Provider Type Icon

MEDICAL ART RESOURCES INC NPI 1871588269


NPI Information

NPI: 1871588269
Provider Name: MEDICAL ART RESOURCES, INC
Classification: Anaplastologist - 229N00000X
Entity Type: Organization
Address:
3400 S 103RD ST
SUITE 200
MILWAUKEE, WI
ZIP 53227
Phone: (414) 543-1002
Get Directions

MEDICAL ART RESOURCES, INC is an anaplastologist in Milwaukee, WI. The provider is an anaplastologist is a professional who creates prostheses for the face and body. Patients treated include those missing anatomy due to cancer, traumatic injury, or birth differences. Generally, there are no state licensing requirements for anaplastologists. Certification specific to anaplastology is provided through the Board for Certified Clinical Anaplastology (BCCA) with a credential title of Certified Clinical Anaplastologist (CCA). MEDICAL ART RESOURCES, INC NPI is 1871588269. The provider is registered as an organization entity type.

The provider's business location address is:

3400 S 103RD ST
SUITE 200
MILWAUKEE, WI
ZIP 53227-159
Phone: (414) 543-1002
Fax: (414) 543-0137

The provider's authorized official is Michaela Erin Calhoun .
The authorized official title is President and has the following contact phone number (612) 245-7757.

The enumeration date for this NPI number is 9/13/2005 and was last updated on 10/7/2022.


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
1335E00000XProsthetic/Orthotic SupplierNo
2229N00000XAnaplastologistYes

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
141653200MEDICAIDWISCONSIN

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.