FROEDTERT & THE MEDICAL COLLEGE OF WISCONSIN COMMUNITY PHYSICIANS INC (NPI# 1265811327) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265811327 |
| Entity Type | Organization |
| Organization Name | FROEDTERT & THE MEDICAL COLLEGE OF WISCONSIN COMMUNITY PHYSICIANS INC |
| Practice Address |
N64w24801 Main St Suite 109 Sussex WI 53089-2652 |
| Mailing Address |
Woodland Prime 400, Suite 103 N74w12501 Leatherwood Court Menomonee Falls WI 53051-4490 |
| Practice Telephone | 2625328680 |
| Mailing Telephone | 4147770417 |
| Mailing Fax Number | 4147770096 |
| Enumeration Date | 2015-05-22 |
| Last Update Date | 2018-10-08 |
| Authorized Official Name | JEFFREY R VAN DE KREEKE (VP FINANCE, FROEDTERT HEALTH) |
| Authorized Official Telephone | 4147770979 |
| Is Organization Subpart | Y |
| Parent Organization Name | FROEDTERT & THE MEDICAL COLLEGE OF WISCONSIN COMMUNITY PHYSICIAN |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | WI | Laboratories |
| Other Name | Type Code |
|---|---|
| Froedtert Physician Partners Inc | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477188100 | Froedtert & The Medical College of Wisconsin Community Physicians Inc | Non-Pharmacy Dispensing Site | 635 S 28th St, Milwaukee, WI 53215-1201 | 2020-03-03 |
| 1922641877 | Froedtert & The Medical College of Wisconsin Community Physicians Inc | Durable Medical Equipment & Medical Supplies | W234s3555 Les Paul Pkwy, Waukesha, WI 53189-8512 | 2019-10-23 |
| 1790242352 | Froedtert & The Medical College of Wisconsin Community Physicians Inc | Durable Medical Equipment & Medical Supplies | 6255 N Santa Monica Blvd, Milwaukee, WI 53217-4353 | 2019-03-01 |
| 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 |
| 1154947224 | Froedtert & The Medical College of Wisconsin Community Physicians Inc | Durable Medical Equipment & Medical Supplies | 1155 N Mayfair Rd, Wauwatosa, WI 53226-3462 | 2020-06-24 |
| 1811340383 | Froedtert & The Medical College of Wisconsin Community Physicians Inc | Durable Medical Equipment & Medical Supplies | W180n8000 Town Hall Rd, Menomonee Falls, WI 53051-4002 | 2016-07-19 |
| 1700265865 | Froedtert & The Medical College of Wisconsin Community Physicians Inc | Clinical Medical Laboratory | 1700 W Paradise Dr, West Bend, WI 53095-9795 | 2015-05-22 |
| 1669851770 | Froedtert & The Medical College of Wisconsin Community Physicians Inc | Clinical Medical Laboratory | 1701 Fond Du Lac Ave, Kewaskum, WI 53040-9129 | 2015-05-21 |
| 1841679958 | Froedtert & The Medical College of Wisconsin Community Physicians Inc | Clinical Medical Laboratory | W225n16711 Cedar Park Ct, Jackson, WI 53037-9222 | 2015-05-21 |
| 1376922484 | Froedtert & The Medical College of Wisconsin Community Physicians Inc | Clinical Medical Laboratory | W180n8000 Town Hall Rd, Menomonee Falls, WI 53051-4002 | 2015-05-21 |
| Street Address |
N64W24801 MAIN ST SUITE 109 |
| City | SUSSEX |
| State | WI |
| Zip Code | 53089-2652 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265407316 | Kenneth Urlakis | Family Medicine | N64w24801 Main St, Suite 109, Sussex, WI 53089-2652 | 2006-02-22 |
| 1932739786 | Lindsay Moreau | Naturopath | N64w24801 Main St, Sussex, WI 53089-2652 | 2020-01-21 |
