WHEATON FRANCISCAN MEDICAL GROUP (NPI# 1457432049) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457432049 |
| Entity Type | Organization |
| Organization Name | WHEATON FRANCISCAN MEDICAL GROUP |
| Practice Address |
902 Milwaukee Ave South Milwaukee WI 53172-2118 |
| Practice Telephone | 4147622120 |
| Practice Fax Number | 4147627633 |
| Mailing Telephone | 4147622120 |
| Mailing Fax Number | 4147627633 |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | LARRY WADE (DIRECTOR OF FINANCE) |
| Authorized Official Telephone | 4144653000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| X | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| X | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians | ||
| X | 208800000X | Urology | Allopathic & Osteopathic Physicians | ||
| X | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | DME | 1013860012 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588746853 | Wheaton Franciscan Medical Group | Family Medicine | 4301 W Brown Deer Rd, Brown Deer, WI 53223-2400 | 2006-10-19 |
| 1871674408 | Wheaton Franciscan Medical Group | Family Medicine | 7961 N 76th St, Milwaukee, WI 53223-3947 | 2006-10-18 |
| 1306927033 | Wheaton Franciscan Medical Group | Dietitian, Registered | 201 N Mayfair Rd Fl 2, Wauwatosa, WI 53226-4216 | 2006-10-18 |
| 1174604599 | Wheaton Franciscan Medical Group | Family Medicine | 7400 W Rawson Ave, Ste. G30, Franklin, WI 53132-8278 | 2006-10-19 |
| 1154402576 | Wheaton Franciscan Medical Group | Family Medicine | 5408 W Burleigh St, Milwaukee, WI 53210-1624 | 2006-10-19 |
| 1679655005 | Wheaton Franciscan Medical Group | Family Medicine | 3970 N Oakland Ave, Shorewood, WI 53211-2265 | 2006-10-19 |
| 1790866457 | Wheaton Franciscan Medical Group | Chiropractor | 7950 N Port Washington Rd, Fox Point, WI 53217-3133 | 2006-10-18 |
| 1639250210 | Wheaton Franciscan Medical Group | Internal Medicine | 19475 W North Ave, Suite 305, Brookfield, WI 53045-4199 | 2006-10-18 |
| 1215018825 | Wheaton Franciscan Medical Group | Internal Medicine | 3533 E Ramsey Ave, Cudahy, WI 53110-3009 | 2006-10-18 |
| 1073694618 | Wheaton Franciscan Medical Group | Dermatology | 13950 W Capitol Dr, Brookfield, WI 53005-2441 | 2006-10-18 |
| Street Address |
902 MILWAUKEE AVE |
| City | SOUTH MILWAUKEE |
| State | WI |
| Zip Code | 53172-2118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952314049 | George D. Cherayil | Family Medicine | 902 Milwaukee Ave, South Milwaukee, WI 53172-2118 | 2006-08-13 |
| 1720343718 | Amber Marie Acker Forster | Nurse Practitioner | 902 Milwaukee Ave, South Milwaukee, WI 53172-2118 | 2012-07-06 |
| 1831371442 | Ram K Mittal Md Sc | Surgery | 902 Milwaukee Ave, South Milwaukee, WI 53172-2118 | 2007-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952860272 | Aaron J Schricker | Counselor | 827 Milwaukee Ave, South Milwaukee, WI 53172 | 2019-03-16 |
| 1699162883 | Callie Talatzko | Registered Nurse | 1638 Minnesota Ave, South Milwaukee, WI 53172 | 2015-04-25 |
| 1043556756 | Shawna Penelope Vasquez | Occupational Therapist | 1425 Mackinac Ave, Apt # 501, South Milwaukee, WI 53172 | 2012-12-27 |
| 1376840124 | Leah Ann Schmidt | Licensed Practical Nurse | 414 Southtowne Drive, 205, South Milwaukee, WI 53172 | 2011-02-14 |
