Organization Active NPI

Greater Milwaukee Otolaryngology LLC

  • Otolaryngology Physician
  • Greenfield, WI
National Provider Identifier
1902991805
Registry record updated Feb 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
GREATER MILWAUKEE OTOLARYNGOLOGY LLC
Practice address
4600 W Loomis Rd
Suite 201
Greenfield, WI 53220-4858
Phone
(414) 281-4466
Fax
(414) 281-4528
NPI assigned
Oct 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2008

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

Authorized official

Name
Steven K Dankle, MD
Title
Member
Phone
(414) 281-4466

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X Primary

Addresses

Primary practice location

4600 W Loomis Rd
Suite 201
Greenfield, WI 53220-4858

Mailing address

4600 W Loomis Rd
Suite 201
Greenfield, WI 53220-4858
Phone (414) 281-4466

Other identifiers 1

IdentifierTypeStateIssuer
21289200MedicaidWI

National Provider Directory

National Provider Directory

Locations

13950 W Capitol Dr
Brookfield, WI 53005
Phone (414) 302-5400

3111 W Rawson Ave
Ste 220
Franklin, WI 53132
Phone (414) 325-4450

3111 W Rawson Ave
Ste 245
Franklin, WI 53132
Phone (414) 325-4480

2801 W KK Pkwy
#345
Milwaukee, WI 53215
Phone (414) 649-7900

14555 W National Ave
Ste 107
New Berlin, WI 53151
Phone (262) 827-2930

2424 S 90th St
Ste 406
West Allis, WI 53227
Phone (414) 328-8840

Practitioners & affiliated clinicians

Practitioners 9

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

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202428800000",
    "number": "1902991805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 W LOOMIS RD",
            "address_2": "SUITE 201",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532204858",
            "telephone_number": "414-281-4466",
            "fax_number": "414-281-4528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 W LOOMIS RD",
            "address_2": "SUITE 201",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532204858",
            "telephone_number": "414-281-4466",
            "fax_number": "414-281-4528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER MILWAUKEE OTOLARYNGOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2008-02-08",
        "status": "A",
        "authorized_official_last_name": "DANKLE",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "414-281-4466",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "21289200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenfield, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.

Verify at the official NPI Registry.