Renee Malcolm Szafir

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

60223 Issued in WI

Practice address

3195 Hillside Dr
Delafield, WI 53018-2189

Phone

(262) 646-9960

Fax

(262) 646-9961

NPI assigned

Mar 26, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: rszafir7110@direct.chw.org

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.

• Children's Medical Group

  dba Glendale Pediatrics

  • Pediatrics Physician
  • Glendale, WI
  • NPI 1134394471
  NPD (past)

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

{
    "created_epoch": "1301097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550016000000",
    "number": "1699074864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9000 W WISCONSIN AVE # MS 958",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532264874",
            "telephone_number": "414-266-7615",
            "fax_number": "414-266-6238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3195 HILLSIDE DR",
            "city": "DELAFIELD",
            "state": "WI",
            "postal_code": "530182189",
            "telephone_number": "262-646-9960",
            "fax_number": "262-646-9961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SZAFIR",
        "first_name": "RENEE",
        "middle_name": "MALCOLM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-26",
        "last_updated": "2019-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WI",
            "license": "60223",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1699074864",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Shannon Michelle Stadler, D.C.
• Cassandra Dae Stamas, DDS
• Ryan Sucharski
• Suzanne Roundy-Schmidt, LLC
• Jacquelyn Szalacinski, BSN, RN, IBCLC, CLC
• Rebecca Taylor, PHARMD
• Theresa Marie Tengler, RD
• Thayer Surgical LLC
• Jacob Thayer, MD

• Pediatrics Physician in Delafield, WI
• Providers in Delafield, WI by specialty
• Pediatrics Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2019; 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.