Northshore Gynecology Associates

Primary specialty

SpecialistTaxonomy code 174400000X

License

38544 Issued in WI

Legal business name

NORTHSHORE GYNECOLOGY ASSOCIATES

Practice address

13133 N Port Washington Rd
204
Mequon, WI 53097-2419

Phone

(262) 243-7470

Fax

(262) 243-7332

NPI assigned

Dec 25, 2007

Last updated

Dec 25, 2007By 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

Frederick G Westreich, M.D.

Title

MD/Co Owner

Phone

(262) 243-7470

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1198540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198540800000",
    "number": "1699959775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5128 N 64TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532184005",
            "telephone_number": "414-527-2521",
            "fax_number": "414-527-0638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13133 N PORT WASHINGTON RD",
            "address_2": "204",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530972419",
            "telephone_number": "262-243-7470",
            "fax_number": "262-243-7332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSHORE GYNECOLOGY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-25",
        "last_updated": "2007-12-25",
        "status": "A",
        "authorized_official_last_name": "WESTREICH",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "MD/CO OWNER",
        "authorized_official_telephone_number": "262-243-7470",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WI",
            "license": "38544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Mequon, WI
• Providers in Mequon, WI by specialty
• Specialist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 25, 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.

Verify at the official NPI Registry.