CHILDREN'S MEDICAL GROUP (NPI# 1467996991) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467996991 |
| Entity Type | Organization |
| Organization Name | CHILDREN'S MEDICAL GROUP |
| Other Organization Name | JACKSON PEDIATRICS |
| Practice Address |
N168w22730 Prairie View Lane Jackson WI 53037 |
| Mailing Address |
9000 W Wisconsin Ave Mail Station 958 Milwaukee WI 53226-4874 |
| Practice Telephone | 2624234800 |
| Practice Fax Number | 2624234899 |
| Mailing Telephone | 4142667615 |
| Mailing Fax Number | 4142666238 |
| Enumeration Date | 2016-12-19 |
| Last Update Date | 2016-12-22 |
| Authorized Official Name | SMRITI KHARE (PRESIDENT CHILDREN'S MEDICAL GROUP) |
| Authorized Official Telephone | 4142667615 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | CHILDREN'S MEDICAL GROUP |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 1467996991 | 05 |
| Other Name | Type Code |
|---|---|
| Jackson Pediatrics | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700222981 | Children's Medical Group | Counselor | 7300 S 13th St, Suite 201, Oak Creek, WI 53154-1832 | 2013-05-15 |
| 1275708539 | Children's Medical Group | Pediatrics | 24906 75th St, Salem, WI 53168-9705 | 2008-04-28 |
| 1174999163 | Children's Medical Group | Pediatrics | 7861 State Road 60, Cedarburg, WI 53012-9305 | 2015-08-13 |
| 1992171987 | Children's Medical Group | Pediatrics | 611 Veterans Ave Ste 106, West Bend, WI 53090-2545 | 2015-08-13 |
| 1174999262 | Children's Medical Group | Pediatrics | 8800 Washington Ave, Suite 300, Mount Pleasant, WI 53406-3701 | 2015-08-12 |
| 1497154538 | Children's Medical Group | Pediatrics | 7322 W Rawson Ave, Franklin, WI 53132-8104 | 2014-08-14 |
| 1831502327 | Children's Medical Group | Pediatrics | 3365 S 103rd St Ste 210, Milwaukee, WI 53227-4161 | 2014-06-03 |
| 1417299488 | Children's Medical Group | Nurse Practitioner | 2320 W Burleigh St, Milwaukee, WI 53206-1751 | 2013-03-18 |
| 1972845931 | Children's Medical Group | Nurse Practitioner | 1350 W North Ave, Milwaukee, WI 53205-1257 | 2013-03-18 |
| 1932454089 | Children's Medical Group | Pediatrics | 1020 N 12th St, Milwaukee, WI 53233-1308 | 2012-07-16 |
| Street Address |
N168W22730 PRAIRIE VIEW LANE |
| City | JACKSON |
| State | WI |
| Zip Code | 53037 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598377905 | Nohc Jackson Senior Living LLC | Assisted Living Facility | N16744 Eagle Drive, Jackson, WI 53037 | 2020-08-18 |
| 1700176682 | Lincoln Healthcare, Inc | Home Health | W227n16841 Tillie Lake Court, Jackson, WI 53037 | 2011-04-13 |
| 1023211380 | Laura Jean Steinmetz | Licensed Practical Nurse | N170 W20309 Hunters Rd, Jackson, WI 53037 | 2007-06-06 |
| 1073722724 | Peter Christian Labudde | Dentist | N168 W20566 Main St, Jackson, WI 53037 | 2007-05-21 |
| 1104952597 | Judith Barbara Miller | Registered Nurse | 3114 Sherman Parc Circle, Jackson, WI 53037 | 2007-02-27 |
| 1548395684 | Joan Alice Heath | Registered Nurse | N168w21700 Main St Lot 122, Jackson, WI 53037 | 2007-02-22 |
| 1578511739 | Carol Lynn Radovich | Nurse Practitioner | W197n17054 Stonewall Dr, Jackson, WI 53037 | 2006-05-04 |
| 1699752907 | Zhaleh Barari | Optometrist | W194 N 16747 Eagle Dr., Suite N, Jackson, WI 53037 | 2005-12-28 |
| 1790399780 | Jackson Town & Country Dental LLC | Dentist | N168 W20566 Main St, Jackson, WI 53037 | 2020-09-07 |
| 1285847913 | Jessica Ann Melstrand | Registered Nurse | 3114 Sherman Parc Circle, Jackson, WI 53037 | 2007-05-08 |
| Find all providers in zip 53037 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982224895 | Vpa PC | Pediatrics | 111 E Capitol St Ste 215, Jackson, MS 39201-2108 | 2020-04-21 |
| 1891145850 | Abdullah Sharaf | Pediatrics | 760 W Franklin St # 49201, Jackson, MI 49201-2048 | 2016-06-20 |
| 1427427152 | Karin L Klee Md | Pediatrics | 555 E Broadway Ave Ste 216, Jackson, WY 83001-8640 | 2015-09-23 |
| 1073992699 | Muna Balkash | Pediatrics | 4645 Eagle Dr, Jackson, MI 49201-9748 | 2015-05-28 |
| 1295147809 | Jayasree Vasudevan Nair | Pediatrics | 100 Mission Blvd Ste 2600, Jackson, CA 95642-2536 | 2014-05-30 |
| 1669891099 | Jacquelin Foss Hardenbrook | Pediatrics | 555 E Broadway Ave Ste 202, Jackson, WY 83001-8640 | 2014-04-14 |
| 1871805093 | Jesse Alfred Miller Jr. | Pediatrics | 1804 Hwy 45 Bypass, Jackson, TN 38305 | 2010-07-02 |
| 1861647489 | Elizabeth Keeling Hensley | Pediatrics | 2046 Petit Bois St S, Jackson, MS 39211-6709 | 2008-11-24 |
| 1942469606 | The Children's Clinic of West Tennessee P.a. | Pediatrics | 264 Coatsland Dr, Jackson, TN 38301-3948 | 2008-06-06 |
| 1225203011 | Tom Pockat Md PC | Pediatrics | 555 E. Broadway St., Suite 202, Jackson, WY 83001-4182 | 2008-04-23 |
| Find all providers in JACKSON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.