FROEDTERT MEMORIAL LUTHERAN HOSPITAL (NPI# 1013450006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013450006 |
| Entity Type | Organization |
| Organization Name | FROEDTERT MEMORIAL LUTHERAN HOSPITAL |
| Other Organization Name | FMLH DBA FROEDTERT HOSPITAL CDI MRI |
| Practice Address |
W129n7055 Northfield Dr Menomonee Falls WI 53051-0538 |
| Mailing Address |
9200 W Wisconsin Ave Milwaukee WI 53226-3522 |
| Practice Telephone | 2622515305 |
| Mailing Telephone | 4147771013 |
| Mailing Fax Number | 4147770044 |
| Enumeration Date | 2016-11-23 |
| Last Update Date | 2019-05-10 |
| Authorized Official Name | MR. JEFFREY R. VAN DE KREEKE (VP FINANCE) |
| Authorized Official Telephone | 4147770977 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 279,232 | WI | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | MEDICARE ID | 520177 | 01 |
| Other Name | Type Code |
|---|---|
| FMLH DBA Froedtert Hospital CDI MRI | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245519669 | Froedtert Memorial Lutheran Hospital | General Acute Care Hospital | 9200 W Wisconsin Avenue, Milwaukee, WI 53226-3596 | 2011-08-16 |
| 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 |
W129N7055 NORTHFIELD DR |
| City | MENOMONEE FALLS |
| State | WI |
| Zip Code | 53051-0538 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295737823 | Alicja D Lisak | Family Medicine | W129n7055 Northfield Dr, Menomonee Falls, WI 53051-0538 | 2005-08-12 |
| 1366043051 | Gary Homeier | Registered Nurse | W129n7055 Northfield Dr, Menomonee Falls, WI 53051-0538 | 2020-11-08 |
| 1871126805 | Olivia Diedrick | Social Worker | W129n7055 Northfield Dr, Menomonee Falls, WI 53051-0538 | 2020-02-18 |
| 1760982763 | Mark Mueller | Nurse Practitioner | W129n7055 Northfield Dr, Menomonee Falls, WI 53051-0538 | 2018-02-15 |
| 1518484344 | Kathryn Schlotthauer | Registered Nurse | W129n7055 Northfield Dr, Menomonee Falls, WI 53051-0538 | 2017-08-23 |
| 1346619384 | Kristin Lerner | Physical Therapist | W129n7055 Northfield Dr, Menomonee Falls, WI 53051-0538 | 2015-09-21 |
| 1023486305 | Daniel Bruss | Physical Therapist | W129n7055 Northfield Dr, Menomonee Falls, WI 53051-0538 | 2015-09-03 |
| 1326435868 | Rebecca Mallow | Physical Therapist | W129n7055 Northfield Dr, Menomonee Falls, WI 53051-0538 | 2015-04-22 |
| 1336534056 | Whitney Anne Potharla | Nurse Practitioner | W129n7055 Northfield Dr, Building A, Suite 203, Menomonee Falls, WI 53051-0538 | 2015-03-31 |
| 1831514710 | Shari Fehrenbach | Nurse Practitioner | W129n7055 Northfield Dr, Menomonee Falls, WI 53051-0538 | 2014-02-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356968002 | Marisa Hiley | Nurse Practitioner | W129 N7055 Northfield Drive, Menomonee Falls, WI 53051 | 2020-06-29 |
| 1225687940 | Andres Sercovich | Pharmacist | W12501 Leatherwood Ct N74, Menomonee Falls, WI 53051 | 2019-09-05 |
| 1699329193 | Athletico Ltd | Physical Therapist | N88w15562 Main St, Menomonee Falls, WI 53051 | 2019-08-01 |
| 1386103059 | Aegis Group Practice LLC | Occupational Therapist | N48w14250 W Hampton Ave, Menomonee Falls, WI 53051 | 2019-03-13 |
| 1962969220 | Paladina Health, LLC | Family Medicine | Paladina Health Menomonee Falls, N84 W15787 Menomonee Avenue Suite 6, Menomonee Falls, WI 53051 | 2019-02-22 |
| 1053814772 | Waukesha County Community Dental Clinic, Inc. | Clinic/Center | N81w15062 Appleton Ave, Menomonee Falls, WI 53051 | 2018-03-09 |
| 1942753314 | Kelly Schmidt | Pharmacist | 200 Woodland Prime Ste 300, Menomonee Falls, WI 53051 | 2016-08-02 |
| 1386027548 | Generations Family Dental Care Menomonee Falls, LLC | Dentist | N48 W14170 Hampton Ave., Menomonee Falls, WI 53051 | 2015-07-07 |
| 1184007551 | Monjot Kaur Kang | Pharmacist | N82 W15882 Appleton Ave, Menomonee Falls, WI 53051 | 2015-07-03 |
| 1417334038 | Costco Wholesale Corporation | Hearing Aid Equipment | 9235 Pershing Avenue, Menomonee Falls, WI 53051 | 2015-05-04 |
| Find all providers in zip 53051 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417221920 | Froedtert Health Medical Group | General Acute Care Hospital | N180 W7950 Town Hall Road, Menomonee Falls, WI 53051 | 2012-03-01 |
| 1184174989 | Community Memorial Hospital | General Acute Care Hospital | W180n8085 Town Hall Rd, Menomonee Falls, WI 53051-3518 | 2016-10-05 |
| 1609822881 | Community Memorial Hospital of Menomonee Falls Inc | General Acute Care Hospital | W180n8085 Town Hall Rd, Menomonee Falls, WI 53051-3518 | 2006-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255938510 | Ascension Wisconsin Emerus Menomonee Falls, LLC | General Acute Care Hospital | 4935 S 76th St Ste 100, Milwaukee, WI 53220-4305 | 2020-10-08 |
| 1225635592 | Ascension Wisconsin Emerus Menomonee Falls, LLC | General Acute Care Hospital | 2304 W Saint Paul Ave Ste 100, Waukesha, WI 53188-5942 | 2020-10-08 |
| 1740805423 | Froedtert Health Neighborhood Hospital, LLC | General Acute Care Hospital | 209 Pewaukee Rd, Pewaukee, WI 53072 | 2020-06-09 |
| 1952921405 | Aspirus Wausau Hospital, Inc | General Acute Care Hospital | 2720 Plaza Dr Ste 1400, Wausau, WI 54401-4166 | 2020-04-24 |
| 1376197665 | Mchs Hospitals, Inc. | General Acute Care Hospital | 9576 Highway 70, Minocqua, WI 54548 | 2019-07-25 |
| 1952809816 | Mchs Hospitals, Inc. | General Acute Care Hospital | 2310 Craig Rd, Eau Claire, WI 54701-6128 | 2018-01-25 |
| 1003349028 | Ditte Primdahl | General Acute Care Hospital | 1685 Highland, Madison, WI 53705-2281 | 2017-04-06 |
| 1194278952 | Aurora Health Care | General Acute Care Hospital | 9200 W Loomis Rd Ste 107, Franklin, WI 53132-9621 | 2016-07-28 |
| 1093171498 | Mchs Hospitals, Inc. | General Acute Care Hospital | 1001 N. Oak Ave, Marshfield, WI 54449 | 2016-01-14 |
| 1841656188 | Wheaton Franciscan Home Health | General Acute Care Hospital | 4300 Brown Deer Road, Brown Deer, WI 53223-2410 | 2015-12-31 |
| Find all providers with the same taxonomy | ||||
| City | MENOMONEE FALLS |
| Zip Code | 53051 |
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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.