NPIMap

Organization Active NPI

ENT Specialists of Milwaukee, S.C.

  • Otolaryngology Physician
  • Milwaukee, WI
National Provider Identifier
1932288784
Registry record updated Oct 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
ENT SPECIALISTS OF MILWAUKEE, S.C.
Practice address
8532 W Capitol Dr
L1Oo
Milwaukee, WI 53222-1827
Phone
(414) 434-0266
Fax
(414) 536-7001
NPI assigned
Nov 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2011

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

Authorized official

Name
Mary A Mix, M.B.S.
Title
Billing Manager
Phone
(414) 434-0266

Specialties & licenses 1

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

Addresses

Primary practice location

8532 W Capitol Dr
L1Oo
Milwaukee, WI 53222-1827

Mailing address

8532 W Capitol Dr
L1Oo
Milwaukee, WI 53222-1827
Phone (414) 434-0266

Other identifiers 1

IdentifierTypeStateIssuer
21287800MedicaidWI

National Provider Directory

National Provider Directory

Locations

8532 W Capitol Dr
#L1
Milwaukee, WI 53222
Phone (414) 434-0266

Practitioners & affiliated clinicians

Practitioners 5

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": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318291200000",
    "number": "1932288784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8532 W CAPITOL DR",
            "address_2": "L1OO",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532221827",
            "telephone_number": "414-434-0266",
            "fax_number": "414-536-7001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8532 W CAPITOL DR",
            "address_2": "L1OO",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532221827",
            "telephone_number": "414-434-0266",
            "fax_number": "414-536-7001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENT SPECIALISTS OF MILWAUKEE, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2011-10-11",
        "status": "A",
        "authorized_official_last_name": "MIX",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "414-434-0266",
        "authorized_official_credential": "M.B.S."
    },
    "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": "21287800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2011; 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.