PADRE PIO PEDIATRICS LLC (NPI# 1831461326) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831461326 |
| Entity Type | Organization |
| Organization Name | PADRE PIO PEDIATRICS LLC |
| Practice Address |
929 W Mitchell St Milwaukee WI 53204-3534 |
| Practice Telephone | 2629454170 |
| Practice Fax Number | 8002082413 |
| Mailing Telephone | 4143846612 |
| Mailing Fax Number | 4143846613 |
| Enumeration Date | 2012-01-31 |
| Last Update Date | 2012-01-31 |
| Authorized Official Name | DR. SYED N HASNAIN (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 4148739800 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
43966-020 | WI | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 34152600 | 05 |
| Street Address |
929 W MITCHELL ST |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53204-3534 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528423290 | Blue Ribbon Healthcare LLC | Health Maintenance Organization | 1743 South1st Street, Milwaukee, WI 53204 | 2015-12-23 |
| 1215336599 | Marsha Vann | Counselor | 1028 N 9th St, Milwaukee, WI 53204 | 2014-08-22 |
| 1891109260 | Melissa Bendever | Counselor | 1111 South 6th Street, Milwaukee, WI 53204 | 2014-06-13 |
| 1942585823 | Theresa Marie Hintze | Counselor | 600 W Virginia Atlas Ste 203, Milwaukee, WI 53204 | 2011-10-11 |
| 1922395151 | Palmas & Ram Rudra LLC | Chiropractor | 1247 S. Cesar E. Chaves Drive, Milwaukee, WI 53204 | 2011-07-08 |
| 1225355183 | Victoria A White | Family Medicine | 16th Street Community Health Center, 1032 S Cesar E. Chavez Drive, Milwaukee, WI 53204 | 2010-04-30 |
| 1174850499 | Dnt Associates Inc. | Dentist | 710 W. Historic Mitchell St., Mitchell Street Dental, Milwaukee, WI 53204 | 2009-11-06 |
| 1851559124 | Michael L Kitzinger | Social Worker | 1201 W Historic Mitchell St, Milwaukee, WI 53204 | 2008-05-23 |
| 1083778781 | Douglas Ralph Higbie | Psychologist | 634 W Mitchell St, Milwaukee, WI 53204 | 2006-12-20 |
| 1013019413 | Romeo C Lo Md | Internal Medicine | 1672 S 9th St, 2nd Floor, Milwaukee, WI 53204 | 2006-09-05 |
| Find all providers in zip 53204 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033625983 | Premiere Medical LLC | Clinic/Center | 6877 N Seville Ave, Milwaukee, WI 53209-2645 | 2017-12-14 |
| 1972043503 | Harmony Health Services | Clinic/Center | 5120 W Townsend St, Milwaukee, WI 53216-3231 | 2017-03-01 |
| 1770952152 | Quad/med, LLC | Clinic/Center | 4400 W State St, Building 54, Milwaukee, WI 53208-3140 | 2015-09-16 |
| 1588074991 | Quad/med, LLC | Clinic/Center | 1301 West Canal Street, Milwaukee, WI 53208 | 2014-05-07 |
| 1891125522 | Quad/med, LLC | Clinic/Center | 4400 W State St Bldg 54, Milwaukee, WI 53208-3140 | 2013-11-15 |
| 1528498243 | Quad/med, LLC | Clinic/Center | 122 W Greenfield Ave # 4thb-5, Milwaukee, WI 53204-2946 | 2013-11-15 |
| 1407109093 | Padre Pio Clinic Inc. | Clinic/Center | 1727 S 9th St, Milwaukee, WI 53204-3519 | 2012-10-19 |
| 1942437009 | North Avenue Family Medical Center | Clinic/Center | 1134 W North Ave, Milwaukee, WI 53205-1333 | 2009-06-16 |
| 1235388604 | Oakwood Family Medical Clinic,s.c. | Clinic/Center | 1845 N Farwell Ave Ste 207, Milwaukee, WI 53202-1715 | 2008-09-10 |
| 1386803757 | Dr. Joseph S Kostrzewski Sc | Clinic/Center | 1717 W Greenfield Ave, Milwaukee, WI 53204-2658 | 2008-06-02 |
| Find all providers in MILWAUKEE | ||||
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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.