Organization Active NPI

Premier Pediatrics Wisconsin LLC

Doing business as Thrive Pediatrics

  • Primary Care Clinic/Center
  • Waukesha, WI
National Provider Identifier
1730984774
Registry record updated Feb 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
PREMIER PEDIATRICS WISCONSIN LLC
Doing business as
Thrive Pediatrics
Practice address
2607 N Grandview Blvd Ste 104
Waukesha, WI 53188-1690
Phone
(262) 217-0939
NPI assigned
Feb 14, 2025
Last updated
Feb 14, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2025

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

Authorized official

Name
Elizabeth Kurowski, MDNPI 1982946638
Title
Owner
Phone
(515) 419-2975

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

2607 N Grandview Blvd Ste 104
Waukesha, WI 53188-1690

Mailing address

2607 N Grandview Blvd Ste 104
Waukesha, WI 53188-1690
Phone (262) 217-0939

Other names 1

  • Thrive Pediatrics Doing business as

National Provider Directory

National Provider Directory

Locations

2607 N Grandview Blvd
Ste 104
Waukesha, WI 53188
Phone (262) 217-0939

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1739491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739491200000",
    "number": "1730984774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2607 N GRANDVIEW BLVD STE 104",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531881690",
            "telephone_number": "262-217-0939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2607 N GRANDVIEW BLVD STE 104",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531881690",
            "telephone_number": "262-217-0939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER PEDIATRICS WISCONSIN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-14",
        "last_updated": "2025-02-14",
        "certification_date": "2025-02-14",
        "status": "A",
        "authorized_official_last_name": "KUROWSKI",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "515-419-2975",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Thrive Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waukesha, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2025; 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.