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MADISON MEDICAL AFFILIATES INC. NPI 1588695746


NPI Information

NPI: 1588695746
Provider Name: MADISON MEDICAL AFFILIATES, INC.
Classification: General Practice - 208D00000X
Entity Type: Organization

CLIA Number: 52D0390011

Address:
788 N JEFFERSON STREET
SUITES 201,300, 401
MILWAUKEE, WI
ZIP 53202
Phone: (414) 272-8950
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MADISON MEDICAL AFFILIATES, INC. is a general practice in Milwaukee, WI. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee MADISON MEDICAL AFFILIATES, INC. NPI is 1588695746. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

788 N JEFFERSON STREET
SUITES 201,300, 401
MILWAUKEE, WI
ZIP 53202-710
Phone: (414) 272-8950
Fax: (414) 225-2929

The provider's authorized official is Kaaren P. Butzen .
The authorized official title is Credentialing and has the following contact phone number (414) 226-4025.

The CLIA number assigned to this NPI record is 52D0390011 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 7/6/2006 and was last updated on 11/7/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208D00000XGeneral PracticeYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
132847200MEDICAIDWISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.