| 1619164910 | Assisted Living Concepts Inc | Assisted Living Facility | 3829 South Chicago Avenue, South Milwaukee, WI 53172 | 2007-10-01 |
| 1194844134 | Emily Ladich | Nurse Practitioner | 2901 South Chicago Avenue Ste 1, South Milwaukee, WI 53172 | 2007-03-29 |
| 1457477143 | Matthew G Bruins | Occupational Therapist | 3601 S. Chicago Avenue, South Milwaukee, WI 53172 | 2007-03-22 |
| 1134296718 | Ram K Mittal | Surgery | 100 15th Avenue, Suit 170, South Milwaukee, WI 53172 | 2006-11-29 |
| 1689915514 | Wal-mart Stores East Lp | Technician/Technologist | 222 N Chicago Ave, South Milwaukee, WI 53172 | 2013-03-01 |
| 1174799506 | School District of South Milwaukee | Local Education Agency (LEA) | 901 15th Ave, South Milwaukee, WI 53172 | 2008-05-06 |
| Find all providers in zip 53172 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952314049 | George D. Cherayil | Family Medicine | 902 Milwaukee Ave, South Milwaukee, WI 53172-2118 | 2006-08-13 |
| 1306130737 | Jothis C Jose | Family Medicine | 100 15th Ave, 180, South Milwaukee, WI 53172-1160 | 2011-06-02 |
| 1730488404 | Jillian Huyck Hudson | Family Medicine | 3611 S Chicago Ave, Suite 100, South Milwaukee, WI 53172-3738 | 2011-03-21 |
| 1174851893 | Lakeshore Medical Clinic Ltd | Family Medicine | 1100 Milwaukee Ave, South Milwaukee, WI 53172-2013 | 2009-11-19 |
| 1578724357 | Nadine Haddad | Family Medicine | 100 15th Ave, South Milwaukee, WI 53172-1160 | 2008-06-24 |
| 1104905009 | David Munoz | Family Medicine | 3611 S. Chicago Ave, Ste 100, South Milwaukee, WI 53172-3738 | 2006-11-03 |
| 1952489445 | Paul E. Robey | Family Medicine | 3611 S Chicago Ave, Ste 100, South Milwaukee, WI 53172-3738 | 2006-11-01 |
| 1205914736 | Dixie M. Patel | Family Medicine | 3611 S. Chicago Ave., Ste 100, South Milwaukee, WI 53172-3738 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104426477 | St Gianna Molla Clinic, Inc | Family Medicine | 20 Pinewild Ct, Appleton, WI 54913-7127 | 2020-10-27 |
| 1962015552 | Callie Lund | Family Medicine | 418 Lotus St, Mosinee, WI 54455-1728 | 2020-08-25 |
| 1275159998 | Beam Healthcare, Sc | Family Medicine | 25 W Main St Fl 5, Madison, WI 53703-3399 | 2020-06-18 |
| 1487283503 | Enitza Damaris George | Family Medicine | 1906 Brackett Ave, Eau Claire, WI 54701-5042 | 2020-04-02 |
| 1093341380 | Tia Marie Vaccaro | Family Medicine | 1275 Judd Rd, Oregon, WI 53575-2573 | 2020-03-18 |
| 1134753411 | Proactive Md Sc,p.a. | Family Medicine | Brakebush Health Center, N4993 6th Dr., Westfield, WI 53964 | 2020-02-26 |
| 1790323608 | Solidaritus Health Wisconsin Sc | Family Medicine | 1476 Blazing Star Blvd Ste 4, Altoona, WI 54720-4002 | 2019-12-11 |
| 1255974952 | Integrative Health Center of Central Wisconsin LLC | Family Medicine | 3205 E Washington Ave Ste A, Madison, WI 53704-4332 | 2019-10-25 |
| 1962969220 | Paladina Health, LLC | Family Medicine | Paladina Health Menomonee Falls, N84 W15787 Menomonee Avenue Suite 6, Menomonee Falls, WI 53051 | 2019-02-22 |
| 1942767298 | Paladina Health, LLC | Family Medicine | Paladina Health Sussex Beer Capitol Clinic, W222 N5700 Miller Way, Sussex, WI 53069 | 2019-02-22 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH MILWAUKEE |
| Zip Code | 53172 |
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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.