Elmbrook Pediatrics in Brookfield - Adolescent Medicine

Elmbrook Pediatrics - NPI 1801853387

Elmbrook Pediatrics is a Adolescent Medicine in Brookfield, Wisconsin. Elmbrook Pediatrics practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Elmbrook Pediatrics is 1801853387. The last update date is 2020-08-22.

Elmbrook Pediatrics's current location address is 17000 W North Ave, Brookfield, Wisconsin. You can contact this provider via phone number 2627868199 and fax number 2627860769. The mailing address for Elmbrook Pediatrics is 17000 W North Ave, Brookfield, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Organization Elmbrook Pediatrics
Address 17000 W North Ave, Brookfield, Wisconsin
Phone Number 2627868199
Fax Number 2627860769
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Haworth R. Nancy
Credentials M.D.
Telephone Number 2627868199

NPI Number Detail

NPI Number 1801853387
Provider Enumeration Date 2006-04-27
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 17000 W North Ave
City Brookfield
State Wisconsin (WI)
Post Code 530054423
Phone Number 2627868199
Fax Number 2627860769

Provider's Primary Taxonomy Detail

Speciality Adolescent Medicine
Taxonomy 2080A0000X
Definition:
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
68180 WI GROUP MEDICARE

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FAQs about Elmbrook Pediatrics

What is the unique 10-digit identification code assigned to Elmbrook Pediatrics by the Centers for Medicare & Medicaid Services?

The Elmbrook Pediatrics has been issued the NPI (National Provider Identifier) 1801853387, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Elmbrook Pediatrics is geographically located?

The Elmbrook Pediatrics is physically situated at the following location: 17000 W North Ave, Brookfield, WI, 530054423.

What is Elmbrook Pediatrics's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Elmbrook Pediatrics is Adolescent Medicine, and the taxonomy code that categorizes this field of expertise is 2080A0000X.

On what date was the 1801853387 assigned to Elmbrook Pediatrics?

The Elmbrook Pediatrics was issued its 1801853387 on 2006-04-27, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the Elmbrook Pediatrics's details last updated?

The information pertaining to the Elmbrook Pediatrics, including its address, specialty, and other details, was most recently updated on 2020-08-22.

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