NORTHEAST OBGYN SC
NPI 1508936154
Obstetrics & Gynecology in Glendale, WI

Q: What is Northeast Obgyn Sc's NPI number?

The NPI number for Northeast Obgyn Sc is 1508936154. It was assigned to this organization in the NPPES registry on November 9, 2006.

Q: What is Northeast Obgyn Sc's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Active since November 09, 2006

7040 N PORT WASHINGTON RD, SUITE 400, GLENDALE, WI 53217(414) 228-8888(414) 228-8390 Get Directions Write a Review

NPPES record last updated: August 13, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Northeast Obgyn Sc NPPES

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

NORTHEAST OBGYN SC (NPI 1508936154) is a healthcare organization registered as an obstetrics & gynecology in Glendale, Wisconsin and active in the NPI registry since November 2006. The organization lists Gary P Fait, President, as its authorized official.

NPPES Registry Identity

NPI1508936154

Entity TypeOrganization

Primary Taxonomy207V00000X

Legal Business NameNORTHEAST OBGYN SC

Location Address7040 N PORT WASHINGTON RD, SUITE 400Glendale, WI 53217-3838

Mailing Address7040 N Port Washington Rd, Suite 400Glendale, WI 53217-3838 · (414) 228-8888 · Fax (414) 228-8390

Phone(414) 228-8888

Fax(414) 228-8390

Organization SubpartNo

Authorized OfficialGary P FaitPresident · (414) 228-8888

Enumeration DateNovember 9, 2006

Last NPPES UpdateAugust 13, 2021

NPPES CertifiedAugust 13, 2021

✔ NPI 1508936154 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

7040 N PORT WASHINGTON RD, Glendale, WI 53217

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Other Identifiers 1

Medicaid31388400WI

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 10

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

DR. LIBERTY ANN BOUCHER DDS

Dentist (General Practice)

7040 N PORT WASHINGTON RD
GLENDALE, WI 53217

Milwaukee County (414) 351-6010

FOREFRONT DERMATOLOGY, S.C.

Dermatology

7040 N PORT WASHINGTON RD, SUITE 404
GLENDALE, WI 53217

Milwaukee County (414) 355-2405

DR. JAMES LIPINSKI

Dentist (Orthodontics and Dentofacial Orthopedics)

7040 N PORT WASHINGTON RD, STE 414
GLENDALE, WI 53217

Milwaukee County (414) 351-6551

DR. JOHN MICHAEL WERWIE DDS

Dentist (General Practice)

7040 N PORT WASHINGTON RD, FORWARD DENTAL
GLENDALE, WI 53217

Milwaukee County (414) 351-6010

JOSEPH L GAFFNEY D.D.S

Dentist (Endodontics)

7040 N PORT WASHINGTON RD
GLENDALE, WI 53217

Milwaukee County (414) 651-6010

DR. JAMES EDWARD BERMAN M.D.

Dermatology

7040 N PORT WASHINGTON RD, SUITE 404
GLENDALE, WI 53217

Milwaukee County (414) 355-2405

PETROU-HAEFS EYECARE, LLC

Clinic/Center

7040 N PORT WASHINGTON RD, SUITE 420
GLENDALE, WI 53217

Milwaukee County (414) 839-8379

DR. CHRISTINA MARIE PETROU O.D.

Optometrist

7040 N PORT WASHINGTON RD, SUITE 420
GLENDALE, WI 53217

Milwaukee County (414) 247-2020

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 Northeast Obgyn Sc's NPI number?

The NPI number for Northeast Obgyn Sc is 1508936154. It was assigned to this organization in the NPPES registry on November 9, 2006.

Where is Northeast Obgyn Sc located?

Northeast Obgyn Sc is located at 7040 N Port Washington Rd Suite 400, Glendale, WI 53217. The listed phone number is (414) 228-8888.

What is Northeast Obgyn Sc's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

When was this NPI record last updated?

The NPPES record for Northeast Obgyn Sc was last updated on August 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.