Padre Pio Pediatrics LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

43966-020 Issued in WI

Legal business name

PADRE PIO PEDIATRICS LLC

Practice address

929 W Mitchell St
Milwaukee, WI 53204-3534

Phone

(262) 945-4170

Fax

(800) 208-2413

NPI assigned

Jan 31, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Syed N Hasnain, M.D.

Title

Medical Director

Phone

(414) 873-9800

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1327968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327968000000",
    "number": "1831461326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "929 W MITCHELL ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532043534",
            "telephone_number": "414-384-6612",
            "fax_number": "414-384-6613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 W MITCHELL ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532043534",
            "telephone_number": "262-945-4170",
            "fax_number": "800-208-2413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PADRE PIO PEDIATRICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-31",
        "last_updated": "2012-01-31",
        "status": "A",
        "authorized_official_last_name": "HASNAIN",
        "authorized_official_first_name": "SYED",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "414-873-9800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "WI",
            "license": "43966-020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34152600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kiran K Padala, MD
• Mitchell Paddock, P.T.
• Aasim Ilyas Padela, MD
• Dawn Janeen Padilla, RN
• Noelia Cristina Padilla
• Luisa Ivellisse Padron, RADC I
• Karen J Padua, D.O.
• Vicky L Padway, LCSW
• Katie Elizabeth Paff
• Michael Paffrath

• Primary Care Clinic/Center in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Primary Care Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.

Verify at the official NPI Registry.