Milwaukee VA Medical Center

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

013746 Issued in ME

Legal business name

MILWAUKEE VA MEDICAL CENTER

Practice address

5000 W National Ave
Milwaukee, WI 53295-0001

Phone

(414) 384-2000

NPI assigned

Feb 7, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Glen Grippen, MD

Title

Radiologist

Phone

(414) 384-2000

Specialties & licenses 1

Addresses

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.

• Eil B Park, MD

  • Diagnostic Radiology Physician
  • San Antonio, TX
  • NPI 1366587156
  NPD (past)

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780724161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1703 ESCADA",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584531",
            "telephone_number": "210-408-1004",
            "fax_number": "210-408-1004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 W NATIONAL AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532950001",
            "telephone_number": "414-384-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILWAUKEE VA MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRIPPEN",
        "authorized_official_first_name": "GLEN",
        "authorized_official_title_or_position": "RADIOLOGIST",
        "authorized_official_telephone_number": "414-384-2000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "ME",
            "license": "013746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Milwaukee Spine and Joint Center
• Milwaukee Urological SC
• Milwaukee VA
• Milwaukee VA
• Milwaukee VA Hospital
• Milwaukee VA Medical Center
• Milwaukee Vamc
• Milwaukee Vamc
• Milwaukee Vamc
• Milwaukee Vamc

• General Acute Care Hospital in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• General Acute Care Hospital 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.