West Bend Pediatrics

LBN: Children'S Medical Group
West Bend Pediatrics is an health care organization with primary practice located at 611 Veterans Ave Ste 106 , West Bend WI 53090-2545. The organization recently has 9 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Pediatrics is the primary health care specialty. Children'S Medical Group can be contacted via phone (262) 353-4460, or through Khare, Smriti via phone (414) 266-7615.

Contact Information

Primary practice address
611 Veterans Ave Ste 106 West Bend WI 53090-2545
Phone: (262) 353-4460
Fax: (262) 353-4461
Website:
Map and Directions
Authorized official contact:
Name: Khare, Smriti Doctor of Medicine (MD)
Phone: (414) 266-7615

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Professional 101YP2500X
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X
Behavioral Health & Social Service Providers / Social Worker 104100000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X

Profile Details

NPI number 1992171987
LBN Legal business name Children'S Medical Group
DBA Doing business as West Bend Pediatrics
Authorized official Khare, Smriti Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 13th, 2015
Last updated Sep 27th, 2021 - about 3 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 1992171987 NPPES
Wisconsin MEDICAID 1992171987

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