FROEDTERT MEMORIAL LUTHERAN HOSPITAL, INC. (NPI# 1841627015) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841627015 |
| Entity Type | Organization |
| Organization Name | FROEDTERT MEMORIAL LUTHERAN HOSPITAL, INC. |
| Practice Address |
925 N 87th St Milwaukee WI 53226-4812 |
| Practice Telephone | 4148056531 |
| Practice Fax Number | 4148056513 |
| Mailing Telephone | 4148056531 |
| Mailing Fax Number | 4148056513 |
| Enumeration Date | 2013-10-03 |
| Last Update Date | 2019-10-18 |
| Authorized Official Name | KEVIN PERHACH (BUSINESS MANAGER) |
| Authorized Official Telephone | 2625325163 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
9228-42 | WI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2142336 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255334173 | Froedtert Memorial Lutheran Hospital, Inc. | General Acute Care Hospital | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2005-05-24 |
| 1275056723 | Froedtert Memorial Lutheran Hospital, Inc. | Pharmacy | 11430 N Port Washington Rd, Suite 103, Mequon, WI 53092-3454 | 2017-07-17 |
| 1356722045 | Froedtert Memorial Lutheran Hospital, Inc. | Pharmacy | 9200 W Wisconsin Ave, Cfac Pharmacy, Milwaukee, WI 53226-3522 | 2015-06-18 |
| 1457604928 | Froedtert Memorial Lutheran Hospital, Inc. | Pharmacy | W180n8000 Town Hall Rd, Menomonee Falls, WI 53051-4002 | 2012-10-22 |
| 1154597292 | Froedtert Memorial Lutheran Hospital, Inc. | Pharmacy | 9200 W Wisconsin Ave, Ste 200c, Milwaukee, WI 53226-3522 | 2008-05-07 |
| 1861573446 | Froedtert Memorial Lutheran Hospital, Inc. | Pharmacy | 9200 W Wisconsin Ave, Suite 100e, Milwaukee, WI 53226-3522 | 2006-10-18 |
| 1881783777 | Froedtert Memorial Lutheran Hospital, Inc. | Pharmacy | 9200 W Wisconsin Ave, Suite 200w, Milwaukee, WI 53226-3522 | 2006-10-11 |
| 1003819475 | Froedtert Memorial Lutheran Hospital, Inc. | Rehabilitation Unit | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2005-05-31 |
| 1982607354 | Froedtert Memorial Lutheran Hospital, Inc. | Durable Medical Equipment & Medical Supplies | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2005-05-31 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | FROEDTERT MEMORIAL LUTHERAN HOSPITAL, INC. | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 |
| Street Address |
925 N 87TH ST |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53226-4812 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114991890 | Gregory J Griepentrog | Ophthalmology | 925 N 87th St, Medical College Clinics At The Eye Institute, Milwaukee, WI 53226-4812 | 2006-02-17 |
| 1972153898 | Rebecca Lee Jansen | Pharmacist | 925 N 87th St, Milwaukee, WI 53226-4812 | 2019-09-12 |
| 1497303325 | Froedtert Health Pharmacy LLC | Pharmacy | 925 N 87th St, Milwaukee, WI 53226-4812 | 2019-09-04 |
| 1043772858 | Carleigh Nicole Bruce | Student in an Organized Health Care Education/Training Program | 925 N 87th St, Milwaukee, WI 53226-4812 | 2019-04-01 |
| 1508326166 | Eric Habbe | Student in an Organized Health Care Education/Training Program | 925 N 87th St, Milwaukee, WI 53226-4812 | 2019-03-20 |
| 1962943167 | Joseph Daniel Bogaard | Ophthalmology | 925 N 87th St, Milwaukee, WI 53226 | 2017-03-20 |
| 1508216441 | Lauren Ann Maloley | Ophthalmology | 925 N 87th St, Milwaukee, WI 53226-4812 | 2016-06-21 |
| 1992189500 | Jonathan Phillip Greenberg | Ophthalmology | 925 N 87th St, Milwaukee, WI 53226-4812 | 2015-07-13 |
