MATTHEW EUGENE BANTZ (NPI# 1578193744) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578193744 |
| Entity Type | Individual |
| Full Name | MATTHEW EUGENE BANTZ |
| Credential | PHARMD |
| Practice Address |
6901 W Edgerton Ave Milwaukee WI 53220-4420 |
| Practice Telephone | 4144218401 |
| Practice Fax Number | 4148550748 |
| Mailing Telephone | 4144218401 |
| Mailing Fax Number | 4148550748 |
| Enumeration Date | 2020-01-16 |
| Last Update Date | 2020-01-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | RP0008529 | WV | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | 16320 | WI | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | 033.0130667 | VT | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | 59136 | TX | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | 16880 | OK | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | 14885 | NE | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | T-15141 | MS | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | 23906 | MD | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | 5302043341 | MI | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | PH236166 | MA | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | PST.021720 | LA | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | 1-106313 | KS | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | 17697 | AL | Pharmacy Service Providers |
| Street Address |
6901 W EDGERTON AVE |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53220-4420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578929246 | Robert John Udhardt | Pharmacist | 6901 W Edgerton Ave, Milwaukee, WI 53220-4420 | 2016-01-11 |
| 1972943744 | Shahid Ali Shigri | Family Medicine | 6901 W Edgerton Ave, Milwaukee, WI 53220-4420 | 2013-06-26 |
| 1740469568 | Donald Arthur Strahl | Pharmacist | 6901 W Edgerton Ave, Milwaukee, WI 53220-4420 | 2007-10-29 |
| 1003024951 | Aurora Medical Group, Inc. | Durable Medical Equipment & Medical Supplies | 6901 W Edgerton Ave, Milwaukee, WI 53220-4420 | 2007-05-21 |
| 1316089477 | Della H Alvarez | Nurse Practitioner | 6901 W Edgerton Ave, Milwaukee, WI 53220-4420 | 2007-02-13 |
| 1609983816 | Wayne B Spradley | Internal Medicine | 6901 W Edgerton Ave, Milwaukee, WI 53220 | 2006-08-24 |
| 1821105040 | Susan F Stickels | Family Medicine | 6901 W Edgerton Ave, Milwaukee, WI 53220 | 2006-08-24 |
| 1922115484 | Paul C Maurer | Chiropractor | 6901 W Edgerton Ave, Milwaukee, WI 53220 | 2006-08-23 |
| 1508973132 | Kim C. Sienko | Nurse Practitioner | 6901 W Edgerton Ave, Milwaukee, WI 53220-4420 | 2006-08-23 |
| 1174630636 | Mary J Mccoy | Family Medicine | 6901 W Edgerton Ave, Milwaukee, WI 53220 | 2006-08-23 |
| Find all providers in the same location | ||||
| 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 | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104425784 | Seang Foo | Pharmacist | 875 E Wisconsin Ave # Ms 2870, Milwaukee, WI 53202-5404 | 2020-10-23 |
| 1790383420 | Lisa Goetzinger | Pharmacist | 8100 N 124th St, Milwaukee, WI 53224-3800 | 2020-10-14 |
| 1205440203 | Teresa Lee Luebbering | Pharmacist | 5185 S 9th St # 1, Milwaukee, WI 53221-3627 | 2020-09-07 |
| 1912511155 | Alexander Harlan | Pharmacist | 900 N 92nd St, Milwaukee, WI 53226 | 2020-09-04 |
| 1649889767 | Sarah Sugden | Pharmacist | 1726 N 1st St Apt 103, Milwaukee, WI 53212-3907 | 2020-07-24 |
| 1639796808 | Devin Noelle Valpatic | Pharmacist | 2900 W Oklahoma Ave # 1001, Milwaukee, WI 53215-4330 | 2020-07-02 |
| 1588289813 | Ahmed Gamal Abou Mohamed | Pharmacist | 11011 W North Ave Apt 255, Milwaukee, WI 53226-2267 | 2020-06-12 |
| 1801415500 | Elena Maloletko | Pharmacist | 2611 N Stowell Ave Apt E, Milwaukee, WI 53211-4222 | 2020-04-13 |
| 1649807801 | Stacy Anne Doyle | Pharmacist | 875 E Wisconsin Ave # Ms -2870, Milwaukee, WI 53202-5404 | 2020-03-26 |
| 1679108997 | Andrew Budzynski | Pharmacist | 2500 W Layton Ave Ste 150, Milwaukee, WI 53221-5421 | 2020-03-06 |
| Find all providers in MILWAUKEE | ||||
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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.