Clinic of Obstetrics and Gynecology, LTD.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

CLINIC OF OBSTETRICS AND GYNECOLOGY, LTD.

Practice address

8905 W Lincoln Ave
Ste. 407
West Allis, WI 53227-2468

Phone

(414) 545-8808

Fax

(414) 545-4920

NPI assigned

Feb 17, 2006

Organization subpart

No

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

Authorized official

Name

Glenda Lee, M.D.

Title

Owner/President

Phone

(414) 545-8808

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Walter Melnyczenko, M.D.

  • Obstetrics & Gynecology Physician
  • Oak Creek, WI
  • NPI 1811915366
  NPD (past)

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

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285804800000",
    "number": "1801861422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8905 W LINCOLN AVE",
            "address_2": "STE. 407",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532272468",
            "telephone_number": "414-545-8808",
            "fax_number": "414-545-4920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8905 W LINCOLN AVE",
            "address_2": "STE. 407",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532272468",
            "telephone_number": "414-545-8808",
            "fax_number": "414-545-4920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINIC OF OBSTETRICS AND GYNECOLOGY, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-17",
        "last_updated": "2010-09-30",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "GLENDA",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "414-545-8808",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICAID",
            "identifier": "32832400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Webstea Clark
• Erin Clawson
• Clear Path Personal Care Agency LLC
• Amanda M Clifford, D.D.S.
• Maureen Cline, RD
• Clinicare Corporation
• James Robert Coakley, D.D.S.
• Steven Howard Cohen, MD
• Brian Coleman
• Craig Coleman

• Obstetrics & Gynecology Physician in West Allis, WI
• Providers in West Allis, WI by specialty
• Obstetrics & Gynecology Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.