Mailing address

2500 W Layton Ave
Suite250
Milwaukee, WI 53221-5420
Phone (414) 269-9373

National Provider Directory

National Provider Directory

Locations

2500 W Layton Ave
Ste 250
Milwaukee, WI 53221
Phone (414) 269-9373

3077 N Mayfair Rd
Ste 100
Wauwatosa, WI 53222
Phone (414) 771-5900

NPI Registry JSON

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

{
    "created_epoch": "1487116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487116800000",
    "number": "1669911277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 W LAYTON AVE",
            "address_2": "SUITE250",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532215420",
            "telephone_number": "414-269-9373",
            "fax_number": "414-323-7779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 W LAYTON AVE",
            "address_2": "SUITE250",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532215420",
            "telephone_number": "414-269-9373",
            "fax_number": "414-323-7779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARLAND W. YARBOROUGH M.D S,C",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-15",
        "last_updated": "2017-02-15",
        "status": "A",
        "authorized_official_last_name": "FERRA",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "414-207-1058"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "WI",
            "license": "23313",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "WI",
            "license": "23313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Feb 15, 2017; 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.