Organization Active NPI

Milos Tomich DPM SC

  • Podiatric Clinic/Center
  • Wauwatosa, WI
National Provider Identifier
1821208455
Registry record updated Dec 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric Clinic/CenterTaxonomy code 261QP1100X
License
564-025 Issued in WI
Legal business name
MILOS TOMICH DPM SC
Practice address
7120 W North Ave
Wauwatosa, WI 53213-1811
Phone
(414) 475-9095
Fax
(414) 475-1898
NPI assigned
May 23, 2007
Last updated
Dec 15, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2009

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

Authorized official

Name
Milos Tomich, DPMNPI 1578623872
Title
DPM
Phone
(414) 475-9095

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatric Clinic/Center 261QP1100X 564-025 WI Primary

Addresses

Primary practice location

7120 W North Ave
Wauwatosa, WI 53213-1811

Mailing address

7120 W. North Ave.
Wauwatosa, WI 53213
Phone (414) 475-9095

Other identifiers 1

IdentifierTypeStateIssuer
43219100MedicaidWI

National Provider Directory

National Provider Directory

Locations

324 E Wisconsin Ave
Milwaukee, WI 53202
Phone (414) 271-4204

324 E Wisconsin Ave
Ste 409
Milwaukee, WI 53202
Phone (414) 276-2232

7120 W North Ave
Wauwatosa, WI 53213
Phone (414) 475-9095

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260835200000",
    "number": "1821208455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7120 W. NORTH AVE.",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "53213",
            "telephone_number": "414-475-9095",
            "fax_number": "414-475-1898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7120 W NORTH AVE",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532131811",
            "telephone_number": "414-475-9095",
            "fax_number": "414-475-1898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILOS TOMICH DPM SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2009-12-15",
        "status": "A",
        "authorized_official_last_name": "TOMICH",
        "authorized_official_first_name": "MILOS",
        "authorized_official_title_or_position": "DPM",
        "authorized_official_telephone_number": "414-475-9095",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "WI",
            "license": "564-025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43219100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wauwatosa, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2009; 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.