METHODIST MANOR HEALTH CENTER INC. (NPI# 1235106576) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235106576 |
| Entity Type | Organization |
| Organization Name | METHODIST MANOR HEALTH CENTER INC. |
| Other Organization Name | OLSEN MEDICAL CLINIC - TRINITY |
| Practice Address |
7300 W Dean Rd Milwaukee WI 53223-2637 |
| Mailing Address |
3023 S 84th St West Allis WI 53227-3703 |
| Practice Telephone | 4143717363 |
| Practice Fax Number | 4143717334 |
| Mailing Telephone | 4146074100 |
| Mailing Fax Number | 4146074502 |
| Enumeration Date | 2006-03-07 |
| Last Update Date | 2009-04-08 |
| Authorized Official Name | MR. JAMES ENLUND (PRESIDENT & CEO) |
| Authorized Official Telephone | 4146074100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
WI | Allopathic & Osteopathic Physicians | |
| N | 261Q00000X | Clinic/Center | WI | Ambulatory Health Care Facilities | |
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
WI | Ambulatory Health Care Facilities | |
| N | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
WI | Ambulatory Health Care Facilities | |
| N | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
WI | Ambulatory Health Care Facilities | |
| N | 261QX0100X |
Clinic/Center Specialization: Occupational Medicine |
WI | Ambulatory Health Care Facilities | |
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
WI | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 20194100 | 05 |
| Other Name | Type Code |
|---|---|
| Olsen Medical Clinic - Trinity | Doing Business As Name - Organization |
| Street Address |
7300 W DEAN RD |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53223-2637 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700868825 | Elizabeth Nolder | Pharmacist | 7300 W Dean Rd, Milwaukee, WI 53223-2637 | 2005-11-15 |
| 1578185476 | Robert Herrick | Physical Therapy Assistant | 7300 W Dean Rd, Milwaukee, WI 53223-2637 | 2020-05-13 |
| 1841761707 | Kelsey Dykema | Occupational Therapist | 7300 W Dean Rd, Milwaukee, WI 53223-2637 | 2018-12-17 |
| 1528537206 | Jennifer M Lashley | Physical Therapy Assistant | 7300 W Dean Rd, Milwaukee, WI 53223-2637 | 2018-11-25 |
| 1982187316 | Bridget L Trigsted | Occupational Therapy Assistant | 7300 W Dean Rd, Milwaukee, WI 53223-2637 | 2018-09-11 |
| 1811412786 | Samantha Kathryn Mannisto | Physical Therapist | 7300 W Dean Rd, Milwaukee, WI 53223-2637 | 2017-08-11 |
| 1346580792 | Genesis Rehab Services | Skilled Nursing Facility | 7300 W Dean Rd, Milwaukee, WI 53223-2637 | 2013-02-21 |
| 1902142300 | Christine Ward | Occupational Therapy Assistant | 7300 W Dean Rd, Milwaukee, WI 53223 | 2012-12-13 |
| 1255631230 | Dawn Marie Camara | Speech-Language Pathologist | 7300 W Dean Rd, Milwaukee, WI 53223-2637 | 2010-10-25 |
| 1336313295 | Shirley Bradt | Physical Therapist | 7300 W Dean Rd, Milwaukee, WI 53223-2637 | 2008-04-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235742206 | Jamie Brown | Home Health Aide | 8200 W. Clovernook Street, Milwaukee, WI 53223 | 2020-08-28 |
| 1730725656 | Lekecia Ferguson | Case Manager/Care Coordinator | 7970 W Glendbrook Rd, Milwaukee, WI 53223 | 2019-11-26 |
| 1457994717 | Talitha Cumi | Specialist | 6239 West Boehlke Avenue, Tiana M. Jenkins, Mlwaukee, WI 53223 | 2019-10-18 |
| 1235627498 | Letitia Dotson | Licensed Practical Nurse | 9395 N 49th St, Apt 201, Brown Deer, WI 53223 | 2018-04-24 |
| 1588176002 | Courtney Erin Tomaszewski | Occupational Therapy Assistant | 7300 W. Dean Rd, Milwaukee, WI 53223 | 2017-10-25 |
| 1972051373 | Sam's East, Inc. | Technician/Technologist | 8100 N 124th Street, Milwaukee, WI 53223 | 2016-09-14 |
| 1346671302 | Atlantic Home Health Care, Inc | Home Health | 5600 West Brown Deer Road, #216, Brown Deer, WI 53223 | 2013-12-02 |
| 1720415938 | Bell Therapy, Inc. | Community Based Residential Treatment Facility, Mental Illness | 7229-7231 W. Brentwood Ave., Milwaukee, WI 53223 | 2013-10-02 |
| 1528405701 | Ground Support Logistics LLC | Driver | 8200 W Browndeer Rd, Milwaukee, WI 53223 | 2013-05-29 |
| 1801136288 | Nicole M. Rintelman | Registered Nurse | 4600 W. Schroeder Drive, Rogers Memorial Hospital, Brown Deer, WI 53223 | 2013-02-22 |
| Find all providers in zip 53223 | ||||
| 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.