Lifetime OB GYN, LTD.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

LIFETIME OB GYN, LTD.

Practice address

3070 N 51St St
Suite 305
Milwaukee, WI 53210-1645

Phone

(262) 754-8000

Fax

(262) 754-8008

NPI assigned

Mar 29, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Joanne Metoff, M.D.NPI 1700879111

Title

President

Phone

(262) 754-8000

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joanne Metoff, M.D.

  • Obstetrics & Gynecology Physician
  • Brookfield, WI
  • NPI 1700879111
  Authorized official Same address or phone
• Donald J Baccus, M.D.

  • Gynecology Physician
  • Brookfield, WI
  • NPI 1538152962
  NPD (past)

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922127836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17280 W NORTH AVE",
            "address_2": "SUITE 200",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530454366",
            "telephone_number": "262-754-8000",
            "fax_number": "262-754-8008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3070 N 51ST ST",
            "address_2": "SUITE 305",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532101645",
            "telephone_number": "262-754-8000",
            "fax_number": "262-754-8008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFETIME OB GYN, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "METOFF",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "262-754-8000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Cole R Lightfoot, PHARMD
• Lighthouse Clinic (LHC Aquisitions, LLC)
• Richard Lightsey II, D.D.S
• Rebecca Ruth Ligrow, PT

• Obstetrics & Gynecology Physician in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Obstetrics & Gynecology Physician in Wisconsin

• 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.