Milwaukee Digestive Disease Consultants, S.C.

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

MILWAUKEE DIGESTIVE DISEASE CONSULTANTS, S.C.

Practice address

2901 W. KK River Pkwy.
Suite 414
Milwaukee, WI 53215-3660

Phone

(414) 649-3750

Fax

(414) 649-3411

NPI assigned

Jan 30, 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

Mr. Gregory Albert Hietpas

Title

Administrator

Phone

(414) 649-3418

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952447336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 W. KK RIVER PKWY.",
            "address_2": "SUITE 414",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532153660",
            "telephone_number": "414-649-3750",
            "fax_number": "414-649-3411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 W. KK RIVER PKWY.",
            "address_2": "SUITE 414",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532153660",
            "telephone_number": "414-649-3750",
            "fax_number": "414-649-3411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILWAUKEE DIGESTIVE DISEASE CONSULTANTS, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HIETPAS",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "ALBERT",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "414-649-3418",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Specialist 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.