METHODIST MANOR HEALTH CENTER, INC. (NPI# 1538136254) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538136254 |
| Entity Type | Organization |
| Organization Name | METHODIST MANOR HEALTH CENTER, INC. |
| Other Organization Name | OLSEN MEDICAL CLINIC |
| Practice Address |
8520 W Oklahoma Ave West Allis WI 53227-4604 |
| Mailing Address |
3023 S 84th St West Allis WI 53227-3703 |
| Practice Telephone | 4146074291 |
| Practice Fax Number | 4146074530 |
| Mailing Telephone | 4146074100 |
| Mailing Fax Number | 4146074502 |
| Enumeration Date | 2006-03-01 |
| Last Update Date | 2009-04-08 |
| Authorized Official Name | MR. JAMES ENLUND (PRESIDENT & CEO) |
| Authorized Official Telephone | 4146074100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
WI | Allopathic & Osteopathic Physicians | |
| N | 261QH0700X |
Clinic/Center Specialization: Hearing and Speech |
WI | Ambulatory Health Care Facilities | |
| N | 261Q00000X | Clinic/Center | WI | Ambulatory Health Care Facilities | |
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
WI | Ambulatory Health Care Facilities | |
| N | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
WI | Ambulatory Health Care Facilities | |
| N | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
WI | Ambulatory Health Care Facilities | |
| N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
WI | Ambulatory Health Care Facilities | |
| N | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
WI | Ambulatory Health Care Facilities | |
| N | 261QX0100X |
Clinic/Center Specialization: Occupational Medicine |
WI | Ambulatory Health Care Facilities | |
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
WI | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 32865700 | 05 |
| Other Name | Type Code |
|---|---|
| Olsen Medical Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073580403 | Methodist Manor Health Center, Inc. | Pharmacy | 8615 W Beloit Rd, West Allis, WI 53227-3711 | 2006-03-03 |
| 1518934264 | Methodist Manor Health Center, Inc. | Pharmacy | 7300 W Dean Rd, Milwaukee, WI 53223-2637 | 2006-03-01 |
| Street Address |
8520 W OKLAHOMA AVE |
| City | WEST ALLIS |
| State | WI |
| Zip Code | 53227-4604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811313240 | Bryan Paul Stein | Physical Therapist | 8520 W Oklahoma Ave, West Allis, WI 53227-4604 | 2014-03-10 |
| 1033415278 | Melissa Molitor | Physical Therapy Assistant | 8520 W Oklahoma Ave, West Allis, WI 53227-4604 | 2011-02-06 |
| 1538334990 | Brad William Bulkow | Physical Therapist | 8520 W Oklahoma Ave, West Allis, WI 53227-4604 | 2008-04-28 |
| 1841464864 | Deborah Ann Jonas | Occupational Therapy Assistant | 8520 W Oklahoma Ave, West Allis, WI 53227-4604 | 2008-04-22 |
| 1134393093 | Jennifer Lee Mcfadyen | Occupational Therapist | 8520 W Oklahoma Ave, West Allis, WI 53227-4604 | 2008-04-22 |
| 1356515373 | James Edward Ziegler | Physical Therapist | 8520 W Oklahoma Ave, West Allis, WI 53227-4604 | 2008-04-22 |
| 1417121369 | Tad Howard Gittins | Physical Therapy Assistant | 8520 W Oklahoma Ave, West Allis, WI 53227-4604 | 2008-04-22 |
| 1508030446 | Carolyn Mary Stein | Physical Therapy Assistant | 8520 W Oklahoma Ave, West Allis, WI 53227-4604 | 2008-04-22 |
| 1194999128 | Elizabeth Kruser Moore | Physical Therapist | 8520 W Oklahoma Ave, West Allis, WI 53227-4604 | 2008-04-22 |
| 1720252687 | Susan M Bissell | Occupational Therapy Assistant | 8520 W Oklahoma Ave, West Allis, WI 53227-4604 | 2008-04-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205451564 | Ginger Renee Bland | Nurse Practitioner | 11133 W. National Avenue, West Allis, WI 53227 | 2020-06-12 |
| 1003312141 | Dynamic Medical Equipment, LLC | Durable Medical Equipment & Medical Supplies | 10236 W National Ave, West Allis, WI 53227 | 2018-04-05 |
| 1932572641 | Alissa Kristine Walker | Specialist/Technologist | 11601 W Lincoln Ave, West Allis, WI 53227 | 2015-11-03 |
| 1396155990 | Bradly Earl Helinski | Physical Therapy Assistant | 3023 S 84th St., Milwaukee, WI 53227 | 2014-05-05 |
| 1609299783 | Amy Renee Rozumalski | Occupational Therapy Assistant | 10150 W. National Ave, Suite 150, Premiere Medical Staffing Services, LLC, Milwaukee, WI 53227 | 2014-01-27 |
| 1497098438 | Kathleen Marie Schneider | Physical Therapy Assistant | 3023 S. 84th Street, Milwaukee, WI 53227 | 2013-03-28 |
| 1760723373 | Lee Ann Schraith | Physical Therapy Assistant | 3023 S. 84th St, Milwaukee, WI 53227 | 2013-03-06 |
| 1740520725 | Samantha Lynn Wozniak | Physical Therapist | 3023 S. 84th St., Milwaukee, WI 53227 | 2013-02-27 |
| 1831434901 | Andrew Paul Roeder | Physical Therapy Assistant | 3023 S. 89th Street, Milwaukee, WI 53227 | 2012-11-30 |
| 1538418116 | Christine Wilford | Social Worker | 2044 S 96th Street, West Allis, WI 53227 | 2012-08-29 |
| Find all providers in zip 53227 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
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|---|---|---|---|---|
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| 1619589082 | Domanika Morbley | Clinic/Center | 2544 N 11th St, Milwaukee, WI 53206-3127 | 2020-08-18 |
| 1184234163 | Weber Health Logistics, LLC | Clinic/Center | 333 Front St N, La Crosse, WI 54601-3220 | 2020-08-05 |
| 1427674860 | Shanice Williams | Clinic/Center | 3950 N 74th St, Milwaukee, WI 53216-1971 | 2020-06-22 |
| 1639721871 | Shifting Healthcare, LLC | Clinic/Center | 1702 Scheuring Rd, De Pere, WI 54115-9567 | 2019-07-09 |
| 1699334441 | Mvmt Performance & Rehabilitation | Clinic/Center | 2866 Gentle Hills Dr, De Pere, WI 54115-8157 | 2019-06-06 |
| 1114379310 | East Meets West Therapeutics Sc | Clinic/Center | 136 N Main St Ste 305, Thiensville, WI 53092-1606 | 2016-07-12 |
| 1912358128 | Achieve Wellness, LLC | Clinic/Center | 3300 Birch St Ste 1b, Eau Claire, WI 54703-2297 | 2016-06-29 |
| 1003276841 | Mobile Medical Diagnostic Services LLC | Clinic/Center | 5205 S 13th St, Unit E, Milwaukee, WI 53221-3648 | 2016-03-04 |
| 1821458811 | Kutaiba Al Ithawi | Clinic/Center | 5205 S 13th St Unit E, Milwaukee, WI 53221-3648 | 2016-03-03 |
| Find all providers with the same taxonomy | ||||
| City | WEST ALLIS |
| Zip Code | 53227 |
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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.