CHILDRENS HOSPITAL OF WISCONSIN (NPI# 1104070234) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104070234 |
| Entity Type | Organization |
| Organization Name | CHILDRENS HOSPITAL OF WISCONSIN |
| Practice Address |
9000 W Wisconsin Ave Wauwatosa WI 53226-4874 |
| Practice Telephone | 4142663583 |
| Mailing Telephone | 4142663583 |
| Enumeration Date | 2008-11-17 |
| Last Update Date | 2008-11-17 |
| Authorized Official Name | MR. DAVID HORZEWSKI (PHYSICIAN ASSISTANT) |
| Authorized Official Telephone | 4142663583 |
| Authorized Official Credential | PA-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC2000X |
General Acute Care Hospital Specialization: Children |
1280-023 | WI | Hospitals |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CHILDRENS HOSPITAL OF WISCONSIN INC | 9000 W Wisconsin Ave, Milwaukee, WI 53226-3518 |
| Street Address |
9000 W WISCONSIN AVE |
| City | WAUWATOSA |
| State | WI |
| Zip Code | 53226-4874 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881177269 | Emily Pokorny | Nurse Practitioner | 9000 W Wisconsin Ave, Wauwatosa, WI 53226-4874 | 2018-09-11 |
| 1992287924 | Dena Hackmaster | Nurse Practitioner | 9000 W Wisconsin Ave, Wauwatosa, WI 53226-4874 | 2018-09-06 |
| 1619387156 | Amber Fortmann | Nurse Practitioner | 9000 W Wisconsin Ave, Wauwatosa, WI 53226-4874 | 2014-05-06 |
| 1922424589 | Melissa Rose Bennetts | Nurse Practitioner | 9000 W Wisconsin Ave, Wauwatosa, WI 53226-4874 | 2014-03-06 |
| 1174951115 | Laurie B Schaefgen | Nurse Practitioner | 9000 W Wisconsin Ave, Wauwatosa, WI 53226-4874 | 2013-10-30 |
| 1942634043 | Michael John Masse | Pharmacist | 9000 W Wisconsin Ave, Suite 235, Wauwatosa, WI 53226-4874 | 2013-08-26 |
| 1033462445 | Anne Therese Helmer | Nurse Practitioner | 9000 W Wisconsin Ave, Wauwatosa, WI 53226-4874 | 2012-10-23 |
| 1467705400 | Jacob Joseph Olson | Pharmacist | 9000 W Wisconsin Ave, Children's Clinics Bldg, Wauwatosa, WI 53226-4874 | 2012-10-15 |
| 1609131846 | Rachael Murray | Nurse Practitioner | 9000 W Wisconsin Ave, Wauwatosa, WI 53226-4874 | 2012-07-12 |
| 1255617213 | Cortnee Booth | Pharmacist | 9000 W Wisconsin Ave, Suite 235, Wauwatosa, WI 53226-4874 | 2011-10-22 |
| 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 | 282NC2000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Children |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881780302 | Children's Hospital of Wisconsin, Inc. | General Acute Care Hospital | 130 Second St, Neenah, WI 54956 | 2006-10-04 |
| 1992810667 | Children's Hospital of Wisconsin | General Acute Care Hospital | 9000 W Wisconsin Ave Msc 750, Milwaukee, WI 53226-3518 | 2006-08-20 |
| 1205281110 | Childrens Hospital of Wisconsin Inc | General Acute Care Hospital | 8915 W Connell Ave, Milwaukee, WI 53226-3067 | 2016-04-28 |
| 1649480443 | Edward Theodore Wasco | General Acute Care Hospital | 130 2nd St, Neenah, WI 54956-2883 | 2007-05-23 |
| 1962507228 | Children's Hospital of Wisconsin, Inc. | General Acute Care Hospital | 6308 8th Ave, Sixth Floor, Kenosha, WI 53143-5031 | 2006-09-13 |
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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.