COLUMBIA ST. MARY'S HOSPITAL MILWAUKEE, INC (NPI# 1194330712) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194330712 |
| Entity Type | Organization |
| Organization Name | COLUMBIA ST. MARY'S HOSPITAL MILWAUKEE, INC |
| Practice Address |
375 W River Woods Pkwy Glendale WI 53212-1080 |
| Practice Telephone | 4143261800 |
| Mailing Telephone | 4143261800 |
| Enumeration Date | 2020-09-10 |
| Last Update Date | 2020-09-10 |
| Authorized Official Name | JONATHAN W SOHN (CFO) |
| Authorized Official Telephone | 4144653000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Ascension Columbia St Mary's Milwaukee - River Woods | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811926132 | Columbia St. Mary's Hospital Milwaukee, Inc | Psychiatric Unit | 2323 N Lake Drive, Milwaukee, WI 53211-4508 | 2006-06-30 |
| 1366433815 | Columbia St. Mary's Hospital Milwaukee, Inc | Pharmacy | 2015 E Newport Ave, Ste M121, Milwaukee, WI 53211-2984 | 2005-11-03 |
| 1215945456 | Columbia St. Mary's Hospital Milwaukee, Inc | Clinic/Center | 9233 N Green Bay Rd, Brown Deer, WI 53209-1103 | 2006-08-03 |
| 1710928221 | Columbia St. Mary's Hospital Milwaukee, Inc | Clinic/Center | 13111 N Port Washington Rd, Mequon, WI 53097-2416 | 2006-06-08 |
| 1023064482 | Columbia St. Mary's Hospital Milwaukee, Inc | General Practice | 2350 N Lake Dr, Milwaukee, WI 53211 | 2006-05-26 |
| 1659357424 | Columbia St. Mary's Hospital Milwaukee, Inc | Pharmacy | 732 N Jackson St, Suite 100, Milwaukee, WI 53202-4620 | 2005-12-22 |
| Street Address |
375 W RIVER WOODS PKWY |
| City | GLENDALE |
| State | WI |
| Zip Code | 53212-1080 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275506081 | Thorsteinn Skulason | Dermatology | 375 W River Woods Pkwy, Suite 116, Glendale, WI 53212-1080 | 2006-02-10 |
| 1992160626 | Ihc-urgent Care Services LLC | Physician Assistant | 375 W River Woods Pkwy, Glendale, WI 53212-1080 | 2015-12-23 |
| 1346330826 | Mary D Washburne | Family Medicine | 375 W River Woods Pkwy, Glendale, WI 53212-1080 | 2006-10-13 |
| 1558462036 | Leah Taylor Donovan | Nurse Practitioner | 375 W River Woods Pkwy, Suite 205, Glendale, WI 53212-1080 | 2006-09-26 |
| 1649378969 | Noelle C Kisting | Family Medicine | 375 W River Woods Pkwy, Glendale, WI 53212-1080 | 2006-09-20 |
| 1376565267 | Manish J. Gharia | Dermatology | 375 W River Woods Pkwy, Glendale, WI 53212-1080 | 2006-07-23 |
| 1215980941 | Valerie B. Lyon | Dermatology | 375 W River Woods Pkwy, Suite 116, Glendale, WI 53212-1080 | 2006-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609481001 | Beth Leanna | Counselor | Benedict Center 1849 N Dr. Marin Luther King Dr., Suite 101, Milwaukee, WI 53212 | 2020-09-11 |
| 1326683749 | A.b.d.h. Counseling Services LLC | Clinic/Center | 518 E Concordia Avenue, Milwaukee, WI 53212 | 2019-11-08 |
| 1467095703 | Ifrah Hameed | Psychologist | 1849 N Doctor M.l.k. Jr Dr# 101, Milwaukee, WI 53212 | 2019-10-18 |
| 1386293330 | Rachel Mae Nelson Bagha | Student in an Organized Health Care Education/Training Program | 1849 N Doctor M.l.k. Jr Dr #101, Milwaukee, WI 53212 | 2019-09-11 |
| 1164085205 | Mary Sue Daase Bowen | Counselor | 2821 N 4th Street, Milwaukee, WI 53212 | 2019-04-15 |
| 1649733189 | Stacey King | Counselor | Rivershore Comprehensive Treatment Facility, 3703 N Richards St, Milwaukee Wi, Milwaukee, WI 53212 | 2019-04-11 |
| 1710447701 | Scott William Stauder | Student in an Organized Health Care Education/Training Program | 1121 E. North Ave., Milwaukee, WI 53212 | 2019-03-25 |
| 1821561168 | Lydia Ann Mendez | Counselor | 3703 N Richards St, Milwaukee, WI 53212 | 2019-01-09 |
| 1851863302 | Glen Victor Fleming | Counselor | 2821 North 4th Street Suite 210, Milwaukee, WI 53212 | 2018-12-21 |
| 1093285140 | Megan Marie Volp | Advanced Practice Midwife | 2555 N Doctor M.l.k. Jr Dr, Milwaukee, WI 53212 | 2018-12-03 |
| Find all providers in zip 53212 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
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| 1457676793 | Elizabeth Remedios Md Inc | General Practice | 423 W Colorado St, Glendale, CA 91204-1537 | 2010-03-30 |
| 1174855480 | Abdelgabar Mohamed Mohamdian | General Practice | 8528 N 43rd Dr, Glendale, AZ 85302-5302 | 2010-02-11 |
| 1578892808 | Alber Karamanoukian | General Practice | 800 S Central Ave., Glendale, CA 91204-2902 | 2009-12-16 |
| 1376871566 | Agababian Medical Clinic, Inc | General Practice | 800 S Central Ave Ste 301, Glendale, CA 91204-4388 | 2009-11-26 |
| 1174857791 | Triad Clinic Pllc | General Practice | 4902 W Ironwood Dr, Glendale, AZ 85302-2402 | 2009-09-29 |
| Find all providers in GLENDALE | ||||
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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.