| 1669765020 | Froedtert Physician Partners, Inc. | Durable Medical Equipment & Medical Supplies | N64w24801 Main St, Ste 109, Sussex, WI 53089-2652 | 2011-05-18 |
| 1629234687 | Michael James Herring | Chiropractor | N64w24801 Main St, Sussex, WI 53089-2652 | 2008-07-30 |
| 1982711362 | Robert Jack Simons | Chiropractor | N64w24801 Main St, Sussex, WI 53089-2652 | 2006-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932713146 | Athletico, Ltd | Physical Therapist | N63w23675 Main St, Sussex, WI 53089 | 2020-09-04 |
| 1538707120 | Schyler M Schultz | Pharmacist | N65w24838 Main St, Sussex, Wi 53089, Sussex, WI 53089 | 2019-12-15 |
| 1558917617 | Quad/med, LLC | Clinic/Center | N61 W23044 Harry's Way, Sussex, WI 53089 | 2019-08-14 |
| 1982176590 | Katherine Tsiampas | Registered Nurse | W236 N6128 Pine Terrace, Sussex, Sussex, WI 53089 | 2018-12-20 |
| 1437529120 | Quad/med, LLC | Clinic/Center | W227 N6103 Sussex Rd, Sussex, WI 53089 | 2015-10-07 |
| 1265839849 | Amber Louise Bergner | Registered Nurse | W232n7066 Salem Dr, Sussex, WI 53089 | 2014-11-26 |
| 1407129604 | Cheryl Marie Werra | Registered Nurse | N73w23260 Blakestone Ct., Sussex, WI 53089 | 2012-02-17 |
| 1144508730 | Oriental Wellness Center & Spa | Acupuncturist | W249 N5245 Executive Dr., Suite 208, Sussex, WI 53089 | 2011-07-30 |
| 1982865945 | Shopko Stores Operating Co LLC | Durable Medical Equipment & Medical Supplies | N 66 W 25201, Cth V V, Sussex, WI 53089 | 2008-06-23 |
| 1316108376 | Shopko Stores Operating Co LLC | Eyewear Supplier (Equipment, not the service) | N66 W25201 Cth V V, Sussex, WI 53089 | 2008-06-23 |
| Find all providers in zip 53089 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699382481 | Elicia A Liebe | Clinical Medical Laboratory | 4733 W Montana St, Milwaukee, WI 53219-3375 | 2020-09-26 |
| 1881203826 | Quest Diagnostics LLC Il | Clinical Medical Laboratory | 4852 S 6th St, Milwaukee, WI 53221-2462 | 2020-07-27 |
| 1043854144 | Stemina Biomarker Discovery, Inc. | Clinical Medical Laboratory | 504 S Rosa Rd Ste 150, Madison, WI 53719-1218 | 2019-10-31 |
| 1881238269 | Derek Raymond Schindler | Clinical Medical Laboratory | 680 Baker Rd, Hudson, WI 54016-7901 | 2019-10-29 |
| 1487296307 | Exact Sciences Laboratories, LLC | Clinical Medical Laboratory | 650 Forward Drive, Madison, WI 53711 | 2019-10-11 |
| 1003391269 | Precise Testing LLC | Clinical Medical Laboratory | 6815 W Capitol Dr Ste 105, Milwaukee, WI 53216-2056 | 2018-10-03 |
| 1992286074 | Rprd Diagnostics LLC | Clinical Medical Laboratory | 1225 Discovery Parkway, Suite 260, Milwaukee, WI 53226 | 2018-08-27 |
| 1164938916 | Tai Diagnostics, Inc. | Clinical Medical Laboratory | 10101 W Innovation Dr Ste 600, Wauwatosa, WI 53226-4824 | 2017-12-15 |
| 1831619535 | Laboratory Corporation of America | Clinical Medical Laboratory | 1111 Delafield St Ste 301, Waukesha, WI 53188-3407 | 2017-06-23 |
| 1558896498 | Noah Associates Incorporated | Clinical Medical Laboratory | 10501 W Greenfield Ave, West Allis, WI 53214-2421 | 2017-04-28 |
| Find all providers with the same taxonomy | ||||
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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.