INFINITY HEALTHCARE PHYSICIANS, S.C. (NPI# 1689623654) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689623654 |
| Entity Type | Organization |
| Organization Name | INFINITY HEALTHCARE PHYSICIANS, S.C. |
| Practice Address |
2323 N Lake Dr Milwaukee WI 53211-4508 |
| Mailing Address |
111 E Wisconsin Ave Suite 2000 Milwaukee WI 53202-4815 |
| Practice Telephone | 4142906718 |
| Practice Fax Number | 4142906755 |
| Mailing Telephone | 4142906718 |
| Mailing Fax Number | 4142906755 |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2019-09-17 |
| Authorized Official Name | KATHY KONDAS (OFFICER) |
| Authorized Official Telephone | 9548382371 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | WEA | 110008982 | 01 |
| WI | MEDICARE RAILROAD | CD4252 | 01 |
| WI | OWCP | 369450304 | 01 |
| WI | 32851400 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831537562 | Infinity Healthcare Physicians, S.c. | Physician Assistant | 375 West Riverwoods Parkway, Glendale, WI 53212-1080 | 2013-06-04 |
| 1053360933 | Infinity Healthcare Physicians, S.c. | Physician Assistant | 13111 N Port Washington Rd, Columbia St. Mary's - Ozaukee Campus, Mequon, WI 53097-2416 | 2006-05-09 |
| 1295784072 | Infinity Healthcare Physicians, S.c. | Physician Assistant | St. Joseph's Community Hospital, 3200 Pleasant Valley Road, West Bend, WI 53095-9274 | 2006-05-09 |
| 1902855950 | Infinity Healthcare Physicians, S.c. | Physician Assistant | 2025 East Newport Avenue, Columbia St Mary's Columbia Campus, Milwaukee, WI 53211-2906 | 2006-05-08 |
| 1902067762 | Infinity Healthcare Physicians, S.c. | Preventive Medicine | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2008-06-24 |
| 1720271000 | Infinity Healthcare Physicians, S.c. | Pediatrics | 9000 W Wisconsin Ave, Milwaukee, WI 53226-4874 | 2007-08-21 |
| 1942259825 | Infinity Healthcare Physicians, S.c. | Physician Assistant | W180n8085 Town Hall Rd, Menomonee Falls, WI 53051-3518 | 2006-05-09 |
| Street Address |
2323 N LAKE DR |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53211-4508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225032691 | Rosemary S Presser | Nurse Practitioner | 2323 N Lake Dr, 7th Floor, Milwaukee, WI 53211-4508 | 2005-06-13 |
| 1205434404 | Emma Stocker | Genetic Counselor, MS | 2323 N Lake Dr, Milwaukee, WI 53211-4508 | 2020-10-12 |
| 1669070876 | Hannah Brodner | Genetic Counselor, MS | 2323 N Lake Dr, Milwaukee, WI 53211-4508 | 2020-10-12 |
| 1598378531 | Sandra Luz Chapa | Registered Nurse | 2323 N Lake Dr, Milwaukee, WI 53211-4508 | 2020-08-28 |
| 1295347227 | Sarah Purpura | Dietitian, Registered | 2323 N Lake Dr, Milwaukee, WI 53211-4508 | 2020-08-20 |
| 1780205450 | Kyra Gravelle | Occupational Therapist | 2323 N Lake Dr, Milwaukee, WI 53211-4508 | 2020-05-04 |
| 1780213223 | Andrew Michael Ganshirt | Student in an Organized Health Care Education/Training Program | 2323 N Lake Dr, Milwaukee, WI 53211-4508 | 2020-04-06 |
| 1386290872 | Mary R Laquerre | Anesthesiologist Assistant | 2323 N Lake Dr, Milwaukee, WI 53211-4508 | 2019-08-12 |
| 1346721669 | Rochelle F Hass | Physician Assistant | 2323 N Lake Dr, Milwaukee, WI 53211-4508 | 2018-08-24 |
| 1053800714 | Heather Jean Biancuzzo | Pharmacist | 2323 N Lake Dr, Milwaukee, WI 53211-4508 | 2018-05-08 |
| 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 | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780115634 | Sean Anthony Mackman | Emergency Medicine | 9200 W Wisconsin Ave # 1p, Milwaukee, WI 53226-3522 | 2017-03-22 |
| 1992166821 | Nicholas W Hawley | Emergency Medicine | 3003 W Good Hope Rd # Bcm320, Milwaukee, WI 53209-2042 | 2016-03-20 |
| 1811384464 | Megan O Bedolla | Emergency Medicine | 2338 E Ohio Ave, Milwaukee, WI 53207 | 2015-04-21 |
| 1174848816 | Brian D Eiche | Emergency Medicine | 111 E. Wisconsin Ave. Ste 2100, Infinity Healthcare, Milwaukee, WI 53202 | 2010-04-06 |
| 1285963116 | Randall Levin | Emergency Medicine | 201 W Bergen Dr, Milwaukee, WI 53217-2308 | 2009-12-24 |
| 1003935925 | Andrea Michelle Kraus | Emergency Medicine | 3237 S 16th St Ste 100, Milwaukee, WI 53215-4526 | 2007-03-29 |
| 1427147990 | Nancy L. Dovin | Emergency Medicine | 2104 N Hi Mount Blvd, Milwaukee, WI 53208-1111 | 2006-10-12 |
| 1750304283 | Kimberly A Ridl | Emergency Medicine | 4500 National Ave, Milwaukee, WI 53295-0001 | 2006-07-25 |
| 1821013277 | Gail Hendley | Emergency Medicine | 500 W Chambers St, Milwaukee, WI 53212-2308 | 2006-07-13 |
| 1356396840 | Kelly Hedlund Kanter | Emergency Medicine | 111 E Wisconsin Avenue, Milwaukee, WI 53202-4815 | 2006-05-23 |
| 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.