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CHILDREN'S MEDICAL GROUP NPI 1821738261


NPI Information

NPI: 1821738261
Provider Name: CHILDREN'S MEDICAL GROUP
Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
1432 W FOREST HOME AVE STE 400
MILWAUKEE, WI
ZIP 53204
Phone: (414) 567-5402
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CHILDREN'S MEDICAL GROUP is a pediatrics in Milwaukee, WI. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. CHILDREN'S MEDICAL GROUP NPI is 1821738261. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1432 W FOREST HOME AVE STE 400
MILWAUKEE, WI
ZIP 53204-228
Phone: (414) 567-5402
Fax: (414) 567-5359

The provider's authorized official is Sheila Reuteman .
The authorized official title is Sr. Credentialing Coordinator and has the following contact phone number (414) 266-7615.

The enumeration date for this NPI number is 4/1/2022 and was last updated on 4/1/2022.


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
1363LP0200XNurse PractitionerPediatricsNo
2106H00000XMarriage & Family TherapistNo
32084P0800XPsychiatry & NeurologyPsychiatryNo
4363A00000XPhysician AssistantNo
5363AM0700XPhysician AssistantMedicalNo
6363LF0000XNurse PractitionerFamilyNo
72084P0804XPsychiatry & NeurologyChild & Adolescent PsychiatryNo
8101YM0800XCounselorMental HealthNo
9101YP2500XCounselorProfessionalNo
10103TC2200XPsychologistClinical Child & AdolescentNo
11104100000XSocial WorkerNo
121041C0700XSocial WorkerClinicalNo
13208000000XPediatricsYes

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

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