NPIMap

Organization Active NPI

Froedtert & the Medical College of Wisconsin Community Physicians

Doing business as School District of Greenfield Workplace Clinic

  • Non-Pharmacy Dispensing Site
  • Greenfield, WI
National Provider Identifier
1992284087
Registry record updated Aug 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
Legal business name
FROEDTERT & THE MEDICAL COLLEGE OF WISCONSIN COMMUNITY PHYSICIANS
Doing business as
School District of Greenfield Workplace Clinic
Practice address
4859 South 60TH Street
Greenfield, WI 53220
Phone
(414) 777-3463
Fax
(414) 454-8455
NPI assigned
Aug 9, 2018
Last updated
Aug 9, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
FROEDTERT & THE MEDICAL COLLEGE OF WISCONSIN COMMUNITY PHYSICIANSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 9, 2018

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

Authorized official

Name
Randall Newman
Title
VP Finance
Phone
(414) 777-7963

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X Primary

Addresses

Primary practice location

4859 South 60TH Street
Greenfield, WI 53220

Mailing address

4859 South 60TH Street
Greenfield, WI 53220
Phone (414) 777-3463

Other names 1

  • School District of Greenfield Workplace Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Froedtert the Medical College of Wisconsin Community Physicians19 organizations share this tax ID, including this one
Part of
Froedtert the Medical College of Wisconsin Community Physicians

Other organizations with this tax ID 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1533772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533772800000",
    "number": "1992284087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4859 SOUTH 60TH STREET",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "53220",
            "telephone_number": "414-777-3463",
            "fax_number": "414-454-8455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4859 SOUTH 60TH STREET",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "53220",
            "telephone_number": "414-777-3463",
            "fax_number": "414-454-8455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FROEDTERT & THE MEDICAL COLLEGE OF WISCONSIN COMMUNITY PHYSICIANS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FROEDTERT & THE MEDICAL COLLEGE OF WISCONSIN COMMUNITY PHYSICIANS",
        "enumeration_date": "2018-08-09",
        "last_updated": "2018-08-09",
        "status": "A",
        "authorized_official_last_name": "NEWMAN",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_title_or_position": "VP FINANCE",
        "authorized_official_telephone_number": "414-777-7963"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "School District of Greenfield Workplace Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "School District of Greenfield Workplace Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greenfield, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2018; 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.