JEROME P QUETS (NPI# 1720007982) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720007982 |
| Entity Type | Individual |
| Full Name | JEROME P QUETS |
| Credential | M.D. |
| Practice Address |
111 E Wisconsin Ave Milwaukee WI 53202-4815 |
| Practice Telephone | 4142906720 |
| Practice Fax Number | 4142906755 |
| Mailing Telephone | 4142906720 |
| Mailing Fax Number | 4142906755 |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2009-01-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
036-114824 | IL | Allopathic & Osteopathic Physicians |
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
42149-020 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 33325200 | 05 | |
| WI | MEDICARE RAILROAD | 300113421 | 01 |
| Street Address |
111 E WISCONSIN AVE |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53202-4815 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174593487 | Hector G Aguilera | Emergency Medicine | 111 E Wisconsin Ave, Suite 2000, Milwaukee, WI 53202-4815 | 2006-01-26 |
| 1215460563 | Carlos Salez | Nurse Anesthetist, Certified Registered | 111 E Wisconsin Ave, Suite 2000, Milwaukee, WI 53202-4815 | 2017-04-04 |
| 1952848343 | Andrea S. Bond | Nurse Anesthetist, Certified Registered | 111 E Wisconsin Ave, Suite 2000, Milwaukee, WI 53202-4815 | 2017-01-24 |
| 1821547340 | Lisa Alaine Colaluca | Physician Assistant | 111 E Wisconsin Ave, Suite 2000, Milwaukee, WI 53202-4815 | 2016-09-26 |
| 1700239597 | Luke Kosta Miskov | Physician Assistant | 111 E Wisconsin Ave, Suite 2000, Milwaukee, WI 53202-4815 | 2016-07-18 |
| 1477926202 | Ayobami A Adelayi | Nurse Anesthetist, Certified Registered | 111 E Wisconsin Ave, Suite 2000, Milwaukee, WI 53202-4815 | 2015-11-02 |
| 1235506015 | Kayla J Vogds | Physician Assistant | 111 E Wisconsin Ave, Suite 2000, Milwaukee, WI 53202-4815 | 2015-08-27 |
| 1689072472 | Krista E Tarrien | Nurse Practitioner | 111 E Wisconsin Ave, Suite 2000, Milwaukee, WI 53202-4815 | 2014-12-11 |
| 1093127722 | Jennifer K Evans | Nurse Anesthetist, Certified Registered | 111 E Wisconsin Ave, Suite 2000, Milwaukee, WI 53202-4815 | 2014-05-29 |
| 1811326382 | Lucas G Hechimovich | Physician Assistant | 111 E Wisconsin Ave, Suite 2000, Milwaukee, WI 53202-4815 | 2013-11-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053958298 | Melanie Ann Pare | Occupational Therapist | 1414 N. Prospect Ave., Milwaukee, WI 53202 | 2019-12-06 |
| 1568921278 | Sword Health Inc | Health Educator | 1020 North Broadway, Milwaukee, WI 53202 | 2019-03-13 |
| 1619446408 | First Priority Home Care, LLC | Home Health | 342 W. Water Street, Suite 600, Milwaukee, WI 53202 | 2018-11-21 |
| 1346747169 | Creative Counseling of Milwaukee | Counselor | 2266 E Prospect Ave, Suite 304, Milwaukee, WI 53202 | 2018-04-09 |
| 1043692700 | Matthew Weinlander | Psychiatry & Neurology | 827 N Cass St # 9, Milwaukee, WI 53202 | 2015-06-18 |
| 1437572831 | Pathfinder Medical Group | Family Medicine | 216 Milwaukee St, Suite 2d, Milwaukee, WI 53202 | 2014-01-22 |
| 1669819785 | Kate Savage Anzia | Counselor | 2266 North Prospect Avenue, Suite 326, Ravenswood Clinic, Milwaukee, WI 53202 | 2013-05-30 |
| 1164773222 | Rutell Counseling Services, L.L.C. | Counselor | 759 N. Milwaukee St., Suite 600, Milwaukee, WI 53202 | 2012-09-28 |
| 1548563760 | Susan Rose Westergren | Pharmacist | 1400 E. Brady St, Walgreens, Milwaukee, WI 53202 | 2010-12-09 |
| 1174848816 | Brian D Eiche | Emergency Medicine | 111 E. Wisconsin Ave. Ste 2100, Infinity Healthcare, Milwaukee, WI 53202 | 2010-04-06 |
| Find all providers in zip 53202 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669814737 | Matthew William Shore | Radiology | 8915 W Connell Ave Dept Of, Milwaukee, WI 53226-3067 | 2013-07-18 |
| 1245538636 | Moira Ferrier Schieke | Radiology | 2542 N Terrace Ave, Milwaukee, WI 53211-3820 | 2011-03-09 |
| 1811127558 | Michael Orrin Griffin Jr. | Radiology | 9200 W. Wisconsin Ave., Department of Radiology, Milwaukee, WI 53226 | 2009-07-15 |
| 1598949026 | Deidre Meredith Rippl | Radiology | 2900 Oklahoma Ave, Milwaukee, WI 53215 | 2007-12-19 |
| 1053510115 | Petre Iosif Wecsler | Radiology | 7019 N Barnett Ln, Milwaukee, WI 53217-3606 | 2007-07-17 |
| 1285858019 | William Thomas Luckey | Radiology | 1545 W Spruce Ct, Milwaukee, WI 53217-1128 | 2007-04-12 |
| 1407957491 | Ferdinand M Brutvan | Radiology | 1925 E Iron St, Milwaukee, WI 53207-2315 | 2006-09-25 |
| 1295752251 | Sean R Amoli | Radiology | 6150 W Layton Ave, Milwaukee, WI 53220-4608 | 2006-07-16 |
| 1760416994 | Enhanced Medical Imaging Milwaukee LLC | Radiology | 7523 W Oklahoma Ave, Milwaukee, WI 53219-2861 | 2006-07-11 |
| 1396784948 | John Lammers | Radiology | 10400 W North Ave, Suite 300, Milwaukee, WI 53226-2425 | 2006-06-06 |
| 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.