US MEDGROUP PA (NPI# 1174802375) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174802375 |
| Entity Type | Organization |
| Organization Name | US MEDGROUP PA |
| Other Organization Name | ADVANCED MEDICAL SPECIALISTS |
| Practice Address |
8923 W Brown Deer Rd Milwaukee WI 53224-2120 |
| Mailing Address |
5080 Spectrum Dr Suite 1200 West Addison TX 75001-4648 |
| Practice Telephone | 4143554300 |
| Practice Fax Number | 4143554608 |
| Mailing Telephone | 9727207772 |
| Mailing Fax Number | 2147754502 |
| Enumeration Date | 2011-08-05 |
| Last Update Date | 2016-04-06 |
| Authorized Official Name | ROBERT HASSETT (PRESIDENT) |
| Authorized Official Telephone | 9723648000 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities | ||
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Advanced Medical Specialists | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659650844 | Us Medgroup Pa | Clinic/Center | 1710 W Southern, Mesa, AZ 85202 | 2011-08-05 |
| 1649559832 | Us Medgroup Pa | Clinic/Center | 901 East Jefferson St, Phoenix, AZ 85034 | 2011-08-05 |
| 1144637679 | Us Medgroup Pa | Clinic/Center | 6423 Columbia Ave, Hammond, IN 46320-2747 | 2014-07-16 |
| 1609283142 | Us Medgroup Pa | Clinic/Center | 5940 Decatur Blvd, Indianapolis, IN 46241-9579 | 2014-07-16 |
| 1083021513 | Us Medgroup Pa | Clinic/Center | 5604 W 74th St, Indianapolis, IN 46278-1752 | 2014-07-16 |
| 1568889988 | Us Medgroup Pa | Clinic/Center | 4115 Dorchester Rd, Suie 100, Charleston, SC 29405-7466 | 2014-03-24 |
| 1912324336 | Us Medgroup Pa | Clinic/Center | 7519 Rivers Ave, North Charleston, SC 29406-4662 | 2014-03-24 |
| 1952680993 | Us Medgroup Pa | Clinic/Center | 2455 N 124th St, Brookfield, WI 53005-4630 | 2011-08-09 |
| 1720367923 | Us Medgroup Pa | Clinic/Center | 290 Branch Ave, Providence, RI 02904 | 2011-08-05 |
| 1568741759 | Us Medgroup Pa | Clinic/Center | 14155 N 83rd Ave, Bldg 8, Ste 148, Peoria, AZ 85381 | 2011-08-05 |
| Street Address |
8923 W BROWN DEER RD |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53224-2120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598715120 | H Richard Weiner | Internal Medicine | 8923 W Brown Deer Rd, Milwaukee, WI 53224-2120 | 2006-05-12 |
| 1396925616 | Peter Schnapp | Preventive Medicine | 8923 W Brown Deer Rd, Milwaukee, WI 53224-2120 | 2007-11-05 |
| 1588784284 | Gregory M. Rajala | Physical Therapist | 8923 W Brown Deer Rd, Milwaukee, WI 53224-2120 | 2007-03-29 |
| 1902985542 | Occupational Health Centers of The Southwest, P.a. | Clinic/Center | 8923 W Brown Deer Rd, Milwaukee, WI 53224-2120 | 2006-11-03 |
| 1801981782 | Brianne M Jeras | Physical Therapist | 8923 W Brown Deer Rd, Milwaukee, WI 53224 | 2006-10-04 |
| 1104927227 | Barbara J Pavlovich | Nurse Practitioner | 8923 W Brown Deer Rd, Milwaukee, WI 53224-2120 | 2006-09-25 |
| 1548208259 | John P Mooney | Family Medicine | 8923 W Brown Deer Rd, Milwaukee, WI 53224-2120 | 2006-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124665336 | Ltc Pharmacy Services, LLC | Pharmacy | 11739 W Bradley Rd, Milwaukee, WI 53224 | 2019-12-06 |
| 1811494628 | Udoyen Health LLC | Psychiatry & Neurology | 1414 W Park Pl, Suite 202, Milwaukee, WI 53224 | 2018-04-09 |
| 1003198292 | Attentacare Residential Living LLC | In Home Supportive Care | 8225b North 107th Street, Milwaukee, WI 53224 | 2011-09-13 |
| 1366744278 | Sunday Kerobo | Registered Nurse | 9809 W Fountain Ave, Milwaukee, WI 53224 | 2010-11-29 |
| 1558677237 | Valorie J Roberts | Registered Nurse | 10282 W Fountain Ave Apt #1301, Milwaukee, WI 53224 | 2010-08-19 |
| 1699092999 | United Extended Home Healthcare Services | Home Health | 6455 N. Fresno Streeet, Milwaukee, WI 53224 | 2010-04-26 |
| 1063742096 | Contina Monique Williams | Licensed Practical Nurse | 3949 N 70th St, Milwaukee, WI 53224 | 2010-01-14 |
| 1316171234 | Laura Ann Stern | Registered Nurse | 7005 N102nd St, Milwaukee, WI 53224 | 2009-05-06 |
| 1124276977 | Mary Deloris Wilder | Registered Nurse | 9851 W. Dean Rd, Milwaukee, WI 53224 | 2008-09-05 |
| 1346413515 | Alex B Goldman | Counselor | 11414 W Park Place Suite 202, Milwaukee, WI 53224 | 2008-04-09 |
| Find all providers in zip 53224 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619589082 | Domanika Morbley | Clinic/Center | 2544 N 11th St, Milwaukee, WI 53206-3127 | 2020-08-18 |
| 1427674860 | Shanice Williams | Clinic/Center | 3950 N 74th St, Milwaukee, WI 53216-1971 | 2020-06-22 |
| 1003276841 | Mobile Medical Diagnostic Services LLC | Clinic/Center | 5205 S 13th St, Unit E, Milwaukee, WI 53221-3648 | 2016-03-04 |
| 1821458811 | Kutaiba Al Ithawi | Clinic/Center | 5205 S 13th St Unit E, Milwaukee, WI 53221-3648 | 2016-03-03 |
| 1518260843 | City of Milwaukee Health Dept | Clinic/Center | 841 N Broadway 3rd Floor, Milwaukee, WI 53202-3639 | 2010-12-08 |
| 1992035869 | Clear Medical Solutions, LLC | Clinic/Center | 1305 N 19th St, Milwaukee, WI 53205-2054 | 2009-12-28 |
| 1114176195 | Concentra Health Services, Inc. | Clinic/Center | 5007 S. Howell Avenue, Milwaukee, WI 53207-6157 | 2008-09-15 |
| 1386774958 | City of Milwaukee Health Department | Clinic/Center | 841 N Broadway Fl 3, Milwaukee, WI 53202-3639 | 2007-03-06 |
| 1144796988 | St Ann Center for Intergenerational Care Inc | Clinic/Center | 2450 W North Ave, Milwaukee, WI 53205-1001 | 2018-10-19 |
| 1841739026 | Helens Supportive Living | Clinic/Center | 6222 W Capitol Dr Suite 10, Milwaukee, WI 53216 | 2017-02-21 |
| Find all providers in MILWAUKEE | ||||
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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.