ADVANCED HEALTHCARE, S.C. (NPI# 1164501961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164501961 |
| Entity Type | Organization |
| Organization Name | ADVANCED HEALTHCARE, S.C. |
| Practice Address |
12203 Corporate Pkwy Mequon WI 53092-3388 |
| Mailing Address |
3003 W Good Hope Rd Milwaukee WI 53209-2042 |
| Practice Telephone | 2623878200 |
| Mailing Telephone | 4143523100 |
| Mailing Fax Number | 4142474590 |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | EUGENE W. MONROE (PRESIDENT) |
| Authorized Official Telephone | 4143523100 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | DMERC | 0587990021 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639258437 | Advanced Healthcare, S.c. | Clinic/Center | 12203 Corporate Pkwy, Mequon, WI 53092-3388 | 2006-11-03 |
| 1548349343 | Advanced Healthcare, S.c. | Durable Medical Equipment & Medical Supplies | 3003 W Good Hope Rd, Milwaukee, WI 53209-2042 | 2006-11-03 |
| 1457430258 | Advanced Healthcare, S.c. | Durable Medical Equipment & Medical Supplies | N84w16889 Menomonee Ave, Menomonee Falls, WI 53051-2810 | 2006-11-03 |
| 1922183524 | Advanced Healthcare, S.c. | Clinic/Center | N84w16889 Menomonee Ave, Menomonee Falls, WI 53051-2810 | 2006-10-25 |
| 1740365345 | Advanced Healthcare, S.c. | Clinic/Center | 7878 N 76th St, Milwaukee, WI 53223-3914 | 2006-10-25 |
| 1568547172 | Advanced Healthcare, S.c. | Clinic/Center | 3289 N Mayfair Rd, Wauwatosa, WI 53222-3203 | 2006-10-25 |
| 1558446971 | Advanced Healthcare, S.c. | Clinical Medical Laboratory | 1777 W Grand Ave, Port Washington, WI 53074-2077 | 2006-10-25 |
| 1972688570 | Advanced Healthcare, S.c. | Clinic/Center | 3003 W Good Hope Rd, Milwaukee, WI 53209-2042 | 2006-10-25 |
| 1124103643 | Advanced Healthcare, S.c. | Clinical Medical Laboratory | 3289 N Mayfair Rd, Wauwatosa, WI 53222-3203 | 2006-10-25 |
| 1497830087 | Advanced Healthcare, S.c. | Clinical Medical Laboratory | 3070 N 51st St, Milwaukee, WI 53210-1645 | 2006-10-25 |
| Street Address |
12203 CORPORATE PKWY |
| City | MEQUON |
| State | WI |
| Zip Code | 53092-3388 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346235058 | East Mequon Surgery Center LLC | Clinic/Center | 12203 Corporate Pkwy, Mequon, WI 53092-3388 | 2005-09-19 |
| 1477187649 | Andrew M Oswald | Physician Assistant | 12203 Corporate Pkwy, Mequon, WI 53092-3388 | 2020-02-26 |
| 1174018584 | Ashley A Mcguire | Family Medicine | 12203 Corporate Pkwy, Mequon, WI 53092 | 2018-06-27 |
| 1053839571 | Annette S Harris | Nurse Practitioner | 12203 Corporate Pkwy, Mequon, WI 53092-3388 | 2017-09-05 |
| 1568843696 | Mikhail Eiseler | Family Medicine | 12203 Corporate Pkwy, Mequon, WI 53092 | 2015-06-15 |
| 1548640774 | Brant Michael Balthazor | Physician Assistant | 12203 Corporate Pkwy, Mequon, WI 53092-3388 | 2015-06-03 |
| 1720499759 | Ryan William Clark | Pain Medicine | 12203 Corporate Pkwy, Mequon, WI 53092 | 2014-05-13 |
| 1316382211 | Heidi Rae Schmidt | Physician Assistant | 12203 Corporate Pkwy, Mequon, WI 53092-3388 | 2013-05-06 |
| 1285966101 | Kristin M Shtulberg | Registered Nurse | 12203 Corporate Pkwy, Mequon, WI 53092-3388 | 2010-02-02 |
