NPIMap

Organization Active NPI

Froedtert Health

  • Non-Pharmacy Dispensing Site
  • Milwaukee, WI
National Provider Identifier
1710721675
Registry record updated Jun 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
Legal business name
FROEDTERT HEALTH
Practice address
10201 Watertown Plank Rd
Milwaukee, WI 53226-3532
Phone
(414) 978-5894
NPI assigned
Jun 24, 2024
Last updated
Jun 24, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
FROEDTERT & THE MEDICAL COLLEGE OF WISCONSIN COMMUNITY PHYSICIANSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 24, 2024

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

Authorized official

Name
Alicia Maitland
Title
Sr. VP Finance
Phone
(414) 777-0979

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X NU Primary

Addresses

Primary practice location

10201 Watertown Plank Rd
Milwaukee, WI 53226-3532

Mailing address

W129N7055 Northfield Dr
Menomonee Falls, WI 53051-0538
Phone (414) 978-5984

National Provider Directory

National Provider Directory
Tax ID family
Froedtert Health10 organizations share this tax ID, including this one
Part of
Froedtert Health

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1719187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719187200000",
    "number": "1710721675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W129N7055 NORTHFIELD DR",
            "city": "MENOMONEE FALLS",
            "state": "WI",
            "postal_code": "530510538",
            "telephone_number": "414-978-5984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10201 WATERTOWN PLANK RD",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532263532",
            "telephone_number": "414-978-5894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FROEDTERT HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FROEDTERT & THE MEDICAL COLLEGE OF WISCONSIN COMMUNITY PHYSICIANS",
        "enumeration_date": "2024-06-24",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A",
        "authorized_official_last_name": "MAITLAND",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_title_or_position": "SR. VP FINANCE",
        "authorized_official_telephone_number": "414-777-0979"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "NU",
            "license": null,
            "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 Jun 24, 2024; 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.