Truecare Primary Care LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

61782 Issued in WI

Legal business name

TRUECARE PRIMARY CARE LLC

Practice address

2603 W Rawson Ave
Suite 127
Oak Creek, WI 53154-8422

Phone

(414) 539-4328

Fax

(414) 304-8496

NPI assigned

Mar 26, 2015

Organization subpart

No

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

Authorized official

Name

Farid A Ahmad, MDNPI 1871916031

Title

MD

Phone

(414) 539-4328

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Farid A Ahmad, MD

  • General Practice Physician
  • Oak Creek, WI
  • NPI 1871916031

  Family Medicine

  NPD (past) Authorized official

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

{
    "created_epoch": "1427328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427328000000",
    "number": "1720472897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2603 W RAWSON AVE",
            "address_2": "SUITE 127",
            "city": "OAK CREEK",
            "state": "WI",
            "postal_code": "531548422",
            "telephone_number": "414-539-4328",
            "fax_number": "414-304-8496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2603 W RAWSON AVE",
            "address_2": "SUITE 127",
            "city": "OAK CREEK",
            "state": "WI",
            "postal_code": "531548422",
            "telephone_number": "414-539-4328",
            "fax_number": "414-304-8496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUECARE PRIMARY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-26",
        "last_updated": "2015-03-26",
        "status": "A",
        "authorized_official_last_name": "AHMAD",
        "authorized_official_first_name": "FARID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "414-539-4328",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "61782",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1871916031",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sasha Torres
• Total Renal Care Inc (Oak Creek Dialysis)
• Diep Tran, DMD
• Taylor A Tremmel, RN, APNP
• Emily Jean Trentadue, PA-C
• Unger Eye M.D., S.C
• Jennifer Joy Unger, M.D.
• Zachary James Valavanis, DPT
• Jolene R Vancaster
• Jacklyn Wendy Vanderheyden, APNP

• Family Medicine Physician in Oak Creek, WI
• Providers in Oak Creek, 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 Mar 26, 2015; 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.