Pavilion Pediatrics

LBN: Children'S Medical Group
Pavilion Pediatrics is an health care organization with primary practice located at 2025 W Oklahoma Ave Suite 105, Milwaukee WI 53215-4455. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Children'S Medical Group can be contacted via phone (414) 385-9638, or through Dunigan, Thomas via phone (414) 266-7615.

Contact Information

Primary practice address
2025 W Oklahoma Ave Suite 105 Milwaukee WI 53215-4455
Phone: (414) 385-9638
Fax: (414) 385-9412
Website:
Map and Directions
Authorized official contact:
Name: Dunigan, Thomas Doctor of Medicine (MD)
Phone: (414) 266-7615

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1891960027
LBN Legal business name Children'S Medical Group
DBA Doing business as Pavilion Pediatrics
Authorized official Dunigan, Thomas Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Apr 29th, 2008
Last updated Jun 17th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891960027 NPPES
Wisconsin MEDICAID 32873900

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