PAVILION PEDIATRICS – NPI #1891960027
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

PAVILION PEDIATRICS is a provider located in MILWAUKEE, WI. NPPES has assigned the NPI number 1891960027 to PAVILION PEDIATRICS on April 29, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “PAVILION PEDIATRICS” is a dba name, the actual legal business name for this organization is CHILDREN'S MEDICAL GROUP. The primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

The NPI profile was previously updated about 18 years ago on Jun 17, 2008. 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 PAVILION PEDIATRICS below.

NPI Profile for
CHILDREN'S MEDICAL GROUP

NPI Number
1891960027
Enumeration Date

(more than 18 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
CHILDREN'S MEDICAL GROUP
Doing Business As (dba): PAVILION PEDIATRICS
Primary location
2025 W OKLAHOMA AVE
SUITE 105
MILWAUKEE, WI 53215-4455
Phone: (414) 385-9638 Fax: (414) 385-9412
Mailing address
9000 W WISCONSIN AVE
MS 8000
MILWAUKEE, WI 53226-4874
Phone: (414) 266-7615 Fax: (414) 266-3803
Organization Subpart
Yes - PAVILION PEDIATRICS is subpart of another organization.
Authorized Official
THOMAS DUNIGAN
PRESIDENT, CHILDREN'S MEDICAL GROUP
Phone: (414) 266-7615
Updated
Identifiers

Identifiers for PAVILION PEDIATRICS

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
MEDICAIDWI32873900
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
208000000X
- Pediatrics (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.