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CHILDREN'S MEDICAL GROUP NPI 1114192499


NPI Information

NPI: 1114192499
Provider Name: CHILDREN'S MEDICAL GROUP
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 52D2273355

Address:
7950 N PORT WASHINGTON RD
FOX POINT, WI
ZIP 53217
Phone: (414) 228-0099
Get Directions

CHILDREN'S MEDICAL GROUP is a pediatrics in Fox Point, 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 1114192499. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

7950 N PORT WASHINGTON RD
FOX POINT, WI
ZIP 53217-131
Phone: (414) 228-0099
Fax: (414) 540-1065

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 52D2273355 - other - mobile community screenin 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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YP2500XCounselorProfessionalNo
2103TC2200XPsychologistClinical Child & AdolescentNo
3104100000XSocial WorkerNo
41041C0700XSocial WorkerClinicalNo
5106H00000XMarriage & Family TherapistNo
6101YM0800XCounselorMental HealthNo
72084P0800XPsychiatry & NeurologyPsychiatryNo
8208000000XPediatricsYes
92084P0804XPsychiatry & NeurologyChild & Adolescent PsychiatryNo

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11114192499MEDICAIDWISCONSIN

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: 5/5/2024

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.