FMG Menomonee Avenue Wisconsin LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

FMG MENOMONEE AVENUE WISCONSIN LLC

Practice address

N84W17049 Menomonee Ave
Menomonee Falls, WI 53051-2701

Phone

(262) 255-1180

Fax

(262) 255-1638

NPI assigned

Jan 16, 2015

Organization subpart

No

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

Authorized official

Name

David Keating

Title

Authorized Official

Phone

(414) 908-8058

Specialties & licenses 1

Addresses

Other names 1

• Menomonee Falls Health Care Doing business as

Locations

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

{
    "created_epoch": "1421366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421366400000",
    "number": "1902295702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N84W17049 MENOMONEE AVE",
            "city": "MENOMONEE FALLS",
            "state": "WI",
            "postal_code": "530512701",
            "telephone_number": "262-255-1180",
            "fax_number": "262-255-1638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N84W17049 MENOMONEE AVE",
            "city": "MENOMONEE FALLS",
            "state": "WI",
            "postal_code": "530512701",
            "telephone_number": "262-255-1180",
            "fax_number": "262-255-1638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FMG MENOMONEE AVENUE WISCONSIN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-16",
        "last_updated": "2015-01-16",
        "status": "A",
        "authorized_official_last_name": "KEATING",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "414-908-8058"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Menomonee Falls Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Daniel William Flanagan, ACNPC-BC
• Casey Flanary, M.D.
• Savana Ann Flanders
• Paul Flink, M.D.
• Patricia L Flynn, RN
• Brian Fobian, CADC III
• Allison Elizabeth Foley, R.N.
• Anushka Rusira Fonseka, LPC, NCC
• Graceanne Forsyth-Krajna, MS, RCEP
• Forward Orthopedics, S.C.

• Skilled Nursing Facility in Menomonee Falls, WI
• Providers in Menomonee Falls, WI by specialty
• Skilled Nursing Facility in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2015; 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.