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NPI Code Detail

MEDICARE: CHILDREN'S MEDICAL GROUP

MEDICARE: CHILDREN'S MEDICAL GROUP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor
2103TC2200XClinical Child & Adolescent Psychologist
3104100000XSocial Worker
41041C0700XClinical Social Worker
5106H00000XMarriage & Family Therapist
6101YM0800XMental Health Counselor
72084P0800XPsychiatry Physician
82084P0804XChild & Adolescent Psychiatry Physician
9208000000XPediatrics Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1114192499
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHILDREN'S MEDICAL GROUP
Provider Business Mailing Address
First Line : 9000 W WISCONSIN AVE
Second Line : MS 958
City : MILWAUKEE
State : WI
Zip : 53226-4874
Country : US
Telephone Number : 414-266-7615
Fax Number : 414-266-6238
Provider Business Practice Location Address
First Line : 7950 N PORT WASHINGTON RD
Second Line :
City : FOX POINT
State : WI
Zip : 53217-3131
Country : US
Telephone Number : 414-228-0099
Fax Number : 414-540-1065
Authorized Official
Title or Position : PRESIDENT, CHILDREN'S MEDICAL GROUP
Name : DR. SMRITI KHARE
Credential : MD
Telephone Number : 414-266-7615
Provider Enumeration Date : 04/28/2008
Last Update Date : 09/24/2021

Similar Medicare Providers

1588660195 — DR. KRISTIN D BENCIK BOUDREAU D.O.
Practice Location Address:
7950 N PORT WASHINGTON RD
FOX POINT, WI
53217-3131
Practice Phone: 414-228-0099
Practice Fax: 414-540-0165
1326030693 — MICHELLE M LINSMEIER M.D.
Practice Location Address:
7950 N PORT WASHINGTON RD
FOX POINT, WI
53217-3131
Practice Phone: 414-228-0099
Practice Fax: 414-540-1065
1356334817 — SHARYL PALEY M.D.
Practice Location Address:
7950 N PORT WASHINGTON RD
FOX POINT, WI
53217-3131
Practice Phone: 414-228-0099
Practice Fax: 414-540-0165
1487640918 — DAVID E MELBYE M.D.
Practice Location Address:
7950 N PORT WASHINGTON RD
FOX POINT, WI
53217-3131
Practice Phone: 414-228-0099
Practice Fax: 414-540-1065
1205857364 — MS. MEGHAN C. BELONGIA APNP
Practice Location Address:
7950 N PORT WASHINGTON RD
FOX POINT, WI
53217-3131
Practice Phone: 414-253-1194
Practice Fax: 414-540-1065
1740424753 — JENNIFER A SCOTT MSW, LCSW
Practice Location Address:
7950 N PORT WASHINGTON RD
FOX POINT, WI
53217-3131
Practice Phone: 414-253-1194
Practice Fax: 414-540-1065

Directions to “CHILDREN'S MEDICAL GROUP ” Practice Location

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