WHEATON FRANCISCAN MEDICAL GROUP (NPI# 1679655005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679655005 |
| Entity Type | Organization |
| Organization Name | WHEATON FRANCISCAN MEDICAL GROUP |
| Practice Address |
3970 N Oakland Ave Shorewood WI 53211-2265 |
| Practice Telephone | 4145275690 |
| Practice Fax Number | 4145275695 |
| Mailing Telephone | 4145275690 |
| Mailing Fax Number | 4145275695 |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | LARRY WADE (DIRECTOR OF FINANCE) |
| Authorized Official Telephone | 4144653000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| X | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | DME | 1013860015 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588746853 | Wheaton Franciscan Medical Group | Family Medicine | 4301 W Brown Deer Rd, Brown Deer, WI 53223-2400 | 2006-10-19 |
| 1871674408 | Wheaton Franciscan Medical Group | Family Medicine | 7961 N 76th St, Milwaukee, WI 53223-3947 | 2006-10-18 |
| 1306927033 | Wheaton Franciscan Medical Group | Dietitian, Registered | 201 N Mayfair Rd Fl 2, Wauwatosa, WI 53226-4216 | 2006-10-18 |
| 1174604599 | Wheaton Franciscan Medical Group | Family Medicine | 7400 W Rawson Ave, Ste. G30, Franklin, WI 53132-8278 | 2006-10-19 |
| 1154402576 | Wheaton Franciscan Medical Group | Family Medicine | 5408 W Burleigh St, Milwaukee, WI 53210-1624 | 2006-10-19 |
| 1790866457 | Wheaton Franciscan Medical Group | Chiropractor | 7950 N Port Washington Rd, Fox Point, WI 53217-3133 | 2006-10-18 |
| 1639250210 | Wheaton Franciscan Medical Group | Internal Medicine | 19475 W North Ave, Suite 305, Brookfield, WI 53045-4199 | 2006-10-18 |
| 1457432049 | Wheaton Franciscan Medical Group | Family Medicine | 902 Milwaukee Ave, South Milwaukee, WI 53172-2118 | 2006-10-18 |
| 1215018825 | Wheaton Franciscan Medical Group | Internal Medicine | 3533 E Ramsey Ave, Cudahy, WI 53110-3009 | 2006-10-18 |
| 1073694618 | Wheaton Franciscan Medical Group | Dermatology | 13950 W Capitol Dr, Brookfield, WI 53005-2441 | 2006-10-18 |
| Street Address |
3970 N OAKLAND AVE |
| City | SHOREWOOD |
| State | WI |
| Zip Code | 53211-2265 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801434899 | Milwaukee Mind Solutions | Psychologist | 3970 N Oakland Ave, Shorewood, WI 53211-2265 | 2019-12-20 |
| 1356833362 | Gregory Ketz | Physical Therapist | 3970 N Oakland Ave, Ste 102, Shorewood, WI 53211 | 2018-06-05 |
| 1679987838 | Peter James Colosimo | Dentist | 3970 N Oakland Ave, Suite #702, Shorewood, WI 53211-2265 | 2014-06-16 |
| 1861771628 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3970 N Oakland Ave, Shorewood, WI 53211 | 2011-08-11 |
| 1811208275 | Margaret Pedersen | Acupuncturist | 3970 N Oakland Ave, Suite 502, Shorewood, WI 53211-2265 | 2010-06-30 |
| 1417271610 | Patricia K Briceno LLC | Community/Behavioral Health | 3970 N Oakland Ave, Suite 502, Shorewood, WI 53211-2265 | 2010-03-17 |
| 1346481371 | Kamyar Saeian D.d.s. | Dentist | 3970 N Oakland Ave, Suite 501, Shorewood, WI 53211-2265 | 2009-03-21 |
