FROEDTERT PHYSICIAN PARTNERS, INC. (NPI# 1669765020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1669765020 |
Entity Type | Organization |
Organization Name | FROEDTERT PHYSICIAN PARTNERS, INC. |
Other Organization Name | FROEDTERT HEALTH SUSSEX CLINIC |
Practice Address |
N64w24801 Main St Ste 109 Sussex WI 53089-2652 |
Mailing Address |
200 Woodland Prime Ste 300 W126 N7338 Flint Drive Menomonee Falls WI 53051-4476 |
Practice Telephone | 2625328680 |
Practice Fax Number | 2625328689 |
Mailing Telephone | 4147775270 |
Enumeration Date | 2011-05-18 |
Last Update Date | 2011-07-21 |
Authorized Official Name | CATHERINE MODE EASTHAM (SVP AND GENERAL COUNSEL) |
Authorized Official Telephone | 4148052994 |
Is Organization Subpart | Y |
Parent Organization Name | FROEDTERT PHYSICIAN PARTNERS, INC. |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Froedtert Health Sussex Clinic | Doing Business As Name - Organization |
Street Address |
N64W24801 MAIN ST STE 109 |
City | SUSSEX |
State | WI |
Zip Code | 53089-2652 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265407316 | Kenneth Urlakis | Family Medicine | N64w24801 Main St, Suite 109, Sussex, WI 53089-2652 | 2006-02-22 |
1932739786 | Lindsay Moreau | Naturopath | N64w24801 Main St, Sussex, WI 53089-2652 | 2020-01-21 |
1265811327 | Froedtert & The Medical College of Wisconsin Community Physicians Inc | Clinical Medical Laboratory | N64w24801 Main St, Suite 109, Sussex, WI 53089-2652 | 2015-05-22 |
1629234687 | Michael James Herring | Chiropractor | N64w24801 Main St, Sussex, WI 53089-2652 | 2008-07-30 |
1982711362 | Robert Jack Simons | Chiropractor | N64w24801 Main St, Sussex, WI 53089-2652 | 2006-08-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932713146 | Athletico, Ltd | Physical Therapist | N63w23675 Main St, Sussex, WI 53089 | 2020-09-04 |
1538707120 | Schyler M Schultz | Pharmacist | N65w24838 Main St, Sussex, Wi 53089, Sussex, WI 53089 | 2019-12-15 |
1558917617 | Quad/med, LLC | Clinic/Center | N61 W23044 Harry's Way, Sussex, WI 53089 | 2019-08-14 |
1982176590 | Katherine Tsiampas | Registered Nurse | W236 N6128 Pine Terrace, Sussex, Sussex, WI 53089 | 2018-12-20 |
1437529120 | Quad/med, LLC | Clinic/Center | W227 N6103 Sussex Rd, Sussex, WI 53089 | 2015-10-07 |
1265839849 | Amber Louise Bergner | Registered Nurse | W232n7066 Salem Dr, Sussex, WI 53089 | 2014-11-26 |
1407129604 | Cheryl Marie Werra | Registered Nurse | N73w23260 Blakestone Ct., Sussex, WI 53089 | 2012-02-17 |
1144508730 | Oriental Wellness Center & Spa | Acupuncturist | W249 N5245 Executive Dr., Suite 208, Sussex, WI 53089 | 2011-07-30 |
1982865945 | Shopko Stores Operating Co LLC | Durable Medical Equipment & Medical Supplies | N 66 W 25201, Cth V V, Sussex, WI 53089 | 2008-06-23 |
1316108376 | Shopko Stores Operating Co LLC | Eyewear Supplier (Equipment, not the service) | N66 W25201 Cth V V, Sussex, WI 53089 | 2008-06-23 |
Find all providers in zip 53089 |
Taxonomy Code | 261QM1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Multi-Specialty |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437529120 | Quad/med, LLC | Clinic/Center | W227 N6103 Sussex Rd, Sussex, WI 53089 | 2015-10-07 |
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---|---|---|---|---|
1346882693 | My Health Clinic | Clinic/Center | 6300 N 76th St, Milwaukee, WI 53218-1208 | 2019-10-08 |
1710447008 | Afjv Inc | Clinic/Center | 2801 W Kinnickinnic River Pkwy Ste 470, Milwaukee, WI 53215-5211 | 2019-03-22 |
1881182889 | Allure Medical of Wisconsin Pllc | Clinic/Center | 1930 W Bluemound Rd Ste 340, Waukesha, WI 53186 | 2018-04-25 |
1811412091 | H2o:health Hydration Oasis | Clinic/Center | 17110 W Greenfield Ave Ste 6, Brookfield, WI 53005-6899 | 2017-08-08 |
1003336884 | 3d Brows and Wellness LLC | Clinic/Center | 801 Hoffman Rd Ste 106, Green Bay, WI 54301-1462 | 2017-06-22 |
1891106092 | Wisconsin Wellness Clinic | Clinic/Center | 280 Regency Ct, Suite 100, Brookfield, WI 53045-6165 | 2014-05-11 |
1437317708 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | 1160 Service Rd, Kiel, WI 53042 | 2008-05-23 |
1679731954 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | 1128 E Parkway Ave, Oshkosh, WI 54901 | 2008-05-23 |
1669639142 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | N9642 County Rd N, Appleton, WI 54915 | 2008-05-21 |
1265699748 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | 1531 S Madison St Fl 4, Appleton, WI 54915 | 2008-05-21 |
Find all providers with the same taxonomy |
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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.