FROEDTERT MEMORIAL LUTHERAN HOSPITAL, INC. (NPI# 1003819475) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003819475 |
| Entity Type | Organization |
| Organization Name | FROEDTERT MEMORIAL LUTHERAN HOSPITAL, INC. |
| Other Organization Name | FROEDTERT HOSPITAL |
| Practice Address |
9200 W Wisconsin Ave Milwaukee WI 53226-3522 |
| Practice Telephone | 4148053000 |
| Practice Fax Number | 4148057790 |
| Mailing Telephone | 4148053000 |
| Mailing Fax Number | 4148057790 |
| Enumeration Date | 2005-05-31 |
| Last Update Date | 2019-05-14 |
| Authorized Official Name | MR. JEFFREY R VAN DE KREEKE (SR. VICE PRESIDENT - FINANCE) |
| Authorized Official Telephone | 4144440968 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 273Y00000X | Rehabilitation Unit | 232; 279 | WI | Hospital Units |
| Y | 283X00000X | Rehabilitation Hospital | Hospitals |
| Other Name | Type Code |
|---|---|
| Froedtert Hospital | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255334173 | Froedtert Memorial Lutheran Hospital, Inc. | General Acute Care Hospital | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2005-05-24 |
| 1275056723 | Froedtert Memorial Lutheran Hospital, Inc. | Pharmacy | 11430 N Port Washington Rd, Suite 103, Mequon, WI 53092-3454 | 2017-07-17 |
| 1356722045 | Froedtert Memorial Lutheran Hospital, Inc. | Pharmacy | 9200 W Wisconsin Ave, Cfac Pharmacy, Milwaukee, WI 53226-3522 | 2015-06-18 |
| 1841627015 | Froedtert Memorial Lutheran Hospital, Inc. | Pharmacy | 925 N 87th St, Milwaukee, WI 53226-4812 | 2013-10-03 |
| 1457604928 | Froedtert Memorial Lutheran Hospital, Inc. | Pharmacy | W180n8000 Town Hall Rd, Menomonee Falls, WI 53051-4002 | 2012-10-22 |
| 1154597292 | Froedtert Memorial Lutheran Hospital, Inc. | Pharmacy | 9200 W Wisconsin Ave, Ste 200c, Milwaukee, WI 53226-3522 | 2008-05-07 |
| 1861573446 | Froedtert Memorial Lutheran Hospital, Inc. | Pharmacy | 9200 W Wisconsin Ave, Suite 100e, Milwaukee, WI 53226-3522 | 2006-10-18 |
| 1881783777 | Froedtert Memorial Lutheran Hospital, Inc. | Pharmacy | 9200 W Wisconsin Ave, Suite 200w, Milwaukee, WI 53226-3522 | 2006-10-11 |
| 1982607354 | Froedtert Memorial Lutheran Hospital, Inc. | Durable Medical Equipment & Medical Supplies | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2005-05-31 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | FROEDTERT MEMORIAL LUTHERAN HOSPITAL, INC. | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 |
| Street Address |
9200 W WISCONSIN AVE |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53226-3522 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255334173 | Froedtert Memorial Lutheran Hospital, Inc. | General Acute Care Hospital | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2005-05-24 |
| 1013518182 | Shelby Koppinger | Pharmacist | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2020-11-05 |
| 1083215065 | Jennifer Lynn Scheffler | Physician Assistant | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2020-11-05 |
| 1306445952 | Elyan Carolina Ruiz Solano | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2020-10-23 |
| 1972101467 | Sarah Emily Ziem | Nurse Practitioner | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2020-10-15 |
| 1912504242 | Matthew Resop | Nurse Practitioner | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2020-10-09 |
| 1043817877 | Jacqueline Jordan Morgan | Nurse Practitioner | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2020-10-05 |
| 1134726227 | Joseph Beiler | Registered Nurse | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2020-10-02 |
| 1316553845 | Nathan Duncan | Pharmacist | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2020-09-21 |
| 1043826035 | Emily Mell | Physician Assistant | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2020-09-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912511155 | Alexander Harlan | Pharmacist | 900 N 92nd St, Milwaukee, WI 53226 | 2020-09-04 |