| 1841483484 | Foot & Ankle Health Center, S.c. | Podiatrist | 3970 N Oakland Ave, Suite 402, Shorewood, WI 53211-2265 | 2007-08-27 |
| 1912109752 | Kamyar Saeian | Dentist | 3970 N Oakland Ave, Suite 501, Shorewood, WI 53211-2265 | 2007-06-04 |
| 1629289269 | Karyn L Brzezinski | Dentist | 3970 N Oakland Ave, Suite 601, Shorewood, WI 53211-2265 | 2007-05-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821602335 | Gabriella Caitrin Emanuele | Occupational Therapist | Harborchase of Shorewood, 1111 E Capitol Drive, Shorewood, WI 53211 | 2020-09-02 |
| 1710527783 | Sage Specialty Pharmacy Inc. | Pharmacy | 4001 N. Oakland Ave, Shorewood, WI 53211 | 2020-01-08 |
| 1861043952 | Rosina Bloomingdale Norton | Nurse Practitioner | 1921 E Harford Ave, Milwaukee, WI 53211 | 2019-09-20 |
| 1528556255 | Renee Reckelberg | Specialist/Technologist | 3409 North Downer Avenue, Pavilion, Suite 350, Milwaukee, WI 53211 | 2018-04-27 |
| 1700325602 | Wisconsin Vision, Inc. | Optometrist | 4163 N Oakland Ave, Shorewood, WI 53211 | 2017-02-13 |
| 1750827556 | Daniel Butz M.d., S.c. | Plastic Surgery | 2350 N Lake Dr Ste 304, Milwaukee, WI 53211 | 2017-01-17 |
| 1528517232 | Therese Simonis | Speech-Language Pathologist | 2390 N Lake Drive, Milwaukee, WI 53211 | 2016-09-23 |
| 1982075701 | Katie Michel | Specialist/Technologist | 3409 N. Downer Ave, Milwaukee, WI 53211 | 2015-10-20 |
| 1255776365 | Sarah Elizabeth Brill | Social Worker | 4433 N Oakland Ave Ste D, Shorewood, WI 53211 | 2013-05-02 |
| 1679814537 | Nicole Anne Parulski | Physical Therapist | 2301 North Lake Dr, Milwaukee, WI 53211 | 2013-03-01 |
| Find all providers in zip 53211 | ||||
| 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 |
|---|---|---|---|---|
| 1972834679 | Vincent R Benig Md Ltd | Family Medicine | 1144 W Jefferson St Ste 200, Shorewood, IL 60404-1700 | 2010-01-19 |
| 1013175801 | Marvin Wiener | Family Medicine | 2021 E Wood Pl, Shorewood, WI 53211-2015 | 2008-05-28 |
| 1992747091 | William L Hall Jr. | Family Medicine | 4027 N Oakland Ave, Shorewood, WI 53211-2356 | 2006-06-12 |
| 1487609772 | Vincent Rafer Benig | Family Medicine | 1144 W Jefferson St, Ste 200, Shorewood, IL 60404-0704 | 2006-05-24 |
| 1811429459 | Kathryn Kaminski | Family Medicine | 4027 N Oakland Ave, Shorewood, WI 53211-2356 | 2017-04-02 |
| 1306280276 | Chelsea Loran Holtz | Family Medicine | 4027 N Oakland Ave, Shorewood, WI 53211-2356 | 2013-04-23 |
| 1184913055 | Adam E. Blackwell | Family Medicine | 4027 N Oakland Ave, Shorewood, WI 53211-2356 | 2011-03-31 |
| 1679729131 | Sarah M Kim | Family Medicine | 19685 Highway 7, Shorewood, MN 55331 | 2008-08-14 |
| 1568578052 | Pamela Ogor | Family Medicine | 3970 N Oakland Ave, 2nd Floor, Shorewood, WI 53211-2265 | 2006-08-21 |
| 1881638724 | Kim A Merriman | Family Medicine | 4027 N Oakland Ave, Shorewood, WI 53211-2356 | 2006-06-15 |
| Find all providers in SHOREWOOD | ||||
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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.