PAIN MANAGEMENT & TREATMENT CENTER, S.C. (NPI# 1750412201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750412201 |
| Entity Type | Organization |
| Organization Name | PAIN MANAGEMENT & TREATMENT CENTER, S.C. |
| Practice Address |
8901 N 76th St Milwaukee WI 53223-1901 |
| Practice Telephone | 4143540772 |
| Practice Fax Number | 4143650773 |
| Mailing Telephone | 4143540772 |
| Mailing Fax Number | 4143650773 |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | KIMBERLY ECCLESTON (ADMINISTRATOR) |
| Authorized Official Telephone | 4143540772 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 32896100 | 05 |
| Street Address |
8901 N 76TH ST |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53223-1901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457306888 | Pmtc Surgery Center, Inc | Clinic/Center | 8901 N 76th St, Milwaukee, WI 53223-1901 | 2006-05-24 |
| 1902107691 | Kristin Kaschub | Nurse Practitioner | 8901 N 76th St, Milwaukee, WI 53223-1901 | 2010-11-11 |
| 1275799264 | Alberto C Clar Md Sc | Pain Medicine | 8901 N 76th St, Milwaukee, WI 53223-1901 | 2008-07-30 |
| 1821261140 | Eugenie Riggins | Physical Therapy Assistant | 8901 N 76th St, Milwaukee, WI 53223-1901 | 2008-04-08 |
| 1629241948 | Julie Neuman | Physical Therapy Assistant | 8901 N 76th St, Milwaukee, WI 53223-1901 | 2008-04-08 |
| 1811020779 | Kerry Ammann | Physical Therapist | 8901 N 76th St, Milwaukee, WI 53223-1901 | 2007-03-13 |
| 1063433951 | Juliette Martin-thomas Phd Sc | Psychologist | 8901 N 76th St, Milwaukee, WI 53223-1901 | 2006-07-23 |
| 1174562334 | George Penn King | Anesthesiology | 8901 N 76th St, Milwaukee, WI 53223-1901 | 2006-06-05 |
| 1770522948 | Brian Christofferson | Physician Assistant | 8901 N 76th St, Milwaukee, WI 53223-1901 | 2006-06-05 |
| 1174561914 | Pamela Yvette Thomas-king | Anesthesiology | 8901 N 76th St, Milwaukee, WI 53223-1901 | 2006-06-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235742206 | Jamie Brown | Home Health Aide | 8200 W. Clovernook Street, Milwaukee, WI 53223 | 2020-08-28 |
| 1730725656 | Lekecia Ferguson | Case Manager/Care Coordinator | 7970 W Glendbrook Rd, Milwaukee, WI 53223 | 2019-11-26 |
| 1457994717 | Talitha Cumi | Specialist | 6239 West Boehlke Avenue, Tiana M. Jenkins, Mlwaukee, WI 53223 | 2019-10-18 |
| 1235627498 | Letitia Dotson | Licensed Practical Nurse | 9395 N 49th St, Apt 201, Brown Deer, WI 53223 | 2018-04-24 |
| 1588176002 | Courtney Erin Tomaszewski | Occupational Therapy Assistant | 7300 W. Dean Rd, Milwaukee, WI 53223 | 2017-10-25 |
| 1972051373 | Sam's East, Inc. | Technician/Technologist | 8100 N 124th Street, Milwaukee, WI 53223 | 2016-09-14 |
| 1346671302 | Atlantic Home Health Care, Inc | Home Health | 5600 West Brown Deer Road, #216, Brown Deer, WI 53223 | 2013-12-02 |
| 1720415938 | Bell Therapy, Inc. | Community Based Residential Treatment Facility, Mental Illness | 7229-7231 W. Brentwood Ave., Milwaukee, WI 53223 | 2013-10-02 |
| 1528405701 | Ground Support Logistics LLC | Driver | 8200 W Browndeer Rd, Milwaukee, WI 53223 | 2013-05-29 |
| 1801136288 | Nicole M. Rintelman | Registered Nurse | 4600 W. Schroeder Drive, Rogers Memorial Hospital, Brown Deer, WI 53223 | 2013-02-22 |
| Find all providers in zip 53223 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982161048 | Natalia Roman | Specialist | 725 W Lapham Blvd Apt 17, Milwaukee, WI 53204-3447 | 2019-02-25 |
| 1598231524 | Shanel Marie Jordan | Specialist | 4827 N 76th St, Milwaukee, WI 53218-3826 | 2018-10-17 |
| 1598143455 | Donisha Nesbitt | Specialist | 4717 N 38th St, Milwaukee, WI 53209-5949 | 2015-05-12 |
| 1851625735 | Kenneth Raskin Md Sc | Specialist | 115 S 84th St, Suite 175, Milwaukee, WI 53214-1472 | 2009-09-25 |
| 1518195726 | Gina Marie Williams | Specialist | Jewish Home and Care Center:therapy Department, 1414 N Prospect Ave, Milwaukee, WI 53202-3018 | 2009-06-25 |
| 1982856670 | Jeannette E Brasseur | Specialist | 4158 N Stowell Ave, Milwaukee, WI 53211-1744 | 2008-10-14 |
| 1437306172 | Gerald R. Zupnik | Specialist | 8689 N Seneca Rd, Milwaukee, WI 53217-2331 | 2008-08-25 |
| 1316114317 | Leslie M Cannestra | Specialist | 7823 W Verona Ct, Milwaukee, WI 53219-3861 | 2008-05-09 |
| 1538335138 | Linda Jean Gaalaas | Specialist | 2715 N Summit Ave, Milwaukee, WI 53211-3855 | 2008-05-02 |
| 1710157078 | Isaac Melguizo-gavilanes | Specialist | 2801 W Kinnickinnic River Pkwy Ste 925, Milwaukee, WI 53215-3689 | 2008-03-03 |
| 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.