North Shore Cardiology SC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

NORTH SHORE CARDIOLOGY SC

Practice address

2015 E Newport Ave
#600
Milwaukee, WI 53211

Phone

(414) 961-5000

Fax

(414) 961-5025

NPI assigned

Jan 4, 2007

Organization subpart

No

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

Authorized official

Name

Mark Linus Leitschuh, MD

Title

President

Phone

(414) 961-5000

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770630550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2015 E NEWPORT AVE",
            "address_2": "#600",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "53211",
            "telephone_number": "414-961-5000",
            "fax_number": "414-961-5025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 E NEWPORT AVE",
            "address_2": "#600",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "53211",
            "telephone_number": "414-961-5000",
            "fax_number": "414-961-5025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SHORE CARDIOLOGY SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEITSCHUH",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "LINUS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "414-961-5000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32851700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mackenzie Zoe Norman, MA
• North Avenue Family Medical Center
• North Avenue Vision Center
• North Lakes Nursing Home Health Care Agency LLC
• North Shore Audubon Dental, LLC
• North Shore Pathologists SC
• North Shore Podiatry, Inc.
• North Shore Surgical Center a Wi
• North Shore Urology, S.C.
• North Star Consultation LLC

• Cardiovascular Disease Physician in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Cardiovascular Disease Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.