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PREMIER CARDIOVASCULAR INSTITUTE OF WISCONSIN LLC
NPI 1104222330
Clinic/Center - Medical Specialty in Milwaukee, WI

Active since November 17, 2014
1309 S 54TH ST, MILWAUKEE, WI 53214(406) 750-8202 Get Directions Write a Review

NPPES record last updated: January 27, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Premier Cardiovascular Institute Of Wisconsin Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PREMIER CARDIOVASCULAR INSTITUTE OF WISCONSIN LLC (NPI 1104222330) is a healthcare organization registered as a medical specialty in Milwaukee, Wisconsin and active in the NPI registry since November 2014. The organization lists Obrad Kokanovic, Owner, as its authorized official.

NPPES Registry Identity

NPI1104222330
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NamePREMIER CARDIOVASCULAR INSTITUTE OF WISCONSIN LLC
Location Address1309 S 54TH STMilwaukee, WI 53214-3404
Mailing Address2500 W Layton Ave, Suite 200Milwaukee, WI 53221-5420 · (406) 750-8202
Phone(406) 750-8202
Organization SubpartNo
Authorized OfficialObrad KokanovicOwner · (406) 750-8202
Enumeration DateNovember 17, 2014
Last NPPES UpdateJanuary 27, 2015
✔ NPI 1104222330 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
License✔ Licensed in WI · 51767
Definition
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).
1309 S 54TH ST, Milwaukee, WI 53214
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Other Identifiers 1

Medicaid127766WI

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Premier Cardiovascular Institute Of Wisconsin LLC's NPI number?

The NPI number for Premier Cardiovascular Institute Of Wisconsin LLC is 1104222330. It was assigned to this organization in the NPPES registry on November 17, 2014.

Where is Premier Cardiovascular Institute Of Wisconsin LLC located?

Premier Cardiovascular Institute Of Wisconsin LLC is located at 1309 S 54th St, Milwaukee, WI 53214. The listed phone number is (406) 750-8202.

What is Premier Cardiovascular Institute Of Wisconsin LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

When was this NPI record last updated?

The NPPES record for Premier Cardiovascular Institute Of Wisconsin LLC was last updated on January 27, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.