SALLY JO SOBEL-RADKE


Address: 725 American Ave 3rd Fl Nicu, Prohealth Care Medical Associates Inc., Waukesha, WI 53188-5031
Phone: 2629287276

SALLY JO SOBEL-RADKE (NPI# 1396943627) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1396943627
Entity Type Individual
Full Name SALLY JO SOBEL-RADKE
Credential RN, NNP
Practice Address 725 American Ave 3rd Fl Nicu
Prohealth Care Medical Associates Inc.
Waukesha
WI 53188-5031
Practice Telephone 2629287276
Mailing Telephone 2629287276
Enumeration Date 2007-07-09
Last Update Date 2013-11-04
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163WN0002X Registered Nurse
Specialization: Neonatal Intensive Care
96429-030 WI Nursing Service Providers
N 163WN0002X Registered Nurse
Specialization: Neonatal Intensive Care
180310-9 MN Nursing Service Providers
Y 363LN0000X Nurse Practitioner
Specialization: Neonatal
1022 WI Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 725 AMERICAN AVE 3RD FL NICU
PROHEALTH CARE MEDICAL ASSOCIATES INC.
City WAUKESHA
State WI
Zip Code 53188-5031

Providers in the same location

NPI Name Taxonomy Address Enumeration
1073778502 Sharon A Nelson Registered Nurse 725 American Ave 3rd Fl Nicu, Prohealth Care Medical Associates Inc., Waukesha, WI 53188-5031 2008-07-24

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1336787126 Nicole Lee Berg-johnson Nurse Practitioner 820 Crestwood Dr., Waukesha, WI 53188 2019-12-12
1013475706 Rachel Mueller Occupational Therapist 29667 Summit Ave, S11, Waukesha, WI 53188 2019-03-12
1861962649 Emily Elizabeth Seefeld Occupational Therapy Assistant 29667 Summit Ave S11, Waukesha, WI 53188 2018-12-05
1003393307 Ashley Susan Callahan Dental Hygienist 711 W. Moreland Blvd., Suite 204, Waukesha, WI 53188 2018-07-19
1245741321 Melissa Weir Case Manager/Care Coordinator 514 Riverview Avenue, Waukesha, WI 53188 2017-10-17
1093233629 Patricia Marie Sombrio Dental Hygienist 711 Moreland Blvd 204, Waukesha, WI 53188 2017-09-04
1134660244 Bdg of Wisconsin, Inc. Behavioral Analyst N19w2309 Riverwood Drive, Suite 350 Pmb 314, Waukesha, WI 53188 2017-03-09
1255888731 Lynne Sarah Alva Dental Hygienist 711 Moreland Blvd, Suite 204, Waukesha, WI 53188 2016-09-01
1881069730 Michelle Koch Occupational Therapist 29667 Summit Ave. S11, Waukesha, WI 53188 2015-12-03
1952711012 Rhonda Schroeder Dental Hygienist W286 N991 Shepherds Way, Waukesha, WI 53188 2014-04-29
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Taxonomy Information

Taxonomy Code 363LN0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Neonatal

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1760030688 Pamela Zastrow Nurse Practitioner 725 American Ave, Waukesha, WI 53188-5031 2019-09-04

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1043694276 Michael Litrenta Nurse Practitioner 835 S Websster, Green Bay, WI 54301-3526 2015-07-17
1063762755 Lisa M Piontek Nurse Practitioner 835 S. Van Buren St, Green Bay, WI 54301-3526 2012-09-11
1669614020 Therese Vanbuskirk Nurse Practitioner 10400 75th St., Kenosha, WI 53142 2009-04-01
1992319065 Mariia Steffeny Nurse Practitioner 9000 W Wisconsin Ave, Milwaukee, WI 53226-4874 2020-09-04
1578187217 Jennifer Zack Nurse Practitioner 9000 W Wisconsin Ave, Milwaukee, WI 53226-4874 2020-05-28
1174173215 Amanda Noel Pickar Nurse Practitioner 1836 South Ave, La Crosse, WI 54601-5429 2019-09-19
1023665924 Roya Gandt Nurse Practitioner 9000 W Wisconsin Ave, Milwaukee, WI 53226 2019-08-25
1730641358 Karli Ann Durski Nurse Practitioner 9000 W Wisconsin Ave, Milwaukee, WI 53226-4874 2019-04-02
1992287924 Dena Hackmaster Nurse Practitioner 9000 W Wisconsin Ave, Wauwatosa, WI 53226-4874 2018-09-06
1720565674 Jessica A. Steine Nurse Practitioner 1836 South Ave, La Crosse, WI 54601-5429 2018-07-24
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Competitor

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City WAUKESHA
Zip Code 53188

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Dataset Information

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.

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