MILWAUKEE CENTER FOR DIAGNOSTIC IMAGING LLC (NPI# 1093782435) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093782435 |
| Entity Type | Organization |
| Organization Name | MILWAUKEE CENTER FOR DIAGNOSTIC IMAGING LLC |
| Other Organization Name | CENTER FOR DIAGNOSTIC IMAGING |
| Practice Address |
2445 North Mayfair Rd Suite 100 Wauwatosa WI 53226 |
| Mailing Address |
Po Box 2088 Dept 4058 Milwaukee WI 53201-2088 |
| Practice Telephone | 4147747226 |
| Practice Fax Number | 4147746004 |
| Mailing Telephone | 9525428553 |
| Mailing Fax Number | 9525136880 |
| Enumeration Date | 2006-03-03 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DONALD D JACOBSEN (OFFICER ON THE BOARD ASST SECRETARY) |
| Authorized Official Telephone | 9525436500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Center for Diagnostic Imaging | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174551188 | Milwaukee Center for Diagnostic Imaging LLC | Radiology | 1340a West Town Square Road, Mequon, WI 53092 | 2006-06-29 |
| Street Address |
2445 NORTH MAYFAIR RD SUITE 100 |
| City | WAUWATOSA |
| State | WI |
| Zip Code | 53226 |
| 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 | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225238835 | Ryan Thomas Huber | Radiology | 1205 N 62nd St, Ste 412, Wauwatosa, WI 53213-2984 | 2007-07-21 |
| 1396890372 | Gregg Michael Gaylord | Radiology | 805 N Mayfair Rd, Wauwatosa, WI 53226-4241 | 2007-01-23 |
| 1861704223 | Samuel Isaac Frost | Radiology | 4025 N 92nd St, Wauwatosa, WI 53222-1613 | 2010-07-13 |
| 1790096592 | Rahul Narain Sawlani | Radiology | 4025 N 92nd St, Wauwatosa, WI 53222-1613 | 2010-06-25 |
| 1508094756 | Anil Tumu | Radiology | 4025 N 92nd St, Wauwatosa, WI 53222-1613 | 2009-06-26 |
| 1548419336 | Matthew J Howenstein | Radiology | 4025 N 92nd St, Wauwatosa, WI 53222-1613 | 2008-09-16 |
| 1982868063 | Ryan Sydnor | Radiology | 4025 N 92nd St, Wauwatosa, WI 53222-1613 | 2008-07-17 |
| 1952569667 | Vikram Bamra | Radiology | 4025 N 92nd St, Wauwatosa, WI 53222-1613 | 2008-05-29 |
| 1811043037 | Randy Allan Musack | Radiology | 4025 N 92nd St, Wauwatosa, WI 53222-1613 | 2007-01-28 |
| 1548218829 | Adam P Myhre | Radiology | 4025 N 92nd St, Wauwatosa, WI 53222 | 2006-05-05 |
| Find all providers in WAUWATOSA | ||||
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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.