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MEDICAL COLLEGE OF WISCONSIN
NPI 1790092633
General Acute Care Hospital in Milwaukee, WI

Active since September 13, 2010CLIA Certified · 2 labs
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226(414) 805-6717 Get Directions Write a Review

NPPES record last updated: September 13, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Medical College Of Wisconsin NPPES

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

MEDICAL COLLEGE OF WISCONSIN (NPI 1790092633) is a healthcare organization registered as a general acute care hospital in Milwaukee, Wisconsin and active in the NPI registry since September 2010. The organization holds 2 active CLIA laboratory certificates and lists Kelly Anne Gordon-meyer, Advance Practice Nurse Prescriber, as its authorized official.

NPPES Registry Identity

NPI1790092633
Entity TypeOrganization
Primary Taxonomy282N00000X
Legal Business NameMEDICAL COLLEGE OF WISCONSIN
Location Address9200 W WISCONSIN AVEMilwaukee, WI 53226-3522
Mailing Address2630 S 88th StWest Allis, WI 53227-2736 · (414) 378-6212
Phone(414) 805-6717
Organization SubpartNo
Authorized OfficialKelly Anne Gordon-meyerAdvance Practice Nurse Prescriber · (414) 378-6212
Enumeration DateSeptember 13, 2010
✔ NPI 1790092633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral Acute Care HospitalHospitals
Taxonomy Code282N00000X
License✔ Licensed in WI · 4138-33
Definition
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.
9200 W WISCONSIN AVE, Milwaukee, WI 53226
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CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 52D0661948

Medical College Of Wisconsin Pediatric Gastroenterology Laboratory · Milwaukee, WI
Active · expires Feb 25, 2027
CLIA Number52D0661948
Laboratory TypeIndependent
Certificate Effective DateFebruary 26, 2025
Certificate Expiration DateFebruary 25, 2027
Laboratory DirectorDr. Cara L. Mack
Laboratory Phone(414) 955-4166
Laboratory LocationMedical College Of Wisconsin Pediatric Gastroenterology LaboratoryCri Room C-3383 Tbrc-Cri 3rd Floor 8701 Watertown Plank Rd, Milwaukee, WI 53226
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Accreditation 52D0720169

Medical College Of Wisconsin Pathology Reference Laboratories · Milwaukee, WI
Active · expires Feb 8, 2027
CLIA Number52D0720169
Laboratory TypeIndependent
Certificate Effective DateFebruary 9, 2025
Certificate Expiration DateFebruary 8, 2027
Laboratory DirectorDr. Alexander J. Gallan
Laboratory Phone(414) 805-8846
Laboratory LocationMedical College Of Wisconsin Pathology Reference Laboratories8701 Watertown Plank Road, Milwaukee, WI 53226
CLIA data matches this NPI record on: Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

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.

TRACY BLAIR WANDTKE HERRMANN APNP, CNM
Advanced Practice Midwife
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226
Milwaukee County (414) 805-4777
DR. ZACHARY SMITH DO
Internal Medicine (Gastroenterology)
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226
Milwaukee County (414) 955-6830
DR. COLLEEN ANN CROWE M.D., M.P.H.
Emergency Medicine
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226
Milwaukee County (414) 805-6469
ROBERTO MEJIAS APNP
Nurse Practitioner (Pediatrics)
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226
Milwaukee County (414) 805-6600
MRS. ANNE E B LAKATOS APN-BC, APNP, RN
Nurse Practitioner (Adult Health)
9200 W WISCONSIN AVE, DEPT OF INTERNAL MEDICINE
MILWAUKEE, WI 53226
Milwaukee County (414) 805-6850
MRS. AMANDA M MANDERS APNP
Nurse Practitioner (Adult Health)
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226
Milwaukee County (414) 805-6850
KATHLEEN A WATERHOUSE-SKIBICKI CRNA
Nurse Anesthetist, Certified Registered
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226
Milwaukee County (414) 805-5951
ANDREA L BEQUEST PA
Physician Assistant (Medical)
9200 W WISCONSIN AVE, INTERNAL MEDICINE
MILWAUKEE, WI 53226
Milwaukee County (414) 955-0350

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 Medical College Of Wisconsin's NPI number?

The NPI number for Medical College Of Wisconsin is 1790092633. It was assigned to this organization in the NPPES registry on September 13, 2010.

Where is Medical College Of Wisconsin located?

Medical College Of Wisconsin is located at 9200 W Wisconsin Ave, Milwaukee, WI 53226. The listed phone number is (414) 805-6717.

What is Medical College Of Wisconsin's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital with taxonomy code 282N00000X.

Does Medical College Of Wisconsin hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Medical College Of Wisconsin was last updated on September 13, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.