VPA PC (NPI# 1619594702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619594702 |
| Entity Type | Organization |
| Organization Name | VPA PC |
| Other Organization Name | VPA PC SPECIALTY INT WI |
| Practice Address |
2514 S 102nd St Ste 160 West Allis WI 53227-2142 |
| Mailing Address |
500 Kirts Blvd Ste 100 Troy MI 48084-4135 |
| Practice Telephone | 4142550300 |
| Practice Fax Number | 4145439601 |
| Mailing Telephone | 2484346169 |
| Mailing Fax Number | 8556186655 |
| Enumeration Date | 2020-07-06 |
| Last Update Date | 2020-07-07 |
| Authorized Official Name | WILLIAM F SASSER JR. (OWNER) |
| Authorized Official Telephone | 2488246600 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | VPA PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| N | 208D00000X | General Practice | Allopathic & Osteopathic Physicians | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| VPA PC Specialty INT WI | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386256881 | Vpa PC | Internal Medicine | 1055 Westlakes Dr Ste 3152, Berwyn, PA 19312-2410 | 2020-08-18 |
| 1770107302 | Vpa PC | Internal Medicine | 1500 Ne 15th Ave Apt 431, Portland, OR 97232-4418 | 2020-05-29 |
| 1982224895 | Vpa PC | Pediatrics | 111 E Capitol St Ste 215, Jackson, MS 39201-2108 | 2020-04-21 |
| 1376017020 | Vpa PC | Radiology | 64 E Broadway Rd Ste 200231, Tempe, AZ 85282-1353 | 2019-01-16 |
| 1952875783 | Vpa PC | Internal Medicine | 7600 N 15th St Ste 165b, Phoenix, AZ 85020-4305 | 2019-01-15 |
| 1073968525 | Vpa PC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 2 Transam Plaza Dr Ste 41, Oakbrook Terrace, IL 60181-4823 | 2016-05-03 |
| 1174910814 | Vpa PC | Radiology | 15610 N 63rd St, Scottsdale, AZ 85254-1938 | 2015-04-21 |
| 1083958615 | Vpa PC | Radiology | 8710 Manchester Blvd., St. Louis, MO 63144-2724 | 2012-11-20 |
| 1093030959 | Vpa PC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 47 Cavalier Blvd Ste 120, Florence, KY 41042-3970 | 2010-04-05 |
| 1598093718 | Vpa PC | Radiology | 5838 West Brick Road, Ste. 106, South Bend, IN 46628-8420 | 2009-11-29 |
| Street Address |
2514 S 102ND ST STE 160 |
| City | WEST ALLIS |
| State | WI |
| Zip Code | 53227-2142 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093713745 | Patricio F. Viernes | Internal Medicine | 2514 S 102nd St Ste 160, West Allis, WI 53227-2142 | 2005-07-07 |
| 1255958344 | Vpa PC | Pediatrics | 2514 S 102nd St Ste 160, West Allis, WI 53227-2142 | 2020-07-06 |
| 1255877544 | Inez Adams | Nurse Practitioner | 2514 S 102nd St Ste 160, West Allis, WI 53227-2142 | 2017-01-11 |
| 1043674476 | Joshua Arehart | General Practice | 2514 S 102nd St Ste 160, West Allis, WI 53227 | 2016-04-12 |
| 1669838496 | Dorthia D Wilson | Nurse Practitioner | 2514 S 102nd St Ste 160, West Allis, WI 53227-2142 | 2016-01-09 |
| 1649652512 | Papa-ekow Y Coleman | Family Medicine | 2514 S 102nd St Ste 160, West Allis, WI 53227 | 2015-06-26 |
| 1811231509 | Vpa PC | Radiology | 2514 S 102nd St Ste 160, West Allis, WI 53227-2142 | 2012-11-19 |
| 1487948626 | Pamela R Deback | Nurse Practitioner | 2514 S 102nd St Ste 160, West Allis, WI 53227-2142 | 2011-06-06 |
| 1376871947 | Vpa PC | Family Medicine | 2514 S 102nd St Ste 160, West Allis, WI 53227-2142 | 2009-11-19 |
| 1598908006 | Nena Ann Stanley | Internal Medicine | 2514 S 102nd St Ste 160, West Allis, WI 53227-2142 | 2009-04-14 |
| 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 | 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 |
|---|---|---|---|---|
| 1992150148 | Brittani S Gierisch | Family Medicine | 2424 S 90th St # 7795, West Allis, WI 53227-2455 | 2016-04-25 |
| 1831516160 | Stephanie Kay Mcdearmon | Family Medicine | 2424 S 90th St Ste 200, West Allis, WI 53227-2455 | 2014-03-25 |
| 1295909075 | Haley E Kehoe | Family Medicine | 8800 West Lincoln Ave Suite 100, West Allis, WI 53227 | 2008-04-14 |
| 1689728602 | Masroor Munim Md | Family Medicine | 7200 W Greenfield Avenue, West Allis, WI 53214 | 2007-01-23 |
| 1538247051 | David S Stolp | Family Medicine | 2424 S. 90th St., Ste 214, West Allis, WI 53227-2455 | 2006-11-01 |
| 1043327505 | Paul Gordon Malen | Family Medicine | 2323 S 109th St, #220, West Allis, WI 53227 | 2006-08-23 |
| 1215942867 | Rachael Weiderhold D.o. Inc | Family Medicine | 9004 W Lincoln Ave, Suite 101, West Allis, WI 53227-2452 | 2006-07-30 |
| 1215981733 | Theresa Marie Pardoe | Family Medicine | 9305 W National Ave, West Allis, WI 53227-1541 | 2006-05-20 |
| 1568437390 | Bernard Zaworski | Family Medicine | 2514 S 102nd St, Suite 160, West Allis, WI 53227-2142 | 2006-02-23 |
| 1770589202 | Patricia Ivonne Hago | Family Medicine | 801 S 70th St, West Allis, WI 53214-3147 | 2005-06-21 |
| Find all providers in WEST ALLIS | ||||
| 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.