CSM COMMUNITY PHYSICIAN – NPI #1801100243
Clinic/Center

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

Health Care Provider Taxonomy Code for Clinic/Center

CSM COMMUNITY PHYSICIAN is an AHC clinic located in MILWAUKEE, WI. NPPES has assigned the NPI number 1801100243 to CSM COMMUNITY PHYSICIAN on July 27, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. CSM COMMUNITY PHYSICIAN is also known by the name CSMCP CARDIAC RHYTHM SPECIALIST. The primary taxonomy selected by this provider is 261QM2500X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Medical Specialty

The NPI profile was previously updated about 16 years ago on Nov 24, 2010. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CSM COMMUNITY PHYSICIAN below.

NPI Profile for
CSM COMMUNITY PHYSICIAN

NPI Number
1801100243
Enumeration Date

(about 16 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CSM COMMUNITY PHYSICIAN
Other Name: CSMCP CARDIAC RHYTHM SPECIALIST
Primary location
2350 N LAKE DR
SUITE 206
MILWAUKEE, WI 53211-4528
Phone: (414) 298-7280 Fax: (414) 298-7281
Mailing address
PO BOX 78309
MILWAUKEE, WI 53278-0001
Phone: (414) 298-7280 Fax: (414) 298-7281
Organization Subpart
Yes - CSM COMMUNITY PHYSICIAN is subpart of another organization.
Authorized Official
DEBORAH BJORN
PRACTICE ADMINISTRATOR
Phone: (414) 298-7284
Updated
Identifiers

Identifiers for CSM COMMUNITY PHYSICIAN

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDWI32793800
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM2500X
- Clinic/Center / Medical Specialty (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.