MILWAUKEE NEPHROLOGY CARE INC (NPI# 1386968428) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386968428 |
| Entity Type | Organization |
| Organization Name | MILWAUKEE NEPHROLOGY CARE INC |
| Practice Address |
19050 Blue Ridge Ct Brookfield WI 53045-5103 |
| Practice Telephone | 4142021724 |
| Practice Fax Number | 8883153739 |
| Mailing Telephone | 4142021724 |
| Mailing Fax Number | 8883153739 |
| Enumeration Date | 2010-03-18 |
| Last Update Date | 2010-09-30 |
| Authorized Official Name | DR. RYAN D HOLZMACHER (PRESIDENT) |
| Authorized Official Telephone | 4142021724 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities | ||
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
42642-020 | WI | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 34749000 | 05 |
| Street Address |
19050 BLUE RIDGE CT |
| City | BROOKFIELD |
| State | WI |
| Zip Code | 53045-5103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801436159 | Jeannie Spoon | Behavioral Analyst | 200 N. Patrick Blvd. Ste 250, Brookfield, WI 53045 | 2020-01-14 |
| 1629635313 | Hallie Mackenzie Ritchay | Speech-Language Pathologist | Greenfield Rehabilitation Agency 19395 W Capitol Dr, Ste 200, Brookfield, WI 53045 | 2019-05-29 |
| 1427535038 | Kimberly Ann Beres | Registered Nurse | 2253 Norhardt Dr, Brookfield, WI 53045 | 2018-07-26 |
| 1265927768 | Brady Frederick Bachmann | Physical Therapist | 275 Regency Ct., Suite 200, Brookfield, WI 53045 | 2018-06-27 |
| 1841792603 | Wisconsin Renal Care Group, L.L.C. | Clinic/Center | 17500 W Capitol Drive, Brookfield, WI 53045 | 2018-03-07 |
| 1750828299 | Nanette Marie Kloth | Nurse Practitioner | 18110 W Bluemond Rd, Brookfield, WI 53045 | 2017-01-23 |
| 1144772013 | Saida Reifenrath | Acupuncturist | 240 Regency Court, Suite 102, Brookfield, WI 53045 | 2016-10-26 |
| 1437545951 | Kylee Stevenson | Chiropractor | 19555 W Bluemound Rd Ste 6, Brookfield, WI 53045 | 2015-04-10 |
| 1548659725 | Patricia Ann Kender | Nurse Practitioner | 17495 W. Capitol Dr., Brookfield, WI 53045 | 2015-01-12 |
| 1568882793 | Kassandra E Holzem | Dermatology | 195 Discovery Dr, Brookfield, WI 53045 | 2014-04-28 |
| Find all providers in zip 53045 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
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| 1023267101 | Concentra Health Services, Inc. | Clinic/Center | 2455 North 124th Street, Brookfield, WI 53005 | 2008-09-15 |
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| 1639721871 | Shifting Healthcare, LLC | Clinic/Center | 1702 Scheuring Rd, De Pere, WI 54115-9567 | 2019-07-09 |
| 1699334441 | Mvmt Performance & Rehabilitation | Clinic/Center | 2866 Gentle Hills Dr, De Pere, WI 54115-8157 | 2019-06-06 |
| 1114379310 | East Meets West Therapeutics Sc | Clinic/Center | 136 N Main St Ste 305, Thiensville, WI 53092-1606 | 2016-07-12 |
| 1912358128 | Achieve Wellness, LLC | Clinic/Center | 3300 Birch St Ste 1b, Eau Claire, WI 54703-2297 | 2016-06-29 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | BROOKFIELD |
| Zip Code | 53045 |
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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.