MSN CARE – NPI #1669032363
Family Medicine

A family medicine physician who specializes in the diagnosis and treatment of addictions.

MSN CARE is a provider located in WEST ALLIS, WI. NPPES has assigned the NPI number 1669032363 to MSN CARE on June 17, 2019. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207QA0401X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Addiction Medicine

The NPI profile was previously updated about 7 years ago on Aug 14, 2019. 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 MSN CARE below.

NPI Profile for
MSN CARE

NPI Number
1669032363
Enumeration Date

(about 7 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
MSN CARE
Primary location
9330 W LINCOLN AVE STE 10
WEST ALLIS, WI 53227-2300
Phone: (414) 366-2985 Fax:
Mailing address
12507 N EMILY LN
MEQUON, WI 53092-2611
Phone: (414) 915-6255 Fax:
Organization Subpart
No
Authorized Official
VYACHESLAV DUBROVSKY
PRESIDENT
Phone: (414) 915-6255
Updated
Identifiers

Identifiers for MSN CARE

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
OTHERNPI1669032363
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
207QA0401X
- Family Medicine / Addiction Medicine (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.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
EMR
Endpoint type
CONNECT URL
Endpoint Description
Content Type
OTHER
Affiliation
N
Endpoint Location
9330 W LINCOLN AVE STE 10,
WEST ALLIS, WI 77025-1669