Wisconsin Vascular Access and Nephrology

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

38379-020 Issued in WI

Legal business name

WISCONSIN VASCULAR ACCESS AND NEPHROLOGY

Practice address

1962 N Prospect Ave # 310
Milwaukee, WI 53202-1414

Phone

(414) 803-2721

NPI assigned

Jun 5, 2009

Organization subpart

No

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

Authorized official

Name

Michael Levine, MDNPI 1912971250

Title

Owner

Phone

(414) 427-7820

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Ira Levine, M.D.

  • Nephrology Physician
  • Bronx, NY
  • NPI 1912971250
  NPD (past) Authorized official

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

{
    "created_epoch": "1244160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250553600000",
    "number": "1841426798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 932",
            "city": "HALES CORNERS",
            "state": "WI",
            "postal_code": "531300932",
            "telephone_number": "414-427-7820",
            "fax_number": "414-427-7824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1962 N PROSPECT AVE # 310",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532021414",
            "telephone_number": "414-803-2721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISCONSIN VASCULAR ACCESS AND NEPHROLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-05",
        "last_updated": "2009-08-18",
        "status": "A",
        "authorized_official_last_name": "LEVINE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-427-7820",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "WI",
            "license": "38379-020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32303500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wisconsin Special Security Services LLC
• Wisconsin Stress Control Center, LTD
• Wisconsin Surgery Center LLC
• Wisconsin Telehealthcare Network
• Wisconsin Transport Systems LLC
• Wisconsin Vision, LLC
• Wisconsin Vision, LLC
• Wisconsin Vision, LLC
• Wise Enterprise,LLC
• Wise Transportation LLC

• Nephrology Physician in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Nephrology Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.