Active NPI
Enhanced Medical Imaging Milwaukee LLC
- Diagnostic Radiology Physician
- Milwaukee, WI
National Provider Identifier
1760416994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- ENHANCED MEDICAL IMAGING MILWAUKEE LLC
- Practice address
- 7523 W Oklahoma Ave
Milwaukee, WI 53219-2861 - Phone
- (414) 546-4450
- NPI assigned
- Jul 11, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Eric V Wnuck
- Title
- President
- Phone
- (414) 546-4450
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | Primary |
Addresses
Primary practice location
7523 W Oklahoma Ave
Milwaukee, WI 53219-2861
Mailing address
520 58TH St
Suite 300
Kenosha, WI 53140-4115
Phone (262) 925-0990
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 21296700 | Medicaid | WI |
National Provider Directory
National Provider DirectoryLocations
520 58th St
Ste 300
Kenosha, WI 53140
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1293062400000",
"number": "1760416994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520 58TH ST",
"address_2": "SUITE 300",
"city": "KENOSHA",
"state": "WI",
"postal_code": "531404115",
"telephone_number": "262-925-0990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7523 W OKLAHOMA AVE",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532192861",
"telephone_number": "414-546-4450"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ENHANCED MEDICAL IMAGING MILWAUKEE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-11",
"last_updated": "2010-12-23",
"status": "A",
"authorized_official_last_name": "WNUCK",
"authorized_official_first_name": "ERIC",
"authorized_official_middle_name": "V",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "414-546-4450"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "21296700",
"state": "WI"
}
],
"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 Dec 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.