Organization Active NPI

Enhanced Medical Imaging Milwaukee LLC

  • Diagnostic Radiology Physician
  • Milwaukee, WI
National Provider Identifier
1760416994
Registry record updated Dec 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
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

Updated by the provider on Dec 23, 2010

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)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
21296700MedicaidWI

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.