Kenneth Raskin MD SC

Primary specialty

SpecialistTaxonomy code 174400000X

License

45098-020 Issued in WI

Legal business name

KENNETH RASKIN MD SC

Doing business as

BodyLogicMD of Milwaukee

Practice address

115 S 84TH St
Suite 175
Milwaukee, WI 53214-1472

Phone

(877) 278-3693

Fax

(877) 278-3694

NPI assigned

Sep 25, 2009

Organization subpart

No

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

Authorized official

Name

Kenneth Raskin, M.D.NPI 1609983949

Title

Owner/ Operator

Phone

(877) 278-3693

Specialties & licenses 1

Addresses

Other names 1

• BodyLogicMD of Milwaukee Doing business as

Locations

Practitioners 1

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

• Kenneth S Raskin, MD

  • Obstetrics & Gynecology Physician
  • Milwaukee, WI
  • NPI 1609983949
  NPD Authorized official

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

{
    "created_epoch": "1253836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537401600000",
    "number": "1851625735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9000 W CHESTER ST STE 210",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532141373",
            "telephone_number": "877-278-3693",
            "fax_number": "262-317-9311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 S 84TH ST",
            "address_2": "SUITE 175",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532141472",
            "telephone_number": "877-278-3693",
            "fax_number": "877-278-3694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH RASKIN MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-25",
        "last_updated": "2018-09-20",
        "status": "A",
        "authorized_official_last_name": "RASKIN",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "OWNER/ OPERATOR",
        "authorized_official_telephone_number": "877-278-3693",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "WI",
            "license": "45098-020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BodyLogicMD of Milwaukee",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BodyLogicMD of Milwaukee",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kennedy'S Circle of Wellness LLC
• Daniel Kenner
• Jenessa Lynn Kenner
• Kenneth Ginlack Sr Consulting Services LLC
• Kenneth J Jozwiak DDS SC
• Kenneth S Scher MD
• Amy Elizabeth Kenny, MD
• Eugene C Kenny, MD
• Britney Kent
• Domonique Kent

• Specialist in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Specialist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2018; 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.