OrganizationActive
Northeast Obgyn Sc
NPI 1508936154 · Obstetrics & Gynecology Physician · Glendale, WI
Provider details
- NPI number
- 1508936154
- Entity type
- Organization
- Primary specialty
- Obstetrics & Gynecology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Gary Fait, President(414) 228-8888
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Obstetrics & Gynecology Physician207V00000X
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
7040 N Port Washington Rd
Suite 400
Glendale, WI 53217-3838
Phone: (414) 228-8888
Fax: (414) 228-8390
Street-level locationGet directions
Mailing address
7040 N Port Washington Rd
Glendale, WI 53217-3838
Registry dates
- Enumerated
- 2006-11-09
- Last updated
- 2021-08-13
- Certified
- 2021-08-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.