| 1558985762 | Armghan Haider Ans | Student in an Organized Health Care Education/Training Program | 9200 W. Wisconsin Ave. Froedtert Hospital & Medical Col, Milwaukee, WI 53226 | 2020-06-03 |
| 1669001103 | Kimberly Tyler | Student in an Organized Health Care Education/Training Program | 8701 W Watertown Plank Road, Medical College of Wisconsin Dept of Internal Medicine, Wauwatosa, WI 53226 | 2020-04-06 |
| 1972131993 | Francesca Meloy Devine | Student in an Organized Health Care Education/Training Program | Medical Education Office: Children's Corporate Center, 999 N. 92nd St., Suite 730, Milwaukee, WI 53226 | 2020-03-27 |
| 1285275248 | Sharitta Alford | Technician | 12250 West North Avenue, Apartment 142b, Wauwatosa, WI 53226 | 2019-10-01 |
| 1619528023 | Linda Marie Sabatinelli | Technician | 12107 W. Woodland Ave, Wauwatosa, WI 53226 | 2019-09-26 |
| 1598310195 | Matthew Laviolette | Surgery | Medical College of Wisconsin, 8701 Watertown Plank Rd., Surgical Oncology, Milwaukee, WI 53226 | 2019-08-09 |
| 1962056432 | Lyndsey Marie Bratberg | Physician Assistant | F&mcw Clinical Cancer Center 9200 W. Wisconsin Ave., Milwaukee, WI 53226 | 2019-08-01 |
| 1659832855 | Benjamin David Seadler | Surgery | Mcw, Department of Surgery, 8701 Watertown Plank Road, Milwaukee, WI 53226 | 2019-03-29 |
| 1861953267 | Michael Dryden | Student in an Organized Health Care Education/Training Program | 8701 Watertown Plank Rd., Milwaukee, WI 53226 | 2019-03-27 |
| Find all providers in zip 53226 | ||||
| Taxonomy Code | 283X00000X |
| Grouping | Hospitals |
| Classification | Rehabilitation Hospital |
| A hospital or facility that provides health-related, social and/or vocational services to disabled persons to help them attain their maximum functional capacity. |
| Notes: Source: Joint Commission on Accreditation of Healthcare Organizations, Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Oakbrook Terrace, IL: 1994, p. 323 |
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|---|---|---|---|---|
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| 1649514951 | Sacret Heart Rehabilitation Institute | Rehabilitation Hospital | 2323 N Lake Dr, Milwaukee, WI 53211-4508 | 2012-11-27 |
| 1679841787 | Sacred Heart Institute, Inc | Rehabilitation Hospital | 2323 N Lake Dr, Milwaukee, WI 53211-4508 | 2011-12-03 |
| 1508920356 | Sacred Heart Rehabilitation Institute, Inc. | Rehabilitation Hospital | 2323 N Lake Dr, Milwaukee, WI 53211-4508 | 2006-12-19 |
| 1609982024 | Department of Veterans Affairs | Rehabilitation Hospital | 5000 W National Ave, Milwaukee, WI 53295-0001 | 2006-08-21 |
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| 1417120197 | Rehabilitation Hospital of Wisconsin, LLC | Rehabilitation Hospital | 1625 Coldwater Creek Drive, Waukesha, WI 53188-5031 | 2008-04-02 |
| 1043752868 | St Elizabeth Hospital | Rehabilitation Hospital | 1506 S Oneida St, Appleton, WI 54915-1305 | 2016-11-10 |
| 1134661952 | St Elizabeth Hospital | Rehabilitation Hospital | 1506 S Oneida St, Appleton, WI 54915-1305 | 2016-11-10 |
| 1447626924 | Donald Schraufnagel | Rehabilitation Hospital | 800 Compassion Way, Dodgeville, WI 53533-1956 | 2015-08-19 |
| 1811394877 | Aurora Baycare | Rehabilitation Hospital | 1160 Kepler Dr, Green Bay, WI 54311-8321 | 2014-11-19 |
| 1508289018 | Dove Healthcare | Rehabilitation Hospital | 1405 Truax Blvd, Eau Claire, WI 54703-1474 | 2014-02-04 |
| 1902142755 | Ryan Michael Derose | Rehabilitation Hospital | 2500 Overlook Ter, Madison, WI 53705-2254 | 2012-12-26 |
| 1245576347 | Monroe Clinic | Rehabilitation Hospital | 515 22nd Ave, Monroe, WI 53566-1569 | 2012-12-17 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.