PEDIATRIC HEALTHCARE, SC (NPI# 1407807647) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407807647 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC HEALTHCARE, SC |
| Practice Address |
20611 Watertown Rd C Waukesha WI 53186-1871 |
| Practice Telephone | 2627981810 |
| Practice Fax Number | 2627982614 |
| Mailing Telephone | 2627981810 |
| Mailing Fax Number | 2627982614 |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | BEVERLY A SARAN (MANAGER) |
| Authorized Official Telephone | 2627981810 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| Street Address |
20611 WATERTOWN RD C |
| City | WAUKESHA |
| State | WI |
| Zip Code | 53186-1871 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083614515 | David Christian Hemmy | Neurological Surgery | 20611 Watertown Rd, Suite J, Waukesha, WI 53186-1871 | 2005-07-27 |
| 1457912412 | Jami L Smith | Nurse Practitioner | 20611 Watertown Rd, Waukesha, WI 53186-1871 | 2019-06-21 |
| 1730514175 | Nicole Katcha | Registered Nurse | 20611 Watertown Rd, Suite J, Waukesha, WI 53186-1871 | 2013-09-04 |
| 1851732135 | Jamie L Mabeus | Chiropractor | 20611 Watertown Rd, Suite B, Waukesha, WI 53186-1871 | 2013-07-15 |
| 1841531571 | Nicole M Bartelt | Nurse Practitioner | 20611 Watertown Rd, Ste J, Waukesha, WI 53186-1871 | 2013-03-05 |
| 1801144845 | Ronelle E Christenson | Nurse Practitioner | 20611 Watertown Rd, Suite J, Waukesha, WI 53186-1871 | 2012-08-23 |
| 1689943631 | Colleen Jo Sobocinski | Nurse Practitioner | 20611 Watertown Rd, Suite J, Waukesha, WI 53186-1871 | 2011-12-20 |
| 1720371719 | Prohealth Care Medical Associates Inc | Internal Medicine | 20611 Watertown Rd, Suite J, Waukesha, WI 53186-1871 | 2011-05-24 |
| 1821307190 | Kathleen Wolf | Occupational Therapist | 20611 Watertown Rd, Prohealth Care Works, Waukesha, WI 53186-1871 | 2010-10-04 |
| 1073746517 | Kathy D Hartke Md Sc | Obstetrics & Gynecology | 20611 Watertown Rd, Suite E, Waukesha, WI 53186-1871 | 2009-09-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295391472 | Christine Lowdon Triggs | Dentist | 21680 West Bluemound Rd, Waukesha, WI 53186 | 2019-05-14 |
| 1881182889 | Allure Medical of Wisconsin Pllc | Clinic/Center | 1930 W Bluemound Rd Ste 340, Waukesha, WI 53186 | 2018-04-25 |
| 1316462104 | Mary B Mckee | Dietitian, Registered | 22370 W Bluemound Rd, #102, Waukesha, WI 53186 | 2017-08-14 |
| 1740738343 | Rebecca Menelle | Physical Therapist | 1809 Shepherd Ct, Apt 206, Waukesha, WI 53186 | 2016-09-13 |
| 1568919876 | Dianne Isnard | Physical Therapist | W231n1440 Corporate Court, Waukesha, WI 53186 | 2016-09-02 |
| 1982065991 | Brandon James Decker | Nurse Practitioner | 21775 Hillcrest Drive, Waukesha, WI 53186 | 2016-03-18 |
| 1598142937 | Sophia Marie Klingbiel | Social Worker | 1515 Paramount Dr., Waukesha, WI 53186 | 2015-05-06 |
| 1326478165 | Glen D Haberman | Dentist | 141 Wisconsin Avenue, Waukesha, WI 53186 | 2013-11-14 |
| 1487991014 | Sara Nicole Francis | Counselor | 217 Wisconsin Ave Ste 211, Waukesha, WI 53186 | 2013-01-16 |
| 1770862054 | Alex Colque, M.d. S.c. | Plastic Surgery | 21675 E Moreland Blvd, Suite 100, Waukesha, WI 53186 | 2011-08-04 |
| Find all providers in zip 53186 | ||||
| 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 |
|---|---|---|---|---|
| 1679579098 | Lucia C Roman-marcial | Pediatrics | 309 E North St, Waukesha, WI 53188-3718 | 2005-06-21 |
| 1275872822 | Children's Hospital of Wisconsin | Pediatrics | 726 N East Ave, Waukesha, WI 53186-4807 | 2013-02-01 |
| 1225179005 | Prohealth Care Medical Associates Inc | Pediatrics | 721 American Ave, Suite 309, Waukesha, WI 53188-5071 | 2007-02-12 |
| 1265588172 | Waukesha Pediatric Associates | Pediatrics | 1111 Delafield St, Suite 115, Waukesha, WI 53188-3417 | 2007-01-25 |
| 1114953825 | Yasmin K Bhathena | Pediatrics | W231n1440 Corporate Ct, Waukesha, WI 53186-1303 | 2006-06-24 |
| 1518906288 | Meghan K Kinateder | Pediatrics | 1111 Delafield St, Suite 115, Waukesha, WI 53188-3417 | 2006-06-06 |
| 1851367072 | Jennifer Vipond | Pediatrics | N14w23900 Stone Ridge Dr, Prohealth Care Medical Associates Inc., Waukesha, WI 53188-1135 | 2006-02-27 |
| 1578538617 | Joseph Tzougros | Pediatrics | N14w23900 Stone Ridge Dr, Prohealth Care Medical Associates Inc., Waukesha, WI 53188-1135 | 2006-02-22 |
| 1396710877 | Gerhard Sawall | Pediatrics | N14w23900 Stone Ridge Dr, Prohealth Care Medical Associates Inc, Waukesha, WI 53188-1135 | 2006-02-20 |
| 1699748137 | Dorothy Delisle | Pediatrics | N14w23900 Stone Ridge Dr, Prohealth Care Medical Associates Inc., Waukesha, WI 53188-1135 | 2006-02-07 |
| Find all providers in WAUKESHA | ||||
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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.