Organization Active NPI

Center for Stomach & Intestinal Disorders LTD

  • Medical Specialty Clinic/Center
  • Wauwatosa, WI
National Provider Identifier
1932368685
Registry record updated Jun 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
27635 Issued in WI
Legal business name
CENTER FOR STOMACH & INTESTINAL DISORDERS LTD
Practice address
2300 N Mayfair Rd Ste 725
Wauwatosa, WI 53226-1533
Phone
(414) 778-1911
Fax
(414) 778-1916
NPI assigned
Jun 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2008

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

Authorized official

Name
Mary Catherine A Gerleman, MDNPI 1134191877
Title
Owner
Phone
(414) 778-1911

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 27635 WI Primary

Addresses

Primary practice location

2300 N Mayfair Rd Ste 725
Wauwatosa, WI 53226-1533

Mailing address

2300 N Mayfair Rd Ste 725
Wauwatosa, WI 53226-1533
Phone (414) 778-1911

National Provider Directory

National Provider Directory

Locations

2300 N Mayfair Rd
Ste 725
Wauwatosa, WI 53226
Phone (414) 778-1911

Practitioners & affiliated clinicians

Practitioners 1

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": "1212796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212796800000",
    "number": "1932368685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 N MAYFAIR RD STE 725",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532261533",
            "telephone_number": "414-778-1911",
            "fax_number": "414-778-1916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 N MAYFAIR RD STE 725",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532261533",
            "telephone_number": "414-778-1911",
            "fax_number": "414-778-1916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR STOMACH & INTESTINAL DISORDERS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-07",
        "last_updated": "2008-06-07",
        "status": "A",
        "authorized_official_last_name": "GERLEMAN",
        "authorized_official_first_name": "MARY CATHERINE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-778-1911",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "WI",
            "license": "27635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wauwatosa, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 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.