| 1487894267 | Joe Lipp Jr. | Specialist/Technologist, Other | 12203 Corporate Pkwy, Mequon, WI 53092-3388 | 2009-03-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942790761 | Kathryn Mueller | Specialist/Technologist | 117 Linden Lane, Apt 7, Thiensville, WI 53092 | 2018-05-17 |
| 1427547082 | Shopko Stores Operating Co LLC | Eyewear Supplier (Equipment, not the service) | 10996 N Port Washington Rd, Mequon, WI 53092 | 2018-05-08 |
| 1912437252 | Froedtert & The Medical College of Wisconsin Community Physicians Inc | Durable Medical Equipment & Medical Supplies | 11430 Port Washington Road, Mequon, WI 53092 | 2017-06-19 |
| 1629437256 | Sean S Tsang | Acupuncturist | 909 W. Mequon Rd., Mequon, WI 53092 | 2016-02-10 |
| 1497128433 | Nancy Snoots | Counselor | 4430 W Tarrytown Ln, Mequon, WI 53092 | 2015-11-12 |
| 1609265214 | Evan Guettel | Physical Therapist | 11363 N. Port Washington Road, Mequon, WI 53092 | 2015-01-20 |
| 1881091148 | Sarah Krueger | Counselor | 216 N Green Bay Rd Suite 108, Thiensville, WI 53092 | 2014-12-01 |
| 1245667088 | Lora Transportation, LLC | Non-emergency Medical Transport (VAN) | 1228 West Baldwin Crt., Mequon, WI 53092 | 2013-10-10 |
| 1710314000 | Roxxi M Davis | Social Worker | 7113 Tamarack Ct, Mequon, WI 53092 | 2013-10-01 |
| 1225473713 | Forefront Dermatology, S.c. | Dermatology | 10303 N Port Washington Rd Ste 101, Mequon, WI 53092 | 2013-05-09 |
| Find all providers in zip 53092 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912437252 | Froedtert & The Medical College of Wisconsin Community Physicians Inc | Durable Medical Equipment & Medical Supplies | 11430 Port Washington Road, Mequon, WI 53092 | 2017-06-19 |
| 1477858249 | Visiting Nurse Association of Wisconsin, Inc | Durable Medical Equipment & Medical Supplies | 10600 N Port Washington Rd, Suite 201, Mequon, WI 53092-5093 | 2011-01-25 |
| 1245436211 | Knueppel Healthcare Services, Inc. | Durable Medical Equipment & Medical Supplies | 10510 N Port Washington Rd, Mequon, WI 53092-5537 | 2007-06-26 |
| 1396819256 | Hanger Prosthetics & Orthotics East Inc | Durable Medical Equipment & Medical Supplies | 10501 N Port Washington Rd, Mequon, WI 53092-5536 | 2006-11-20 |
| 1992274260 | Wisconsin Michigan Physicians, Sc | Durable Medical Equipment & Medical Supplies | 10945 N Port Washington Rd Ste 201, Mequon, WI 53092-5078 | 2018-11-16 |
| 1912264102 | Sleep Wellness Institute, Inc | Durable Medical Equipment & Medical Supplies | 11725 N Port Washington Rd, Suite 210, Mequon, WI 53092-3485 | 2012-04-12 |
| 1346528791 | Med Group Medical Supplies, LLC | Durable Medical Equipment & Medical Supplies | 11402 N Port Washington Rd, Suite 215, Mequon, WI 53092-3447 | 2011-08-02 |
| 1629206230 | Lakeshore Medical Clinic | Durable Medical Equipment & Medical Supplies | 10520 N Port Washington Rd, Mequon, WI 53092-5537 | 2009-06-23 |
| 1427246487 | Aurora Advanced Healthcare, Inc. | Durable Medical Equipment & Medical Supplies | 12203 Corporate Pkwy, Mequon, WI 53092-3388 | 2007-10-04 |
| 1619164522 | Aurora Advanced Healthcare, Inc. | Durable Medical Equipment & Medical Supplies | 6425 W Mequon Rd, Mequon, WI 53092-1855 | 2007-09-25 |
| Find all providers in MEQUON | ||||
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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.