Active NPI
Thomas G. Fenske M.D., S.C.
- Acute Care Nurse Practitioner
- Milwaukee, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 3459-033
- 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, 2008
- Organization subpart
- No
NPPES NPI Registry
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 32279000 | Medicaid | WI |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Interventional Cardiology Physician
- Milwaukee, WI
- NPI 1912998576
-
- Acute Care Nurse Practitioner
- Milwaukee, WI
- NPI 1033159116
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.