Organization Active NPI

Thomas G. Fenske M.D., S.C.

  • Acute Care Nurse Practitioner
  • Milwaukee, WI
National Provider Identifier
1841465739
Registry record updated Apr 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
3459-033 Issued in WI
Legal business name
THOMAS G. FENSKE M.D., S.C.
Practice address
2801 W Kinnickinnic River Pkwy
Suite 925
Milwaukee, WI 53215-3669
Phone
(414) 385-2499
Fax
(414) 385-2748
NPI assigned
Apr 23, 2008
Last updated
Apr 23, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2008

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

Authorized official

Name
Dr. Thomas G Fenske, M.D.NPI 1912998576
Title
President
Phone
(414) 385-2499

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
Acute Care Nurse Practitioner 363LA2100X 3459-033 WI Primary

Addresses

Primary practice location

2801 W Kinnickinnic River Pkwy
Suite 925
Milwaukee, WI 53215-3669

Mailing address

2801 W Kinnickinnic River Pkwy
Suite 925
Milwaukee, WI 53215-3669
Phone (414) 385-2499

Other identifiers 1

IdentifierTypeStateIssuer
32279000MedicaidWI

National Provider Directory

National Provider Directory

Locations

5205 N Ironwood Rd
Ste 10
Glendale, WI 53217
Phone (414) 967-0025

2801 W Kinnickinnic River Pkwy
Ste 925
Milwaukee, WI 53215
Phone (414) 384-5111

2801 W KK Pkwy
Ste 925
Milwaukee, WI 53215
Phone (414) 385-2499

5650 N Green Bay Ave
Ste 200
Milwaukee, WI 53209
Phone (414) 228-0195

13111 N Port Washington Rd
Thiensville, WI 53097
Phone (262) 243-7300

Practitioners & affiliated clinicians

Practitioners 2

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": "1208908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208908800000",
    "number": "1841465739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 W KINNICKINNIC RIVER PKWY",
            "address_2": "SUITE 925",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532153669",
            "telephone_number": "414-385-2499",
            "fax_number": "414-385-2748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 W KINNICKINNIC RIVER PKWY",
            "address_2": "SUITE 925",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532153669",
            "telephone_number": "414-385-2499",
            "fax_number": "414-385-2748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS G. FENSKE M.D., S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-23",
        "last_updated": "2008-04-23",
        "status": "A",
        "authorized_official_last_name": "FENSKE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "414-385-2499",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "WI",
            "license": "3459-033",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32279000",
            "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 Apr 23, 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.