MARITIME FAMILY MEDICINE (NPI# 1457497943) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1457497943 |
Entity Type | Organization |
Organization Name | MARITIME FAMILY MEDICINE |
Other Organization Name | OAK CREEK FAMILY MEDICINE |
Practice Address |
8825 S Howell Ave Oak Creek WI 53154-3760 |
Practice Telephone | 4147640920 |
Practice Fax Number | 4147648134 |
Mailing Telephone | 4147640920 |
Mailing Fax Number | 4147648134 |
Enumeration Date | 2007-01-30 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MR. STEPHEN ALLEN SMITH (MANAGER VICE PRESIDENT) |
Authorized Official Telephone | 4147640920 |
Authorized Official Credential | BS |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Oak Creek Family Medicine | Doing Business As Name - Organization |
Street Address |
8825 S HOWELL AVE |
City | OAK CREEK |
State | WI |
Zip Code | 53154-3760 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174557425 | Return To Work & Sports Center, Inc | Physical Therapist | 8825 S Howell Ave, Suite 102, Oak Creek, WI 53154-3760 | 2006-07-11 |
1194293092 | Natalie Josephine Minturn | Counselor | 8825 S Howell Ave, Oak Creek, WI 53154-3760 | 2018-11-08 |
1265980221 | Melissa K Weier | Social Worker | 8825 S Howell Ave, Oak Creek, WI 53154-3760 | 2016-09-19 |
1104050954 | Erin Matthew O'tool | Family Medicine | 8825 S Howell Ave, Oak Creek, WI 53154-3760 | 2009-05-08 |
1528237229 | Sleepmed Therapies Inc | Durable Medical Equipment & Medical Supplies | 8825 S Howell Ave, #101, Oak Creek, WI 53154-3760 | 2008-02-27 |
1982873139 | Digitrace Care Services Inc | Clinic/Center | 8825 S Howell Ave, Suite 101, Oak Creek, WI 53154 | 2008-02-21 |
1578761748 | Paula L Schultz | Occupational Therapist | 8825 S Howell Ave, Suite 102, Oak Creek, WI 53154-3760 | 2007-07-10 |
1457497927 | Carol Marie Brown | Family Medicine | 8825 S Howell Ave, Oak Creek, WI 53154-3760 | 2007-01-30 |
1689765802 | Elizabeth A Hanus-kroll | Occupational Therapist | 8825 S Howell Ave, Suite 102, Oak Creek, WI 53154 | 2006-09-27 |
1003912346 | Richard V Colan | Psychiatry & Neurology | 8825 S Howell Ave, Suite 101, Oak Creek, WI 53154-3760 | 2006-09-15 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235762881 | Imr Oak Creek Opco, LLC | Skilled Nursing Facility | 2700 West Honadel Boulevard, Oak Creek, WI 53154 | 2020-02-21 |
1619512605 | Sharon Boushon | Technician | 642 E Pergola Place, Oak Creek, WI 53154 | 2019-11-13 |
1255991386 | Jodi Kruszka | Nurse Practitioner | 825 E Manitowoc Avenue, Oak Creek, WI 53154 | 2019-06-20 |
1184288896 | Thomas Carl Jonson | Durable Medical Equipment & Medical Supplies | 9036 S Carollton Dr., Oak Creek, WI 53154 | 2019-04-29 |
1982127577 | Zainab Saddiq | Optometrist | 8661 S. Howell Ave, 200, Oak Creek, WI 53154 | 2017-07-25 |
1649700980 | Froedtert & The Medical College of Wisconsin Community Physicians, Inc | Durable Medical Equipment & Medical Supplies | 7901 South 6th Street, Oak Creek, WI 53154 | 2017-06-19 |
1770969578 | Suhani Virparia | Pharmacist | 171 W. Town Square Way, Oak Creek, WI 53154 | 2015-08-04 |
1275919144 | Jessica Ford | Social Worker | 8825 South Howell Avenue, Suite 305, Oak Creek, WISCONSIN 53154 | 2015-08-03 |
1700269388 | Tarnit Singh Kapoor | Dentist | 8421 Howell Ave, Oak Creek, WI 53154 | 2015-07-01 |
1447656350 | Kiersten Kirking | Physical Therapist | 210 W. Raindbow Ridge Dr., 1207, Oak Creek, WI 53154 | 2014-11-05 |
Find all providers in zip 53154 |
Taxonomy Code | 261Q00000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467564682 | Rawson Family Medicine Weight Management Center | Clinic/Center | 2603 W Rawson Ave Ste 108, Oak Creek, WI 53154-8422 | 2006-09-01 |
1164081345 | Yampa Valley Medical Center | Clinic/Center | 300 Main St, Oak Creek, CO 80467-2100 | 2019-06-11 |
1437413911 | Blue Pearl Institute LLC | Clinic/Center | 8652 S Market Place, Oak Creek, WI 53154 | 2012-06-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437757986 | Wonderland Therapy LLC | Clinic/Center | 2116 Winnebago St, La Crosse, WI 54601-5060 | 2020-10-15 |
1124633870 | Aspirus Riverview Hospital & Clinics, Inc. | Clinic/Center | 146 N Central Ave, Marshfield, WI 54449-2173 | 2020-09-10 |
1952915639 | Gundersen Clinic Ltd | Clinic/Center | 2615 George St, La Crosse, WI 54603-1670 | 2020-09-01 |
1194337212 | Accident and Injury Rehab Center, Inc | Clinic/Center | 6114 W Capitol Dr Ste 100-102, Milwaukee, WI 53216-2147 | 2020-08-19 |
1275159147 | American Current Care P.a. | Clinic/Center | 6302 75th St, Kenosha, WI 53142-3506 | 2020-06-17 |
1326683749 | A.b.d.h. Counseling Services LLC | Clinic/Center | 518 E Concordia Avenue, Milwaukee, WI 53212 | 2019-11-08 |
1598318818 | Acorn Dietetics, LLC | Clinic/Center | 906 10th Ave, New Glarus, WI 53574-9765 | 2019-07-17 |
1205493582 | Freedom Family Chiropractic | Clinic/Center | 809 Phillips Blvd, Sauk City, WI 53583-1313 | 2019-05-22 |
1376001578 | Lowtwillc | Clinic/Center | 2323 N Mayfair Rd Ste 104, Wauwatosa, WI 53226-1506 | 2019-03-06 |
1154889749 | Positive Directions Inc | Clinic/Center | 3510 W Saint Paul Ave # 6, Milwaukee, WI 53208-4125 | 2019-03-04 |
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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.