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CHILDREN'S MEDICAL GROUP NPI 1922273184


NPI Information

NPI: 1922273184
Provider Name: CHILDREN'S MEDICAL GROUP

Doing Business As: NEXT DOOR PEDIATRICS

Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 52D0956072

Address:
2561 N 29TH ST
MILWAUKEE, WI
ZIP 53210
Phone: (414) 264-5338
Get Directions

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 1922273184. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Next Door Pediatrics.

The provider's business location address is:

2561 N 29TH ST
MILWAUKEE, WI
ZIP 53210-116
Phone: (414) 264-5338
Fax: (414) 264-5625

The provider's authorized official is Smriti Khare .
The authorized official title is President, Children's Medical Group and has the following contact phone number (414) 266-7615.

The CLIA number assigned to this NPI record is 52D0956072 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/28/2008 and was last updated on 9/24/2021.


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
1101YM0800XCounselorMental HealthNo
2101YP2500XCounselorProfessionalNo
3103TC2200XPsychologistClinical Child & AdolescentNo
4104100000XSocial WorkerNo
51041C0700XSocial WorkerClinicalNo
6106H00000XMarriage & Family TherapistNo
72084P0800XPsychiatry & NeurologyPsychiatryNo
82084P0804XPsychiatry & NeurologyChild & Adolescent PsychiatryNo
9208000000XPediatricsYes

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
11922273184MEDICAIDWISCONSIN

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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