SOUTHEASTERN FAMILY PRACTICE SC
SOUTHEASTERN FAMILY PRACTICE SC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1134303621, based in Milwaukee, WI. The organization lists 2 taxonomy classifications, with Pediatric Adolescent Medicine Physician recorded as primary.
Getting there
The practice address on file is 1308 S 16TH ST, Milwaukee, WI 53204. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 26529 | WI | Pediatric Adolescent Medicine Physician primary |
| 48505 | WI | Internal Medicine Physician |
This provider holds licence 26529 issued in WI. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.
What Adolescent Medicine covers
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. NUCC Health Care Provider Taxonomy, code 2080A0000X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 2080A0000X | Pediatric Adolescent Medicine Physician Adolescent Medicine | 26529 | WI | primary |
| 207R00000X | Internal Medicine Physician | 48505 | WI |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1134303621 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Dec 20, 2007 |
| Last updated | Dec 20, 2007 |
| Status | Active |
| Practice address |
1308 S 16TH ST Milwaukee, WI 53204 (414) 831-0100 Fax (414) 831-1584 |
| Mailing address |
8532 W CAPITOL DR Milwaukee, WI 53222 |
| Other identifiers |
30718400
(WI) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 1 | 3 | 4 | 3 | 0 | 3 | 6 | 2 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 1 | 6 | 4 | 6 | 0 | 6 | 6 | 4 |
Sum = 59 · next multiple of 10 = 60 · check digit = 1 · actual last digit = 1
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.