ALLIANCE ENT GROUP, S.C. (NPI# 1568689305) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568689305 |
| Entity Type | Organization |
| Organization Name | ALLIANCE ENT GROUP, S.C. |
| Other Organization Name | KENNETH G. CONDON, M.D., S.C. |
| Practice Address |
201 N Mayfair Rd Suite 515 Wauwatosa WI 53226-4216 |
| Practice Telephone | 4147270910 |
| Practice Fax Number | 4147270920 |
| Mailing Telephone | 4147270910 |
| Mailing Fax Number | 4147270920 |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2016-11-07 |
| Authorized Official Name | MR. ANTHONY ALLAN RIEDER (PRESIDENT) |
| Authorized Official Telephone | 4147270910 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
24143 | WI | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 30479200 | 05 |
| Other Name | Type Code |
|---|---|
| Kenneth G. Condon, M.D., S.C. | Former Legal Business Name - Organization |
| Street Address |
201 N MAYFAIR RD SUITE 515 |
| City | WAUWATOSA |
| State | WI |
| Zip Code | 53226-4216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710989090 | Anthony A Rieder | Otolaryngology | 201 N Mayfair Rd, Suite #515, Wauwatosa, WI 53226-4216 | 2005-06-01 |
| 1699374066 | Cassandra Leightner | Pharmacist | 201 N Mayfair Rd, Infusion Pharmacy - 1st Floor, Wauwatosa, WI 53226 | 2020-10-18 |
| 1518423995 | Ascension Se Wisconsin Hospital, Inc | Clinic/Center | 201 N Mayfair Rd, Wauwatosa, WI 53226-4216 | 2019-02-11 |
| 1952872376 | Amanda Janczak | Physician Assistant | 201 N Mayfair Rd, Wauwatosa, WI 53226-4216 | 2018-12-11 |
| 1780160929 | Chad Knutson | Health Educator | 201 N Mayfair Rd, Wauwatosa, WI 53226-4216 | 2018-07-11 |
| 1518456938 | Elizabeth Charlene Morien | Dietetic Technician, Registered | 201 N Mayfair Rd, Wauwatosa, WI 53226-4216 | 2018-05-02 |
| 1912422692 | Kayla Jankins | Physician Assistant | 201 N Mayfair Rd, Wauwatosa, WI 53226-4216 | 2017-08-03 |
| 1093248213 | Elizabeth Arnold | Dietitian, Registered | 201 N Mayfair Rd, 2nd Fl, Wauwatosa, WI 53226-4216 | 2017-04-05 |
| 1033651062 | Alison Ward | Nurse Practitioner | 201 N Mayfair Rd, Wauwatosa, WI 53226-4216 | 2016-11-08 |
| 1619427168 | Kathleen Ann Sinclair | Nurse Practitioner | 201 N Mayfair Rd, Suite 310, Wauwatosa, WI 53226-4216 | 2016-10-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912511155 | Alexander Harlan | Pharmacist | 900 N 92nd St, Milwaukee, WI 53226 | 2020-09-04 |
| 1558985762 | Armghan Haider Ans | Student in an Organized Health Care Education/Training Program | 9200 W. Wisconsin Ave. Froedtert Hospital & Medical Col, Milwaukee, WI 53226 | 2020-06-03 |
| 1669001103 | Kimberly Tyler | Student in an Organized Health Care Education/Training Program | 8701 W Watertown Plank Road, Medical College of Wisconsin Dept of Internal Medicine, Wauwatosa, WI 53226 | 2020-04-06 |
| 1972131993 | Francesca Meloy Devine | Student in an Organized Health Care Education/Training Program | Medical Education Office: Children's Corporate Center, 999 N. 92nd St., Suite 730, Milwaukee, WI 53226 | 2020-03-27 |
| 1285275248 | Sharitta Alford | Technician | 12250 West North Avenue, Apartment 142b, Wauwatosa, WI 53226 | 2019-10-01 |
| 1619528023 | Linda Marie Sabatinelli | Technician | 12107 W. Woodland Ave, Wauwatosa, WI 53226 | 2019-09-26 |
| 1598310195 | Matthew Laviolette | Surgery | Medical College of Wisconsin, 8701 Watertown Plank Rd., Surgical Oncology, Milwaukee, WI 53226 | 2019-08-09 |
| 1962056432 | Lyndsey Marie Bratberg | Physician Assistant | F&mcw Clinical Cancer Center 9200 W. Wisconsin Ave., Milwaukee, WI 53226 | 2019-08-01 |
| 1659832855 | Benjamin David Seadler | Surgery | Mcw, Department of Surgery, 8701 Watertown Plank Road, Milwaukee, WI 53226 | 2019-03-29 |
| 1861953267 | Michael Dryden | Student in an Organized Health Care Education/Training Program | 8701 Watertown Plank Rd., Milwaukee, WI 53226 | 2019-03-27 |
| Find all providers in zip 53226 | ||||
| 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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|---|---|---|---|---|
| 1417370602 | Reiswig Aesthetics Sc | Clinic/Center | 1233 N Mayfair Rd Ste 208, Wauwatosa, WI 53226-3255 | 2014-01-24 |
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| 1245307362 | Amb Medical LLC | Clinic/Center | 10625 W North Ave, Suite 312, Wauwatosa, WI 53226-2315 | 2006-11-30 |
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| 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 |
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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.