| 1750776696 | Norberto Mancera | Ophthalmology | 925 N 87th St, Milwaukee, WI 53226-4812 | 2015-03-30 |
| 1144632183 | Thomas James Earl Clark | Ophthalmology | 925 N 87th St, Milwaukee, WI 53226 | 2014-05-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912511155 | Alexander Harlan | Pharmacist | 900 N 92nd St, Milwaukee, WI 53226 | 2020-09-04 |
| 1558985762 | Armghan Haider Ans | Student in an Organized Health Care Education/Training Program | 9200 W. Wisconsin Ave. Froedtert Hospital & Medical Col, Milwaukee, WI 53226 | 2020-06-03 |
| 1669001103 | Kimberly Tyler | Student in an Organized Health Care Education/Training Program | 8701 W Watertown Plank Road, Medical College of Wisconsin Dept of Internal Medicine, Wauwatosa, WI 53226 | 2020-04-06 |
| 1972131993 | Francesca Meloy Devine | Student in an Organized Health Care Education/Training Program | Medical Education Office: Children's Corporate Center, 999 N. 92nd St., Suite 730, Milwaukee, WI 53226 | 2020-03-27 |
| 1285275248 | Sharitta Alford | Technician | 12250 West North Avenue, Apartment 142b, Wauwatosa, WI 53226 | 2019-10-01 |
| 1619528023 | Linda Marie Sabatinelli | Technician | 12107 W. Woodland Ave, Wauwatosa, WI 53226 | 2019-09-26 |
| 1598310195 | Matthew Laviolette | Surgery | Medical College of Wisconsin, 8701 Watertown Plank Rd., Surgical Oncology, Milwaukee, WI 53226 | 2019-08-09 |
| 1962056432 | Lyndsey Marie Bratberg | Physician Assistant | F&mcw Clinical Cancer Center 9200 W. Wisconsin Ave., Milwaukee, WI 53226 | 2019-08-01 |
| 1659832855 | Benjamin David Seadler | Surgery | Mcw, Department of Surgery, 8701 Watertown Plank Road, Milwaukee, WI 53226 | 2019-03-29 |
| 1861953267 | Michael Dryden | Student in an Organized Health Care Education/Training Program | 8701 Watertown Plank Rd., Milwaukee, WI 53226 | 2019-03-27 |
| Find all providers in zip 53226 | ||||
| Taxonomy Code | 3336C0002X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Clinic Pharmacy |
| A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982252813 | Froedtert Health Pharmacy LLC | Pharmacy | 9200 W Wisconsin Ave Ste 100e, Milwaukee, WI 53226-3522 | 2019-09-04 |
| 1720012941 | Aurora Sinai Medical | Pharmacy | 1230 W Grant St, Milwaukee, WI 53215-2732 | 2006-07-11 |
| 1649247743 | Wheaton Franciscan Holdings, Inc. | Pharmacy | 2400 West Villard, Milwaukee, WI 53029-4999 | 2006-03-07 |
| 1487029351 | Aurora Pharmacy | Pharmacy | 1575 N Rivercenter Dr, Milwaukee, WI 53212-3978 | 2015-12-03 |
| 1447521927 | Aurora Pharmacy Inc. | Pharmacy | 1055 N Mayfair Rd, Suite 100, Milwaukee, WI 53226-3436 | 2012-01-16 |
| 1023253028 | City of Milwaukee Health Dept | Pharmacy | 841 N Broadway Fl 3, Milwaukee, WI 53202-3639 | 2008-12-05 |
| 1619127941 | City of Milwaukee Health Department | Pharmacy | 841 N Broadway Fl 3, Milwaukee, WI 53202-3639 | 2008-09-23 |
| 1154597292 | Froedtert Memorial Lutheran Hospital, Inc. | Pharmacy | 9200 W Wisconsin Ave, Ste 200c, Milwaukee, WI 53226-3522 | 2008-05-07 |
| 1861573446 | Froedtert Memorial Lutheran Hospital, Inc. | Pharmacy | 9200 W Wisconsin Ave, Suite 100e, Milwaukee, WI 53226-3522 | 2006-10-18 |
| 1821028887 | Milwaukee Health Services, Inc. | Pharmacy | 2555 N Martin Luther King Dr, Milwaukee, WI 53212-2709 | 2006-07-04 |
| Find all providers in MILWAUKEE | ||||
Please comment or provide details below to improve the information on FROEDTERT MEMORIAL LUTHERAN HOSPITAL, INC..
| 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.