VICKIE RADISH (NPI# 1558809020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558809020 |
| Entity Type | Individual |
| Full Name | VICKIE RADISH |
| Credential | R.T. |
| Practice Address |
2626 N 76th St Wauwatosa WI 53213-1137 |
| Practice Telephone | 4147719171 |
| Mailing Telephone | 4147719171 |
| Enumeration Date | 2017-02-06 |
| Last Update Date | 2017-02-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2471C3402X |
Radiologic Technologist Specialization: Radiography |
297648 | WI | Technologists, Technicians & Other Technical Service Providers |
| N | 2471V0106X |
Radiologic Technologist Specialization: Vascular-Interventional Technology |
297648 | WI | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
2626 N 76TH ST |
| City | WAUWATOSA |
| State | WI |
| Zip Code | 53213-1137 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063433977 | Affiliated Health of Wisconsin Ltd. | Physical Therapist | 2626 N 76th St, Suite 105, Wauwatosa, WI 53213-1137 | 2006-07-23 |
| 1902385628 | Jodie Marie Daley | Radiologic Technologist | 2626 N 76th St, Wauwatosa, WI 53213-1137 | 2018-08-13 |
| 1821527623 | Jennifer Budzien | Physical Therapist | 2626 N 76th St, Wauwatosa, WI 53213-1137 | 2017-06-06 |
| 1023556586 | Marlon Williams | Physical Therapy Assistant | 2626 N 76th St, Wauwatosa, WI 53213-1137 | 2017-02-05 |
| 1124565981 | Gina Cifaldi | Radiologic Technologist | 2626 N 76th St, Wauwatosa, WI 53213-1137 | 2017-01-31 |
| 1528424249 | Kellie Rae Hanson | Physical Therapist | 2626 N 76th St, Wauwatosa, WI 53213-1137 | 2016-01-11 |
| 1235530502 | Kristin Sendzik | Physical Therapist | 2626 N 76th St, Wauwatosa, WI 53213-1137 | 2014-09-05 |
| 1114336385 | Eric Demshar | Physical Therapist | 2626 N 76th St, Wauwatosa, WI 53213-1137 | 2014-08-12 |
| 1043641194 | Ingrid L Barber | Physical Therapy Assistant | 2626 N 76th St, Wauwatosa, WI 53213-1137 | 2013-11-27 |
| 1003116765 | Jay L. Mackman, Dds | Dentist | 2626 N 76th St, Wauwatosa, WI 53213-1137 | 2010-10-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932682473 | Tracy A Bolton | Nurse Practitioner | 2626 N 76th St Ste 101, Wauwatosa, WI 53213 | 2018-09-11 |
| 1609309129 | Anupriya Dayal | Student in an Organized Health Care Education/Training Program | 7700 Portland Avenue, #227, Milwaukee, WI 53213 | 2017-04-11 |
| 1407202666 | Michael Lenz | Dentist | 1221 N 62nd Street, 201, Wauwatosa, WI 53213 | 2016-05-06 |
| 1164807889 | Myia Mitchell | Massage Therapist | 6012 W. North Avenue, Milwaukee, WI 53213 | 2015-07-23 |
| 1518369420 | Rachel Rakow | Speech-Language Pathologist | 1009 N 92nd St, Wauwatosa, WI 53213 | 2014-09-23 |
| 1821348335 | Mary Kathryn Maxey | Dietitian, Registered | 1515 Mower Court, Wauwatosa, WI 53213 | 2012-09-12 |
| 1134478506 | Andrea Brooke Moosreiner | Dietitian, Registered | 7220 Milwaukee Ave, Wauwatosa, WI 53213 | 2012-08-31 |
| 1467726075 | Stephanie Miller | Social Worker | 2618 N 61st St, Milwaukee, WI 53213 | 2012-02-28 |
| 1396013447 | Ng Enterprise, Inc. | Home Health | 7635 West Bluemound Road, Suite 1b, Milwaukee, WI 53213 | 2011-12-05 |
| 1184908162 | Lisa Anne Behlmer | Pharmacist | 6600 W. State St, Wauwatosa, WI 53213 | 2011-10-07 |
| Find all providers in zip 53213 | ||||
| Taxonomy Code | 2471C3402X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| Specialization | Radiography |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407936693 | Mobile Medical Diagnostics of Lacrosse Inc | Radiologic Technologist | 2895 Algoma Blvd Ste C, Oshkosh, WI 54901-1012 | 2006-10-16 |
| 1639708969 | Heather Ann Hinz | Radiologic Technologist | 5000 W National Ave, Milwaukee, WI 53295-0002 | 2020-04-07 |
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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.