North Shore Urology, S.C.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

00000 Issued in WI

Legal business name

NORTH SHORE UROLOGY, S.C.

Practice address

2350 W Villard Ave
Ste. 205
Milwaukee, WI 53209-5086

Phone

(414) 527-4444

Fax

(414) 527-9812

NPI assigned

Oct 15, 2007

Organization subpart

No

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

Authorized official

Name

Edward J. Rosenthal, MD

Title

President

Phone

(414) 527-4444

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Tiffany L Fontaine, PA-C

  • Physician Assistant
  • Oconomowoc, WI
  • NPI 1639309057
  NPD (past)

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

{
    "created_epoch": "1192406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192406400000",
    "number": "1871782987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2350 W VILLARD AVE",
            "address_2": "STE. 205",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532095086",
            "telephone_number": "414-527-4444",
            "fax_number": "414-527-9812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 W VILLARD AVE",
            "address_2": "STE. 205",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532095086",
            "telephone_number": "414-527-4444",
            "fax_number": "414-527-9812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SHORE UROLOGY, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-15",
        "last_updated": "2007-10-15",
        "status": "A",
        "authorized_official_last_name": "ROSENTHAL",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "414-527-4444",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "WI",
            "license": "00000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Shore Audubon Dental, LLC
• North Shore Cardiology SC
• North Shore Pathologists SC
• North Shore Podiatry, Inc.
• North Shore Surgical Center a Wi
• North Star Consultation LLC
• Lauren North
• Paula E North, MD
• Northern Crossing Behavioral Health Services, LLC
• Northern Crossing Behavioral Health Services, LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2007; 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.