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WELLINGTON PROVIDER GROUP PC
NPI 1720784242
Family Medicine in Milwaukee, WI

Active since February 06, 2023
1433 N WATER ST STE 400, MILWAUKEE, WI 53202(859) 518-8817(859) 201-1084 Get Directions Write a Review

NPPES record last updated: February 6, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Wellington Provider Group Pc NPPES

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

WELLINGTON PROVIDER GROUP PC (NPI 1720784242) is a healthcare organization registered as a family medicine in Milwaukee, Wisconsin and active in the NPI registry since February 2023. The organization lists Mariela Bravo, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1720784242
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameWELLINGTON PROVIDER GROUP PC
Location Address1433 N WATER ST STE 400Milwaukee, WI 53202-2603
Mailing Address535 Wellington Way Ste 330Lexington, KY 40503-1331 · (859) 518-8817 · Fax (859) 201-1084
Phone(859) 518-8817
Fax(859) 201-1084
Organization SubpartYes
Authorized OfficialMariela BravoCredentialing Specialist · (859) 518-8817
Enumeration DateFebruary 6, 2023
NPPES CertifiedFebruary 6, 2023
✔ NPI 1720784242 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1433 N WATER ST STE 400, Milwaukee, WI 53202
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Group Practice 1

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

Other Providers at the Same Location NPPES 20

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

VITAL CARE TRANSIT LLC
Non-emergency Medical Transport (VAN)
1433 N WATER ST STE 400
MILWAUKEE, WI 53202
Milwaukee County (414) 477-6955
LATOYA M SMITH
Behavior Technician
1433 N WATER ST STE 400
MILWAUKEE, WI 53202
Milwaukee County (855) 832-6727
IMAJANIECE NICOLE WASHAM-REYNOLDS
Behavior Analyst
1433 N WATER ST STE 400
MILWAUKEE, WI 53202
Milwaukee County (855) 832-6727
ABELOVINGTON HEALTH CARE
Home Health
1433 N WATER ST STE 400
MILWAUKEE, WI 53202
Milwaukee County (618) 214-2565
TIANNA MARIE ARNOLD
Technician, Pathology (Phlebotomy)
1433 N WATER ST STE 400
MILWAUKEE, WI 53202
Milwaukee County (414) 433-3346
JULIETTE FLANNERY
Behavior Technician
1433 N WATER ST STE 400
MILWAUKEE, WI 53202
Milwaukee County (855) 832-6727
ALLISON MARGARET DOERFER
Behavior Technician
1433 N WATER ST STE 400
MILWAUKEE, WI 53202
Milwaukee County (855) 832-6727
KELSIE RAE CLOSSON
Assistant Behavior Analyst
1433 N WATER ST STE 400
MILWAUKEE, WI 53202
Milwaukee County (772) 349-6317

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 Wellington Provider Group PC's NPI number?

The NPI number for Wellington Provider Group PC is 1720784242. It was assigned to this organization in the NPPES registry on February 6, 2023.

Where is Wellington Provider Group PC located?

Wellington Provider Group PC is located at 1433 N Water St Ste 400, Milwaukee, WI 53202. The listed phone number is (859) 518-8817.

What is Wellington Provider Group PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Wellington Provider Group PC was last updated on February 6, 2023. 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.