Active NPI
Mark P Case, M.D.
- Anesthesiology Physician
- Milwaukee, WI
National Provider Identifier
1801879515
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 41328-020
- Practice address
- 2323 N Lake Dr
Milwaukee, WI 53211-4508 - Phone
- (414) 291-1000
- NPI assigned
- Nov 28, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 41328-020 | WI | Primary |
Addresses
Primary practice location
2323 N Lake Dr
Milwaukee, WI 53211-4508
Mailing address
225 S Executive Dr
Brookfield, WI 53005-4266
Phone (262) 787-4026
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34418800 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41328-020 | WI | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopaedic Hospital of Wisconsin, LLC | Current | Accepting new patients | |
| Great Lakes Anesthesia and Pain Specialists SC | Anesthesiology | Current | Accepting new patients |
| Metropolitan Anesthesiologists, S.C. | Anesthesiology | Past | Accepting new patients |
Locations
10101 S 27th St
Franklin, WI 53132
Phone (414) 325-4700
575 W River Woods Pkwy
Glendale, WI 53212
Phone (414) 961-6700
475 W River Woods Pkwy
Glendale, WI 53212
Phone (414) 961-6700
10900 W Potter Rd
Wauwatosa, WI 53226
Phone (414) 774-9227
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Franklin, WI
- NPI 1720218647
-
- General Acute Care Hospital
- Glendale, WI
- NPI 1669584983
-
- Anesthesiology Physician
- Milwaukee, WI
- NPI 1063439867
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187654400000",
"number": "1801879515",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 S EXECUTIVE DR",
"city": "BROOKFIELD",
"state": "WI",
"postal_code": "530054266",
"telephone_number": "262-787-4026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2323 N LAKE DR",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532114508",
"telephone_number": "414-291-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASE",
"first_name": "MARK",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-28",
"last_updated": "2007-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "WI",
"license": "41328-020",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "34418800",
"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 Aug 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.