Omni Family Medical Clinic SC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

OMNI FAMILY MEDICAL CLINIC SC

Practice address

7810 West Good Hope Road
Milwaukee, WI 53223

Phone

(414) 586-9255

Fax

(414) 586-9282

NPI assigned

May 24, 2006

Organization subpart

No

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

Authorized official

Name

Abalo Nunyakpe, MD

Title

Owner President

Phone

(414) 586-9255

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

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

• Adedapo F Okusanya, MD

  • Family Medicine Physician
  • Glendale, WI
  • NPI 1619932126
  NPD (past)
• O'Rell Ronald Williams, MD

  • Internal Medicine Physician
  • Milwaukee, WI
  • NPI 1972559755
  NPD (past)
• Lester Yan, MD

  • Family Medicine Physician
  • Hayward, WI
  • NPI 1497862387
  NPD (past)

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207008000000",
    "number": "1679528822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4555 WEST SCHROEDER DR",
            "address_2": "SUITE 170",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "53223",
            "telephone_number": "414-365-3210",
            "fax_number": "414-365-3225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7810 WEST GOOD HOPE ROAD",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "53223",
            "telephone_number": "414-586-9255",
            "fax_number": "414-586-9282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMNI FAMILY MEDICAL CLINIC SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2008-04-01",
        "status": "A",
        "authorized_official_last_name": "NUNYAKPE",
        "authorized_official_first_name": "ABALO",
        "authorized_official_title_or_position": "OWNER  PRESIDENT",
        "authorized_official_telephone_number": "414-586-9255",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "21290800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Omega House LLC
• Omega Prenatal Care Coordination Services LLC
• Kathleen A Omelina, NP
• Omnawal Transportation LLC
• Omni Enrichment, Incorporation
• Omni Family Medical Clinic Urgent Care, S.C.
• Omni Family Medical SC
• Omni Family Medical SC
• Omni Family Medical SC
• Omnicare Pharmacy Inc

• Family Medicine Physician in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Family Medicine Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.