PREMISE HEALTH OF CONNECTICUT MEDICAL, P.C.
NPI 1326202367
Contractor in South Milwaukee, WI

Active since July 17, 2008
1100 MILWAUKEE AVE, SOUTH MILWAUKEE, WI 53172(414) 768-4444(414) 768-4782 Get Directions Write a Review

NPPES record last updated: August 15, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Premise Health Of Connecticut Medical, P.c. NPPES

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

PREMISE HEALTH OF CONNECTICUT MEDICAL, P.C. (NPI 1326202367) is a healthcare organization registered as a contractor in South Milwaukee, Wisconsin and active in the NPI registry since July 2008. The organization lists Jon Leizman, President, as its authorized official.

NPPES Registry Identity

NPI1326202367
Entity TypeOrganization
Primary Taxonomy171W00000X
Legal Business NamePREMISE HEALTH OF CONNECTICUT MEDICAL, P.C.
Location Address1100 MILWAUKEE AVESouth Milwaukee, WI 53172-2013
Mailing Address40 Burton Hills Blvd, Suite 200Nashville, TN 37215-6155
Fax(414) 768-4782
Organization SubpartNo
Authorized OfficialJon LeizmanPresident · (216) 479-9063
Enumeration DateJuly 17, 2008
Last NPPES UpdateAugust 15, 2022
NPPES CertifiedAugust 15, 2022
NPI 1326202367 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyContractorOther Service Providers
Taxonomy Code171W00000X
Definition
For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no relation to a provider's employment status.
1100 MILWAUKEE AVE, South Milwaukee, WI 53172

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
1100 MILWAUKEE AVE
SOUTH MILWAUKEE, WI 53172
Durable Medical Equipment & Medical Supplies
1100 MILWAUKEE AVE
SOUTH MILWAUKEE, WI 53172

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 Premise Health Of Connecticut Medical, P.C.'s NPI number?

The NPI number for Premise Health Of Connecticut Medical, P.C. is 1326202367. It was assigned to this organization in the NPPES registry on July 17, 2008.

Where is Premise Health Of Connecticut Medical, P.C. located?

Premise Health Of Connecticut Medical, P.C. is located at 1100 Milwaukee Ave, South Milwaukee, WI 53172. The listed phone number is (414) 768-4444.

What is Premise Health Of Connecticut Medical, P.C.'s specialty?

The primary specialty registered for this NPI is Contractor with taxonomy code 171W00000X.

When was this NPI record last updated?

The NPPES record for Premise Health Of Connecticut Medical, P.C. was last updated on August 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.