NPIMap

Organization Active NPI

Solidaritus Health Wisconsin SC

  • Family Medicine Physician
  • Muskego, WI
National Provider Identifier
1982459582
Registry record updated Apr 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SOLIDARITUS HEALTH WISCONSIN SC
Practice address
W183S8750 Racine Ave # 3
Muskego, WI 53150-8067
Phone
(262) 971-1798
Fax
(262) 679-1378
NPI assigned
Apr 18, 2024
Last updated
Apr 18, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
SOLIDARITUS HEALTH WISCONSIN SCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 18, 2024

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

Authorized official

Name
Lakeisha Flores
Title
Chief Operating Office
Phone
(804) 304-6764

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

W183S8750 Racine Ave # 3
Muskego, WI 53150-8067

Mailing address

1025 Connecticut Ave NW Ste 907
Washington, DC 20036-5434
Phone (888) 491-2951

Other names 1

  • Solidaritus Health Muskego-Norway Other name

National Provider Directory

National Provider Directory
Tax ID family
Solidaritus Health Wisconsin SC4 organizations share this tax ID, including this one
Part of
Solidaritus Health Wisconsin SC

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1025 Connecticut Ave NW
Ste 907
Washington, DC 20036

W183S8750 Racine Ave
#3
Muskego, WI 53150
Phone (262) 971-1798

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1713398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713398400000",
    "number": "1982459582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 CONNECTICUT AVE NW STE 907",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200365434",
            "telephone_number": "888-491-2951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W183S8750 RACINE AVE # 3",
            "city": "MUSKEGO",
            "state": "WI",
            "postal_code": "531508067",
            "telephone_number": "262-971-1798",
            "fax_number": "262-679-1378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLIDARITUS HEALTH WISCONSIN SC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOLIDARITUS HEALTH WISCONSIN SC",
        "enumeration_date": "2024-04-18",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A",
        "authorized_official_last_name": "FLORES",
        "authorized_official_first_name": "LAKEISHA",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICE",
        "authorized_official_telephone_number": "804-304-6764"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Solidaritus Health Muskego-Norway",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Muskego, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; 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.