National Provider Identifier Database

JONNY A MACIAS TEJADA, MD – NPI #1508075409
Geriatric Medicine

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.


Contact Information

JONNY A MACIAS TEJADA, MD
2900 W OKLAHOMA AVE
MILWAUKEE, WI53215-4330
Phone: 414-649-6000
Fax:
Website:
Specialty Taxonomy Code
* Geriatric Medicine 207RG0300X
Geriatric Medicine 207QG0300X

* Indicates primary specialty

NPI Profile & details for JONNY A MACIAS TEJADA

NPI Number 1508075409
Credentials MD
Entity Individual
Enumeration date 05/21/2007
Last updated 09/24/2024 - More than a year ago
Sole proprietor1 No
Identifiers
  • WI License #: 52098-020
  • WI Medicaid: 100005725
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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