National Provider Identifier Database

CHILDRENS MEDICAL GROUP
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.


Contact Information

CHILDREN'S MEDICAL GROUP
1215 GEORGE TOWNE DR
PEWAUKEE, WI53072-2731
Phone: 262-691-3849
Fax: 262-691-4287
Website:
Specialty Taxonomy Code
* Pediatrics 208000000X
Child & Adolescent Psychiatry 2084P0804X
Clinical 1041C0700X
Clinical Child & Adolescent 103TC2200X
Marriage & Family Therapist 106H00000X
Mental Health 101YM0800X
Professional 101YP2500X
Psychiatry 2084P0800X
Social Worker 104100000X

* Indicates primary specialty

NPI Profile & details for CHILDREN'S MEDICAL GROUP

NPI Number 1457662074
Legal business name
LBN
CHILDREN'S MEDICAL GROUP
Authorized official SMRITI KHARE - (PRESIDENT, CHILDREN'S MEDICAL GROUP)
Entity Organization
Organization subpart Yes
Enumeration date 06/29/2010
Last updated 09/27/2021 - About 5 years ago
Sole proprietor1 Not specified
Identifiers
  • WI License #: 5826-800
  • WI Medicaid: 1457662074

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.

Reviews for CHILDREN'S MEDICAL GROUP

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