PMTC SURGERY CENTER, INC (NPI# 1457306888) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457306888 |
| Entity Type | Organization |
| Organization Name | PMTC SURGERY CENTER, INC |
| Practice Address |
8901 N 76th St Milwaukee WI 53223-1901 |
| Practice Telephone | 4143540772 |
| Practice Fax Number | 4143650773 |
| Mailing Telephone | 4143540772 |
| Mailing Fax Number | 4143650773 |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | KIMBERLY ECCLESTON (ADMINISTRATOR) |
| Authorized Official Telephone | 4143540772 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 41913300 | 05 |
| Street Address |
8901 N 76TH ST |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53223-1901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902107691 | Kristin Kaschub | Nurse Practitioner | 8901 N 76th St, Milwaukee, WI 53223-1901 | 2010-11-11 |
| 1275799264 | Alberto C Clar Md Sc | Pain Medicine | 8901 N 76th St, Milwaukee, WI 53223-1901 | 2008-07-30 |
| 1821261140 | Eugenie Riggins | Physical Therapy Assistant | 8901 N 76th St, Milwaukee, WI 53223-1901 | 2008-04-08 |
| 1629241948 | Julie Neuman | Physical Therapy Assistant | 8901 N 76th St, Milwaukee, WI 53223-1901 | 2008-04-08 |
| 1811020779 | Kerry Ammann | Physical Therapist | 8901 N 76th St, Milwaukee, WI 53223-1901 | 2007-03-13 |
| 1750412201 | Pain Management & Treatment Center, S.c. | Specialist | 8901 N 76th St, Milwaukee, WI 53223-1901 | 2007-03-08 |
| 1063433951 | Juliette Martin-thomas Phd Sc | Psychologist | 8901 N 76th St, Milwaukee, WI 53223-1901 | 2006-07-23 |
| 1174562334 | George Penn King | Anesthesiology | 8901 N 76th St, Milwaukee, WI 53223-1901 | 2006-06-05 |
| 1770522948 | Brian Christofferson | Physician Assistant | 8901 N 76th St, Milwaukee, WI 53223-1901 | 2006-06-05 |
| 1174561914 | Pamela Yvette Thomas-king | Anesthesiology | 8901 N 76th St, Milwaukee, WI 53223-1901 | 2006-06-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235742206 | Jamie Brown | Home Health Aide | 8200 W. Clovernook Street, Milwaukee, WI 53223 | 2020-08-28 |
| 1730725656 | Lekecia Ferguson | Case Manager/Care Coordinator | 7970 W Glendbrook Rd, Milwaukee, WI 53223 | 2019-11-26 |
| 1457994717 | Talitha Cumi | Specialist | 6239 West Boehlke Avenue, Tiana M. Jenkins, Mlwaukee, WI 53223 | 2019-10-18 |
| 1235627498 | Letitia Dotson | Licensed Practical Nurse | 9395 N 49th St, Apt 201, Brown Deer, WI 53223 | 2018-04-24 |
| 1588176002 | Courtney Erin Tomaszewski | Occupational Therapy Assistant | 7300 W. Dean Rd, Milwaukee, WI 53223 | 2017-10-25 |
| 1972051373 | Sam's East, Inc. | Technician/Technologist | 8100 N 124th Street, Milwaukee, WI 53223 | 2016-09-14 |
| 1346671302 | Atlantic Home Health Care, Inc | Home Health | 5600 West Brown Deer Road, #216, Brown Deer, WI 53223 | 2013-12-02 |
| 1720415938 | Bell Therapy, Inc. | Community Based Residential Treatment Facility, Mental Illness | 7229-7231 W. Brentwood Ave., Milwaukee, WI 53223 | 2013-10-02 |
| 1528405701 | Ground Support Logistics LLC | Driver | 8200 W Browndeer Rd, Milwaukee, WI 53223 | 2013-05-29 |
| 1801136288 | Nicole M. Rintelman | Registered Nurse | 4600 W. Schroeder Drive, Rogers Memorial Hospital, Brown Deer, WI 53223 | 2013-02-22 |
| Find all providers in zip 53223 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558807131 | Midwest Nephrology Associates, Sc | Clinic/Center | 7797 W Appleton Avenue, Milwaukee, WI 53222 | 2017-01-06 |
| 1154795649 | Affiliated Surgery Center Inc | Clinic/Center | 4113 N. Port Washington Rd, Milwaukee, WI 53212 | 2015-11-20 |
| 1720413073 | Jacob L Golding | Clinic/Center | 7300 N Beach Dr, Milwaukee, WI 53217-3661 | 2013-09-05 |
| 1346372240 | United Medical Center, LLC | Clinic/Center | 9120 W Capitol Dr, Milwaukee, WI 53222-1622 | 2007-03-09 |
| 1750358453 | Center for Digestive Health Ltd | Clinic/Center | 2801 W Kinnickinnic River Pkwy Ste 1030, Milwaukee, WI 53215-3669 | 2006-03-02 |
| 1508851213 | Froedtert Surgery Center, LLC | Clinic/Center | 840 N 87th St, Milwaukee, WI 53226-3586 | 2005-09-19 |
| 1104811918 | North Shore Surgical Center A Wi | Clinic/Center | 7007 N Range Line Rd, Milwaukee, WI 53209-2620 | 2005-09-19 |
| 1730586561 | Midwest Foot & Ankle Surgical Center | Clinic/Center | 3915 W Capitol Dr, Milwaukee, WI 53216-2528 | 2014-11-21 |
| 1871847319 | Wisconsin Laser and Surgery Center LLC | Clinic/Center | 10200 W Innovation Dr, Ste 700, Milwaukee, WI 53226-4825 | 2012-11-06 |
| 1043579741 | Pain Centers of Wisconsin - Wauwatosa, LLC | Clinic/Center | 959 N Mayfair Rd, Milwaukee, WI 53226-3465 | 2012-05-15 |
| Find all providers in MILWAUKEE | ||||
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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.