SCOTT A JORGENSEN (NPI# 1184654725) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184654725 |
| Entity Type | Individual |
| Full Name | SCOTT A JORGENSEN |
| Credential | M.D. |
| Practice Address |
13133 N Port Washington Rd Suite G18 Mequon WI 53097-2419 |
| Mailing Address |
788 N Jefferson St Suite 300/attn. Kaaren Butzen Milwaukee WI 53202-3718 |
| Practice Telephone | 2622435000 |
| Practice Fax Number | 2622435317 |
| Mailing Telephone | 4142728950 |
| Mailing Fax Number | 4142720859 |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2016-11-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 31133 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 1184654725 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205249729 | Scott Jorgensen | Nurse Practitioner | 101 E Wood St, Spartanburg, SC 29303-3040 | 2014-06-03 |
| 1801037239 | Scott Andrew Jorgensen | Radiology | 1919 E Thomas Rd, East Building, Phoenix, AZ 85016-7710 | 2009-03-16 |
| 1447214069 | Scott Frederick Jorgensen | Podiatrist | 1021 Bandana Blvd E, Suite 100, Saint Paul, MN 55108-5113 | 2006-04-12 |
| Street Address |
13133 N PORT WASHINGTON RD SUITE G18 |
| City | MEQUON |
| State | WI |
| Zip Code | 53097-2419 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982605226 | James Joseph Ansfield | Internal Medicine | 13133 N Port Washington Rd, Suite G-18, Mequon, WI 53097-2419 | 2005-08-09 |
| 1558713743 | Patrick M Schroeder | Physician Assistant | 13133 N Port Washington Rd, Suite 104, Mequon, WI 53097-2419 | 2016-07-12 |
| 1336506021 | The Sleep Wellness Institute Inc | Clinic/Center | 13133 N Port Washington Rd, Ste 104, Mequon, WI 53097-2419 | 2016-01-26 |
| 1770968521 | Patricia Kay Nelson | Nurse Practitioner | 13133 N Port Washington Rd, Suite G-18, Mequon, WI 53097-2419 | 2015-07-22 |
| 1497162317 | Kaitlin R. Ziemke | Nurse Practitioner | 13133 N Port Washington Rd, Suite G-18, Mequon, WI 53097-2419 | 2014-07-14 |
| 1578827960 | Elona Como | Physician Assistant | 13133 N Port Washington Rd, Suite 104, Mequon, WI 53097-2419 | 2012-06-29 |
| 1861754715 | Catherine Powers Zellmer | Physician Assistant | 13133 N Port Washington Rd, Suite G-16, Mequon, WI 53097-2419 | 2012-06-15 |
| 1326357815 | Erika L Mantsch | Physician Assistant | 13133 N Port Washington Rd, Suite G-16, Mequon, WI 53097-2419 | 2010-09-30 |
| 1518271956 | Csm Community Physician | Clinic/Center | 13133 N Port Washington Rd, Suite 122, Mequon, WI 53097-2419 | 2010-07-27 |
| 1285962605 | Candace Moore | Nurse Practitioner | 13133 N Port Washington Rd, Suite G-18, Mequon, WI 53097-2419 | 2009-11-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851512982 | Wendy S Balister | Dietitian, Registered | 13111 North Port Washington Rd, Mequon, WV 53097 | 2007-05-02 |
| 1902985922 | Lisa Lang | Counselor | 14135 North Cedarburg Road, Mequon, WI 53097 | 2006-11-02 |
| 1003915570 | Joan T Gnadt | Internal Medicine | 13133 N Port Washington Rd., Suite 111, Mequon, WI 53097 | 2006-09-21 |
| 1255439097 | Susan J Riegg | Pathology | 13111 N Port Washington Road, Mequon, WI 53097 | 2006-09-20 |
| 1891808887 | Gregory Eric Custer | Dentist | 13615 N Cedarburg Road, Mequon, WI 53097 | 2006-08-16 |
| 1114958600 | Richard K Karr | Orthopaedic Surgery | 13133n Port Washington Road, #216, Mequon, WI 53097 | 2006-07-05 |
| 1548204712 | Lauretta Lyon Schears | Occupational Therapist | 13111 N. Portwashington Rd, Mequon, WI 53097 | 2006-06-16 |
| 1235173337 | Sarah Marie Neman | Physical Therapy Assistant | 13111 N Prot Washington Rd., Mequon, WI 53097 | 2006-06-16 |
| 1538103643 | Elizabeth Gral Sullivan | Speech-Language Pathologist | 13111 North Port Washington Road, Mequon, WI 53097 | 2006-06-16 |
| 1952808701 | Lisa Lang LLC | Counselor | 14135 North Cedarburg Road, Mequon, WI 53097 | 2018-04-09 |
| Find all providers in zip 53097 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538418322 | Irwin Margolis | Internal Medicine | 2635 West Lake Park Court, Mequon, WI 53092-2453 | 2012-09-07 |
| 1376819508 | Lewis M. Feiges | Internal Medicine | 10009 N. Franklin Ct., Mequon, WI 53092 | 2012-04-02 |
| 1073750238 | George Albert Munkwitz | Internal Medicine | 2300 W. Bonniwell Rd., Mequon, WI 53097-1602 | 2009-01-09 |
| 1265655245 | Mina Khorshidi | Internal Medicine | 10539 N Hidden Creek Ct, Mequon, WI 53092-8543 | 2007-04-10 |
| 1437249125 | Bozena Simon | Internal Medicine | 11203 N Buntrock Ave, Mequon, WI 53092-1857 | 2006-10-13 |
| 1972606028 | Aleksandar V Rosich | Internal Medicine | 10105 Parkside Ct, Mequon, WI 53092-6152 | 2006-09-06 |
| 1124050364 | Luke F Rehrauer | Internal Medicine | 12203 N Corporate Pkwy, Mequon, WI 53092 | 2006-07-07 |
| 1558306407 | Colleen M Poggenburg | Internal Medicine | 1251 W Glen Oaks Ln, Mequon, WI 53092-3356 | 2006-06-17 |
| 1154372092 | Deidre L Faust | Internal Medicine | 13133 N Port Washington Road, Suite G18, Mequon, WI 53097-2420 | 2006-05-15 |
| 1265499198 | Lynne D Langlois | Internal Medicine | 2114 W Columbia Dr, Mequon, WI 53092-5645 | 2006-04-26 |
| Find all providers in MEQUON | ||||
Please comment or provide details below to improve the information on SCOTT A JORGENSEN.
| 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.