CHILDREN'S HOSPITAL OF WISCONSIN (NPI# 1346727443) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346727443 |
| Entity Type | Organization |
| Organization Name | CHILDREN'S HOSPITAL OF WISCONSIN |
| Other Organization Name | CHILD ADVOCACY CENTER - LAKESHORE |
| Practice Address |
134 S Foster Dr Saukville WI 53080-2005 |
| Mailing Address |
9000 W Wisconsin Ave # Ms 958 Milwaukee WI 53226-4874 |
| Practice Telephone | 2623589080 |
| Practice Fax Number | 2622682040 |
| Mailing Telephone | 4142667615 |
| Mailing Fax Number | 4142666238 |
| Enumeration Date | 2018-07-23 |
| Last Update Date | 2018-07-23 |
| Authorized Official Name | SHEILA REUTEMAN (SR. CREDENTIALING COORDINATOR) |
| Authorized Official Telephone | 4142667615 |
| Is Organization Subpart | Y |
| Parent Organization Name | CHILDREN'S HOSPITAL OF WISCONSIN |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Child Advocacy Center - Lakeshore | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992810667 | Children's Hospital of Wisconsin | General Acute Care Hospital | 9000 W Wisconsin Ave Msc 750, Milwaukee, WI 53226-3518 | 2006-08-20 |
| 1689787541 | Children's Hospital of Wisconsin | Audiologist | W147n10748 Heritage Pkwy, Germantown, WI 53022-4389 | 2006-08-16 |
| 1962003707 | Children's Hospital of Wisconsin | Counselor | 8800 Washington Ave, Mount Pleasant, WI 53406-3701 | 2020-11-06 |
| 1760819312 | Children's Hospital of Wisconsin | Pediatrics | W4063 Hwy Nn, Elkhorn, WI 53121-4338 | 2013-09-27 |
| 1649519299 | Children's Hospital of Wisconsin | Pediatrics | 8500 75th St, Kenosha, WI 53142-8213 | 2013-02-01 |
| 1386983930 | Children's Hospital of Wisconsin | Pediatrics | 503 S Monroe Ave, Green Bay, WI 54301-4017 | 2013-02-01 |
| 1275872822 | Children's Hospital of Wisconsin | Pediatrics | 726 N East Ave, Waukesha, WI 53186-4807 | 2013-02-01 |
| 1700125481 | Children's Hospital of Wisconsin | Pediatrics | 325 N Commercial St, Suite 400, Neenah, WI 54956-2665 | 2013-01-31 |
| 1194064865 | Children's Hospital of Wisconsin | Pediatrics | 2405 Northwestern Ave, Suite 205, Racine, WI 53404-2534 | 2013-01-31 |
| 1831437581 | Children's Hospital of Wisconsin | Pediatrics | 619 W Walnut St, Milwaukee, WI 53212-3839 | 2013-01-30 |
| Street Address |
134 S FOSTER DR |
| City | SAUKVILLE |
| State | WI |
| Zip Code | 53080-2005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225284961 | Balance, Inc. | Day Training, Developmentally Disabled Services | 134 S Foster Dr, Saukville, WI 53080-2005 | 2008-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437757069 | Kerri Lynn Garant | Pharmacist | Walmart Pharmacy 10-1650, 825 E. Green Bay Avenue, Saukville, WI 53080 | 2020-10-15 |
| 1619527090 | Latisha Irene Metealf | Technician | 604 W Hillcrest Rd Apt 111, Saukville, WI 53080 | 2019-09-17 |
| 1578841854 | Calvin Donald Thomas | Physical Therapist | 516 East Green Bay Ave, Saukville, WI 53080 | 2011-08-03 |
| 1578681748 | Julie Schueller | Physical Therapist | 516 E. Green Bay Ave, Saukville, WI 53080 | 2007-03-27 |
| 1922145101 | Ty C. Wade | Chiropractor | 620 E. Green Bay Ave., Suite 104, Saukville, WI 53080 | 2007-01-30 |
| 1427116375 | Stuart W Natale | Optometrist | 289 E Green Bay Ave, Saukville, WI 53080 | 2006-12-04 |
| 1245520055 | Wal-mart Stores East Lp | Technician/Technologist | 825 E Green Bay Ave, Saukville, WI 53080 | 2011-04-13 |
| 1659590370 | Diane Mary Ott | Physical Therapist | 516 E Green Bay Ave, Saukville, WI 53080 | 2007-04-24 |
| 1902134224 | Knutson | Durable Medical Equipment & Medical Supplies | N5272 Highway I, Saukville, WI 53080-1040 | 2009-11-24 |
| 1962733790 | Nancy Evon Knutson | Licensed Practical Nurse | N5272 Highway I, Saukville, WI 53080-1040 | 2010-01-19 |
| Find all providers in zip 53080 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437767977 | St Francs Pediatrics | Pediatrics | 3201 S 16th St Ste 100, Milwaukee, WI 53215-4579 | 2020-07-21 |
| 1780155275 | Children's Health System, Inc. | Pediatrics | 6809 122nd Avenue, Kenosha, WI 54342-7335 | 2018-12-10 |
| 1467972950 | Cameron Trammell Shamsi Kasmai | Pediatrics | 9000 W Wisconsin Ave # Ms 681, Milwaukee, WI 53226-4874 | 2017-06-26 |
| 1669903993 | Kristin Zorn | Pediatrics | 8701 W Watertown Plank Rd # Mfrc3018, Milwaukee, WI 53226-3548 | 2017-03-27 |
| 1487195822 | Jane A Rivas | Pediatrics | 9000 W Wisconsin Ave # C550, Milwaukee, WI 53226-4874 | 2017-03-18 |
| 1467996991 | Children's Medical Group | Pediatrics | N168w22730 Prairie View Lane, Jackson, WI 53037 | 2016-12-19 |
| 1366997496 | Ujuchukwu Chizurum Okpechi | Pediatrics | 2700 W 9th Ave Ste 211, Oshkosh, WI 54904-7865 | 2016-08-18 |
| 1396193454 | Helen Gerseny Waterman | Pediatrics | 123 E Mifflin St Apt 200, Madison, WI 53703-2810 | 2016-05-31 |
| 1972951127 | Hillary Herman | Pediatrics | 1506 S Oneida St Fl 5, Appleton, WI 54915-1305 | 2016-05-27 |
| 1811350416 | Brittney Allison Krueger | Pediatrics | 4855 S Moorland Rd Ste 150, New Berlin, WI 53151-7495 | 2016-03-31 |
| 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.