Elmbrook Pediatrics
Pediatric Adolescent Medicine
Elmbrook Pediatrics is a Brookfield, Wisconsin based Pediatric center with medical specialization in
Pediatric Adolescent Medicine.
It is located at
17000 W North Ave, Suite 110e, Brookfield, Wisconsin - 53005-4423. They can be contacted on phone at
262-786-8199 and fax number 262-786-0769.
NPI number (Unique professional ID) for Elmbrook Pediatrics is
1801853387 which was assigned by NPPES on 27 Apr, 2006 and it was last updated on 22 Aug, 2020.
Elmbrook Pediatrics 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.
Complete Profile:
Elmbrook Pediatrics basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
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| Provider Name : | Elmbrook Pediatrics |
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Business Address:
Elmbrook Pediatrics address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 17000 W North Ave, Suite 110e
Brookfield, WI, 53005-4423
United States |
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| Phone Number : | 262-786-8199 |
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| Fax Number : | 262-786-0769 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1801853387 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 27 Apr, 2006 |
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| Last Updated On : | 22 Aug, 2020 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Nancyr. Haworth |
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| Authorized Official Credential : | M.D. |
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| Official Title or Position : | PRESIDENT |
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| Phone Number : | 262-786-8199 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Elmbrook Pediatrics are as mentioned. Primary taxonomy code for Elmbrook Pediatrics is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080A0000X | Pediatrics Adolescent Medicine | Yes | | WI |
Legacy Identifiers:
Other legacy medical identifiers of Elmbrook Pediatrics such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 68180 | Other | WI | GROUP MEDICARE |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 17000 W North Ave, Suite 110e
Brookfield, WI, 53005-4423
United States |
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| Phone Number : | 262-786-8199 |
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| Fax Number : | 262-786-0769 |
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Business Location:
Patients can refer following map for directions to
Elmbrook Pediatrics practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.