Organization Active NPI

Thiensville Family Health Care SC

  • Family Medicine Physician
  • Thiensville, WI
National Provider Identifier
1881740975
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
THIENSVILLE FAMILY HEALTH CARE SC
Practice address
140 S Main St
Thiensville, WI 53092-1956
Phone
(262) 242-3369
Fax
(262) 242-3219
NPI assigned
Jan 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Jessica Garcia
Title
Office Manager
Phone
(262) 242-3369

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

140 S Main St
Thiensville, WI 53092-1956

Mailing address

140 S Main St
Thiensville, WI 53092-1956
Phone (262) 242-3369

National Provider Directory

National Provider Directory

Locations

140 S Main St
Thiensville, WI 53092
Phone (262) 242-3369

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881740975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 S MAIN ST",
            "city": "THIENSVILLE",
            "state": "WI",
            "postal_code": "530921956",
            "telephone_number": "262-242-3369",
            "fax_number": "262-242-3219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 S MAIN ST",
            "city": "THIENSVILLE",
            "state": "WI",
            "postal_code": "530921956",
            "telephone_number": "262-242-3369",
            "fax_number": "262-242-3219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THIENSVILLE FAMILY HEALTH CARE SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "262-242-3369"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thiensville, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.