Active NPI
Tammy Smedema, RTR
- Computed Tomography Radiologic Technologist
- Milwaukee, WI
National Provider Identifier
1679767560
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Computed Tomography Radiologic Technologist
- License
- 256392
- Practice address
- 2626 N 76TH St
105
Milwaukee, WI 53213-1137 - Phone
- (414) 771-9171
- NPI assigned
- Sep 4, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Computed Tomography Radiologic Technologist | 2471C3401X | 256392 | WI | Primary |
Addresses
Primary practice location
2626 N 76TH St
105
Milwaukee, WI 53213-1137
Mailing address
2626 N 76TH St
105
Milwaukee, WI 53213-1137
Phone (414) 771-9171
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 256392 | WI | MD | Computed Tomography Radiologic Technologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Affiliated Health of Wisconsin LTD. | Computed Tomography | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Wauwatosa, WI
- NPI 1063433977
Computed Tomography
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1188864000000",
"number": "1679767560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2626 N 76TH ST",
"address_2": "105",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532131137",
"telephone_number": "414-771-9171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2626 N 76TH ST",
"address_2": "105",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532131137",
"telephone_number": "414-771-9171"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMEDEMA",
"first_name": "TAMMY",
"credential": "RTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-04",
"last_updated": "2007-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "2471C3401X",
"taxonomy_group": "",
"desc": "Radiologic Technologist, Computed Tomography",
"state": "WI",
"license": "256392",
"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 Sep 4, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.