PARKLAND FAMILY PHYSICIANS SC (NPI# 1518079771) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518079771 |
| Entity Type | Organization |
| Organization Name | PARKLAND FAMILY PHYSICIANS SC |
| Practice Address |
4448 W Loomis Road Suite #101 Greenfield WI 53220-4817 |
| Practice Telephone | 4142824443 |
| Practice Fax Number | 4142822278 |
| Mailing Telephone | 4142824443 |
| Mailing Fax Number | 4142822278 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2008-06-30 |
| Authorized Official Name | MR. DONALD D NIMMER (VICE PRESIDENT) |
| Authorized Official Telephone | 4142824443 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 29494 | WI | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | 29409 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TRICARE | W010282 | 01 | |
| WI | 32767900 | 05 |
| Street Address |
4448 W LOOMIS ROAD SUITE #101 |
| City | GREENFIELD |
| State | WI |
| Zip Code | 53220-4817 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679652416 | William G Dralle | Family Medicine | 4448 W Loomis Road, Ste 100, Greenfield, WI 53220-4851 | 2006-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871061069 | Kathleen Elizabeth White | Orthotist | 6790 W. Layton Ave, Greenfield, WI 53220 | 2018-11-06 |
| 1992284087 | Froedtert & The Medical College of Wisconsin Community Physicians | Non-Pharmacy Dispensing Site | 4859 South 60th Street, Greenfield, WI 53220 | 2018-08-09 |
| 1609394220 | Aaron Park | Speech-Language Pathologist | 3540 S. 43rd St., Milwaukee, WI 53220 | 2017-09-04 |
| 1730601675 | Rosaana Avila | Physical Therapist | 3944 S. 60th St., Milwaukee, WI 53220 | 2017-07-12 |
| 1285002667 | Casey E Reis | Nurse Practitioner | 4848 S. 76th Street, Greenfield, WI 53220 | 2015-09-02 |
| 1437539798 | Luke Robert Garceau | Physical Therapist | 6520 W. Layton Ave #101, Greenfield, WI 53220 | 2015-06-02 |
| 1295139012 | Tammy Giannopoulos, LLC | Clinic/Center | 4402 S 68th St Suite 100, Greenfield, WI 53220 | 2014-10-22 |
| 1861754244 | Lakeshore Medical Clinic | Occupational Therapist | 4444 West Loomis Road, 200, Greenfield, WI 53220 | 2012-06-12 |
| 1598083115 | Rebecca Anne Kappes | Licensed Practical Nurse | 8208 W Tripoli, Milwaukee, WI 53220 | 2010-05-06 |
| 1699941005 | Susan Marie Delaet | Physical Therapy Assistant | 5700 West Layton Ave, Greenfield, WI 53220 | 2008-05-06 |
| Find all providers in zip 53220 | ||||
| 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 |
|---|---|---|---|---|
| 1164879144 | Cindy Nguyen | Family Medicine | 740 W Green Meadows Dr Ste 105, Greenfield, IN 46140-3098 | 2016-05-19 |
| 1376961086 | Breana Christine Cummens | Family Medicine | 4600 W Loomis Rd Ste 130, Greenfield, WI 53220-4858 | 2014-03-31 |
| 1053448936 | Franklin R Thomas | Family Medicine | 489 Bernardston Rd Ste 108, Greenfield, MA 01301-1239 | 2007-02-27 |
| 1598830333 | Milka Mandich | Family Medicine | 4448 W. Loomis Rd, Ste 100, Greenfield, WI 53220-4851 | 2006-11-21 |
| 1548330467 | Aparna S. Shah | Family Medicine | 4455 S 108th St, Greenfield Highlands Health Center, Greenfield, WI 53228-2504 | 2006-11-08 |
| 1730278730 | Malcolm B. Oliver | Family Medicine | 105 N Grand, Suite 2, Greenfield, MO 65661 | 2006-10-11 |
| 1417041773 | Dennis F Lawton | Family Medicine | 300 E. Boyd Avenue, Suite 100, Greenfield, IN 46140-2816 | 2006-10-03 |
| 1588676522 | Aimee Marie Shirrell | Family Medicine | 808 Oak Ave, Greenfield, CA 93927-5648 | 2006-08-11 |
| 1972519361 | Barbara Ann Hummel | Family Medicine | 4811 S 76th St Ste 201, Greenfield, WI 53220-4364 | 2006-07-31 |
| 1972523298 | Greenfield Medical Center LLC | Family Medicine | 123 Wetzel Street, Greenfield, MO 65661 | 2006-07-20 |
| Find all providers in GREENFIELD | ||||
| City | GREENFIELD |
| Zip Code | 53220 |
Please comment or provide details below to improve the information on PARKLAND FAMILY PHYSICIANS SC.
| 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.