Active NPI
Medical on the Move
- General Practice Physician
- Menomonee Falls, WI
National Provider Identifier
1780959213
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- MEDICAL ON THE MOVE
- Practice address
- N88W16624 Appleton Ave
Menomonee Falls, WI 53051-2858 - Phone
- (262) 345-5343
- Fax
- (262) 437-1328
- NPI assigned
- Mar 16, 2012
- 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
- Tracy L Mischuk
- Title
- Owner
- Phone
- (262) 501-2000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | Primary |
Addresses
Primary practice location
N88W16624 Appleton Ave
Menomonee Falls, WI 53051-2858
Mailing address
N85W18181 Tyler Dr
Menomonee Falls, WI 53051-2535
Phone (262) 250-2570
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1331856000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1331856000000",
"number": "1780959213",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "N85W18181 TYLER DR",
"city": "MENOMONEE FALLS",
"state": "WI",
"postal_code": "530512535",
"telephone_number": "262-250-2570",
"fax_number": "262-255-4090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "N88W16624 APPLETON AVE",
"city": "MENOMONEE FALLS",
"state": "WI",
"postal_code": "530512858",
"telephone_number": "262-345-5343",
"fax_number": "262-437-1328"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDICAL ON THE MOVE",
"organizational_subpart": "NO",
"enumeration_date": "2012-03-16",
"last_updated": "2012-03-16",
"status": "A",
"authorized_official_last_name": "MISCHUK",
"authorized_official_first_name": "TRACY",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "262-501-2000"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Menomonee Falls, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.