DR. PETER MICHAEL MEDVED (NPI# 1427062439) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427062439 |
| Entity Type | Individual |
| Full Name | DR. PETER MICHAEL MEDVED |
| Credential | M.D. |
| Practice Address |
9200 W Loomis Rd Franklin WI 53132-8887 |
| Practice Telephone | 4145299330 |
| Practice Fax Number | 4145299331 |
| Mailing Telephone | 4145299330 |
| Mailing Fax Number | 4145299331 |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 24579 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | STATE LICENSE # | 24579 | 01 |
| WI | 30756000 | 05 | |
| WI | DEA# | AM1769768 | 01 |
| Street Address |
9200 W LOOMIS RD |
| City | FRANKLIN |
| State | WI |
| Zip Code | 53132-8887 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457351355 | Wende A Moline | Nurse Practitioner | 9200 W Loomis Rd, Suite 101, Franklin, WI 53132-8887 | 2005-07-21 |
| 1689189482 | Kari Megan Dyer I | Registered Nurse | 9200 W Loomis Rd, Franklin, WI 53132-8887 | 2017-12-04 |
| 1922550482 | Julie Ann Berkopec | Physical Therapist | 9200 W Loomis Rd, Suite 107, Franklin, WI 53132-8887 | 2016-11-01 |
| 1245789023 | Stephanie Peterson | Pharmacist | 9200 W Loomis Rd, Suite 210, Franklin, WI 53132-8887 | 2016-09-22 |
| 1184170128 | Liesel A Oechsner | Physical Therapist | 9200 W Loomis Rd, Franklin, WI 53132-8887 | 2016-08-30 |
| 1538512009 | Aurora Medical Group, Inc. | Durable Medical Equipment & Medical Supplies | 9200 W Loomis Rd, Suite 212, Franklin, WI 53132-8887 | 2016-07-19 |
| 1104202282 | Megan M Rorabeck | Physical Therapist | 9200 W Loomis Rd, Franklin, WI 53132-8887 | 2015-07-30 |
| 1902208754 | Alexa D. Chesner | Nurse Practitioner | 9200 W Loomis Rd, Franklin, WI 53132-8887 | 2014-09-24 |
| 1669891164 | Bridget Bodenbach | Physician Assistant | 9200 W Loomis Rd, Franklin, WI 53132-8887 | 2014-04-11 |
| 1841623840 | Ryan Patrick Larkey | Social Worker | 9200 W Loomis Rd, Suite 217, Franklin, WI 53132-8887 | 2013-08-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568014405 | Michelle L. Lamers, D.d.s, L.L.C. | Dentist | 7111 S 76 Street, Franklin, WI 53132 | 2019-07-11 |
| 1649833765 | Lori A Mansur | Registered Nurse | 6580 S. 46th St., Franklin, WI 53132 | 2019-04-15 |
| 1619496296 | Emily Ninnemann | Occupational Therapist | 8940 S. 51st St, Franklin, WI 53132 | 2017-09-14 |
| 1639532526 | Rinal Patel | Emergency Medicine | 9200 W Loomis Rd Ste 212, Franklin, WI 53132 | 2016-03-30 |
| 1174980098 | Lisa Obrien | Registered Nurse | 3111 W Rawson Ave Ste 210, Franklin, WI 53132 | 2016-01-22 |
| 1528446713 | Jonathan Shih | Podiatrist | 9200 W Loomis Rd Ste 116, Franklin, WI 53132 | 2015-05-08 |
| 1275940769 | Tristan Krause | Nurse Practitioner | 4225 W. Oakwood Park Court, Franklin, WI 53132 | 2014-07-16 |
| 1922344613 | Vital Imaging, LLC | Clinic/Center | 10500 W. Loomis Rd., Ste 130, Franklin, WI 53132 | 2012-12-27 |
| 1013285311 | Jill Barth | Pharmacist | 7130 South 76th Street, Franklin, WI 53132 | 2011-12-01 |
| 1235417783 | Hilary Megan Mayne | Dentist | 6855 South 27th St, Franklin, WI 53132 | 2011-08-02 |
| Find all providers in zip 53132 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598059545 | Daniel Sacks | Otolaryngology | 4601 Carothers Pkwy Ste 215, Franklin, TN 37067-6003 | 2011-06-07 |
| 1477525434 | Kathleen A Fitch | Otolaryngology | 1029 Liberty St, Franklin, PA 16323-1242 | 2006-02-03 |
| 1699339325 | Upmc Community Medicine, Inc. | Otolaryngology | 1029 Liberty St, Franklin, PA 16323-1242 | 2019-04-29 |
| 1013390236 | Ibrahim Toufic Bawab | Otolaryngology | 1029 Liberty St, Franklin, PA 16323-1242 | 2015-07-07 |
| 1427451699 | Sleep Apnea Institute Nashville LLC | Otolaryngology | 2001 Mallory Ln, Suite 302, Franklin, TN 37067-8233 | 2014-10-02 |
| 1386933489 | Ryan D. Duncan, Pllc | Otolaryngology | 2001 Mallory Ln, Suite 202, Franklin, TN 37067-8233 | 2011-03-30 |
| 1659608891 | John Hugh Mather | Otolaryngology | 1015 W Main St, Franklin, TN 37064-2731 | 2009-11-09 |
| 1952534703 | Allergycare of Cool Springs, Pllc | Otolaryngology | 740 Cool Springs Blvd, Ste. 120, Franklin, TN 37067-6448 | 2009-08-27 |
| 1598887143 | Otolaryngology Associates LLC | Otolaryngology | 1101 W Jefferson St, Ste S, Franklin, IN 46131-2728 | 2007-04-04 |
| 1407994619 | Gregory A. Mowery, Md Pllc | Otolaryngology | 2001 Mallory Ln, Suite 105, Franklin, TN 37067-8233 | 2007-02-01 |
| Find all providers in FRANKLIN | ||||
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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.