NUMALE MEDICAL CENTER LLC (NPI# 1275978983) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275978983 |
| Entity Type | Organization |
| Organization Name | NUMALE MEDICAL CENTER LLC |
| Practice Address |
2600 N Mayfair Rd Suite 505 Wauwatosa WI 53226-1309 |
| Practice Telephone | 4147278380 |
| Practice Fax Number | 4147278555 |
| Mailing Telephone | 4147278380 |
| Mailing Fax Number | 4147278555 |
| Enumeration Date | 2013-05-08 |
| Last Update Date | 2013-05-08 |
| Authorized Official Name | BRAD PALUBICKI (PRESIDENT) |
| Authorized Official Telephone | 4142920450 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
49753-20 | WI | Allopathic & Osteopathic Physicians |
| Street Address |
2600 N MAYFAIR RD SUITE 505 |
| City | WAUWATOSA |
| State | WI |
| Zip Code | 53226-1309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962939504 | John Edwin Troast | Social Worker | 2600 N Mayfair Rd, Wauwatosa, WI 53226-1309 | 2017-05-14 |
| 1821532060 | Harris Family Dental, Sc | Dentist | 2600 N Mayfair Rd, Ste 690, Wauwatosa, WI 53226-1309 | 2016-12-07 |
| 1679023014 | William A Vonrueden | Physician Assistant | 2600 N Mayfair Rd, Suite 505, Wauwatosa, WI 53226-1309 | 2016-10-10 |
| 1588014674 | Ellen Reid | Counselor | 2600 N Mayfair Rd, Suite 650, Wauwatosa, WI 53226-1309 | 2016-06-20 |
| 1912357971 | Kirsten Wright | Counselor | 2600 N Mayfair Rd, Wauwatosa, WI 53226-1309 | 2016-06-20 |
| 1639529779 | Jaclyn Sitkowski | Counselor | 2600 N Mayfair Rd, Suite 650, Wauwatosa, WI 53226-1309 | 2016-06-20 |
| 1952751422 | Brooke A Messier | Counselor | 2600 N Mayfair Rd, #650, Wauwatosa, WI 53226-1309 | 2016-06-15 |
| 1750730495 | Neu Family Dentistry, S.c. | Dentist | 2600 N Mayfair Rd, Suite 450, Wauwatosa, WI 53226-1309 | 2016-06-03 |
| 1285011726 | Alleviant Pain & Joint Sc | Clinic/Center | 2600 N Mayfair Rd, Ste 505, Wauwatosa, WI 53226-1309 | 2015-05-05 |
| 1487071932 | Jennifer K Cicero | Social Worker | 2600 N Mayfair Rd, Ste 305, Wauwatosa, WI 53226-1309 | 2014-03-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912511155 | Alexander Harlan | Pharmacist | 900 N 92nd St, Milwaukee, WI 53226 | 2020-09-04 |
| 1558985762 | Armghan Haider Ans | Student in an Organized Health Care Education/Training Program | 9200 W. Wisconsin Ave. Froedtert Hospital & Medical Col, Milwaukee, WI 53226 | 2020-06-03 |
| 1669001103 | Kimberly Tyler | Student in an Organized Health Care Education/Training Program | 8701 W Watertown Plank Road, Medical College of Wisconsin Dept of Internal Medicine, Wauwatosa, WI 53226 | 2020-04-06 |
| 1972131993 | Francesca Meloy Devine | Student in an Organized Health Care Education/Training Program | Medical Education Office: Children's Corporate Center, 999 N. 92nd St., Suite 730, Milwaukee, WI 53226 | 2020-03-27 |
| 1285275248 | Sharitta Alford | Technician | 12250 West North Avenue, Apartment 142b, Wauwatosa, WI 53226 | 2019-10-01 |
| 1619528023 | Linda Marie Sabatinelli | Technician | 12107 W. Woodland Ave, Wauwatosa, WI 53226 | 2019-09-26 |
| 1598310195 | Matthew Laviolette | Surgery | Medical College of Wisconsin, 8701 Watertown Plank Rd., Surgical Oncology, Milwaukee, WI 53226 | 2019-08-09 |
| 1962056432 | Lyndsey Marie Bratberg | Physician Assistant | F&mcw Clinical Cancer Center 9200 W. Wisconsin Ave., Milwaukee, WI 53226 | 2019-08-01 |
| 1659832855 | Benjamin David Seadler | Surgery | Mcw, Department of Surgery, 8701 Watertown Plank Road, Milwaukee, WI 53226 | 2019-03-29 |
| 1861953267 | Michael Dryden | Student in an Organized Health Care Education/Training Program | 8701 Watertown Plank Rd., Milwaukee, WI 53226 | 2019-03-27 |
| Find all providers in zip 53226 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427053818 | James R Magliocco | Family Medicine | 201 N Mayfair Rd, Ste 505, Wauwatosa, WI 53226-4216 | 2005-06-14 |
| 1851396246 | Jeffrey K Reichel | Family Medicine | 201 N Mayfair Rd, Ste 505, Wauwatosa, WI 53226-4216 | 2005-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427214501 | Muzaffar Baig Mirza | Family Medicine | 2976 Edenberry St, Fitchburg, WI 53711-6950 | 2008-07-29 |
| 1720101447 | Robert G Montgomery | Family Medicine | 8570 S 116th St, Franklin, WI 53132-8803 | 2007-04-09 |
| 1447388350 | Robert Earl Kerwin Jr. | Family Medicine | 333 E. Campus Mall, Madison, WI 53715-1381 | 2007-03-01 |
| 1184768129 | Charles E Larson | Family Medicine | Flci, W10237 Lake Emily Rd, Fox Lake, WI 54935-8525 | 2007-02-15 |
| 1154411486 | Paul Henry Hunter | Family Medicine | 841 N Broadway Rm 315, Milwaukee, WI 53202-3613 | 2006-10-16 |
| 1851310411 | Steven Ronald Coenen | Family Medicine | 10 Triparkway, Va Clinic, Appleton, WI 54914 | 2006-07-18 |
| 1285688713 | Deborah A Luetzow | Family Medicine | 2413 W Rawson Ave, Oak Creek, WI 53154-1323 | 2006-05-20 |
| 1548257124 | Paul Hankwitz | Family Medicine | 8520 W Oklahoma Ave, Milwaukee, WI 53227-4604 | 2005-09-29 |
| 1184155194 | Richard Edgar Rieselbach | Family Medicine | 2711 Allen Blvd, Middleton, WI 53562 | 2017-03-22 |
| 1376851311 | Progressive Community Health Centers, Inc | Family Medicine | 1452 N 7th St, 2nd Floor, Milwaukee, WI 53205-2301 | 2010-09-23 |
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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.