NPIMap

Organization Active NPI

Cardiovascular Associates of Wisconsin, LLP

  • Cardiovascular Disease Physician
  • Milwaukee, WI
National Provider Identifier
1841286291
Registry record updated Jan 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
CARDIOVASCULAR ASSOCIATES OF WISCONSIN, LLP
Practice address
2801 W Kinnickinnic River Pkwy #840
Milwaukee, WI 53214-3678
Phone
(414) 649-3530
Fax
(414) 649-3551
NPI assigned
Sep 21, 2005
Last updated
Jan 22, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2008

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

Authorized official

Name
Ms. Wanda Kusmierek
Title
Billing Lead
Phone
(414) 219-7845

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X WI Primary

Addresses

Primary practice location

2801 W Kinnickinnic River Pkwy #840
Milwaukee, WI 53214-3678

Mailing address

2801 W Kinnickinnic River Pkwy #840
Milwaukee, WI 53214-3678
Phone (414) 649-3530

Other identifiers 1

IdentifierTypeStateIssuer
32732600MedicaidWI

National Provider Directory

National Provider Directory

Locations

10400 75th St
Ste 201
Kenosha, WI 53142
Phone (262) 948-6630

2801 W Kinnickinnic River Pkwy
#840
Milwaukee, WI 53215

2801 W Kinnickinnic River Pkwy
Ste 840
Milwaukee, WI 53215

2801 W KK Pkwy
Ste 840
Milwaukee, WI 53215

Practitioners & affiliated clinicians

Practitioners 26

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.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1127260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200960000000",
    "number": "1841286291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 W KINNICKINNIC RIVER PKWY #840",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532143678",
            "telephone_number": "414-649-3530",
            "fax_number": "414-649-3551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 W KINNICKINNIC RIVER PKWY #840",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532143678",
            "telephone_number": "414-649-3530",
            "fax_number": "414-649-3551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOVASCULAR ASSOCIATES OF WISCONSIN, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-21",
        "last_updated": "2008-01-22",
        "status": "A",
        "authorized_official_last_name": "KUSMIEREK",
        "authorized_official_first_name": "WANDA",
        "authorized_official_title_or_position": "BILLING LEAD",
        "authorized_official_telephone_number": "414-219-7845",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32732600",
            "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 Jan 22, 2008; 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.