Organization Active NPI

Milwaukee Kidney Institute Inc

  • Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
  • Pewaukee, WI
National Provider Identifier
1831413723
Registry record updated Mar 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Undersea and Hyperbaric Medicine (Emergency Medicine) PhysicianTaxonomy code 207PE0005X
Legal business name
MILWAUKEE KIDNEY INSTITUTE INC
Practice address
2400 Golf Rd
Pewaukee, WI 53072-5590
Phone
(262) 524-2771
Fax
(262) 524-2797
NPI assigned
Mar 21, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2010

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

Authorized official

Name
Dr. Mark R Carey, MD
Title
President
Phone
(262) 820-1012

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Undersea and Hyperbaric Medicine (Emergency Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207PE0005X Primary

Addresses

Primary practice location

2400 Golf Rd
Pewaukee, WI 53072-5590

Mailing address

W269N6980 Hickory Chasm CT
Sussex, WI 53089-2351
Phone (262) 820-1012

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1269129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269216000000",
    "number": "1831413723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W269N6980 HICKORY CHASM CT",
            "city": "SUSSEX",
            "state": "WI",
            "postal_code": "530892351",
            "telephone_number": "262-820-1012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 GOLF RD",
            "city": "PEWAUKEE",
            "state": "WI",
            "postal_code": "530725590",
            "telephone_number": "262-524-2771",
            "fax_number": "262-524-2797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILWAUKEE KIDNEY INSTITUTE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-21",
        "last_updated": "2010-03-22",
        "status": "A",
        "authorized_official_last_name": "CAREY",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "262-820-1012",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207PE0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine, Undersea and Hyperbaric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pewaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 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.