Organization Active NPI

S. Fredric Horwitz, M.D.S.C.

  • Otolaryngology Physician
  • Milwaukee, WI
National Provider Identifier
1962496737
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
S. FREDRIC HORWITZ, M.D.S.C.
Practice address
2350 W Villard Ave
Milwaukee, WI 53209-5086
Phone
(414) 527-9800
Fax
(414) 527-9803
NPI assigned
Sep 7, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Jacqueline Krueger
Title
Office Manager
Phone
(414) 527-9800

Specialties & licenses 1

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

Addresses

Primary practice location

2350 W Villard Ave
Milwaukee, WI 53209-5086

Mailing address

2350 W Villard Ave
Milwaukee, WI 53209-5086
Phone (414) 527-9800

Other identifiers 1

IdentifierTypeStateIssuer
32888900MedicaidWI

National Provider Directory

National Provider Directory

Locations

2350 W Villard Ave
Ste 207
Milwaukee, WI 53209
Phone (414) 463-8680

2350 W Villard Ave
Ste 101
Milwaukee, WI 53209
Phone (414) 527-9800

Practitioners & affiliated clinicians

Practitioners 3

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": "1126051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1962496737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2350 W VILLARD AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532095086",
            "telephone_number": "414-527-9800",
            "fax_number": "414-527-9803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 W VILLARD AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532095086",
            "telephone_number": "414-527-9800",
            "fax_number": "414-527-9803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S. FREDRIC HORWITZ, M.D.S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-07",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "KRUEGER",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "414-527-9800"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32888900",
            "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 Jul 21, 2022; 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.