COMMONWEALTH MEDICAL GROUP – NPI #1912109893
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

COMMONWEALTH MEDICAL GROUP is a provider located in MILWAUKEE, WI. NPPES has assigned the NPI number 1912109893 to COMMONWEALTH MEDICAL GROUP on June 04, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “COMMONWEALTH MEDICAL GROUP” is a dba name, the actual legal business name for this organization is WILLIAM B. POTOS M.D. COMMONWEALTH MEDICAL GROUP. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 19 years ago on Sep 19, 2007. 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 COMMONWEALTH MEDICAL GROUP below.

NPI Profile for
WILLIAM B. POTOS M.D. COMMONWEALTH MEDICAL GROUP

NPI Number
1912109893
Enumeration Date

(more than 19 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
WILLIAM B. POTOS M.D. COMMONWEALTH MEDICAL GROUP
Doing Business As (dba): COMMONWEALTH MEDICAL GROUP
Primary location
2500 W LAYTON AVE
SUITE 290
MILWAUKEE, WI 53221-5420
Phone: (414) 281-9651 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JOHN MUTSCHELKNAUS
CEO
Phone: (414) 777-5100
Updated
Identifiers

Identifiers for COMMONWEALTH MEDICAL GROUP

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
MEDICAIDWI30862500
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
207Q00000X
- Family Medicine (Primary)
WI 14134

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.