{"npi":"1154765410","type":"NPI-2","status":"active","name":{"display":"Southeastern Pediatrics, Sc","other":[],"organization_name":"SOUTHEASTERN PEDIATRICS, SC","authorised_official":"Ratidzai Rioga"},"specialty":{"primary_taxonomy":"207Q00000X","primary_taxonomy_description":"Family Medicine","slug":"family-medicine","schema_org_specialty":"PrimaryCare","all":[{"code":"2080A0000X","description":"Adolescent Medicine","primary":false,"state":"WI","license":"41265"},{"code":"207Q00000X","description":"Family Medicine","primary":true,"state":"WI","license":"41265"}]},"addresses":[{"purpose":"LOCATION","street_1":"10625 W NORTH AVE STE 326","city":"WAUWATOSA","state":"WI","postal_code":"532262315","country_code":"US","phone":"4147710500","fax":"4147710363"},{"purpose":"MAILING","street_1":"7592 SOLUTIONS CTR # 777592","city":"CHICAGO","state":"IL","postal_code":"606777005","country_code":"US","phone":"2626413700","fax":"2626413719"}],"license":{"state":"WI","number":"41265"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20171101000917","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"WI","pac_id":"1850667114"}]},"enumeration_date":"2013-04-17","last_updated":"2024-05-15","_meta":{"source":"NPPES","snapshot_date":"2024-05-15","doc_url":"https://findmynpi.com/api"}}