Organization
UNITED OCCUPATIONAL MEDICINE AND WALK IN SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY KONDAS (OFFICER)
(414) 290-6718
Entity
Organization
Contact information
Practice address
9555 76TH ST, PLEASANT PRAIRIE, WI 53158-1984
(414) 290-6718
(414) 290-6755
Mailing address
111 E WISCONSIN AVE, SUITE 2000, MILWAUKEE, WI 53202-4815
(414) 290-6718
(414) 290-6755
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
2083X0100X
Occupational Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020446500
FEDERAL BLACK LUNG PROGRA
WI
01
—
120002371
WEA
WI
01
—
137569000
OWCP
WI
05
—
32869600
—
WI
01
—
CI2829
MEDICARE RAILROAD
WI
Enumeration date
05/05/2006
Last updated
08/28/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us