MADELYN C SIERASKI (NPI# 1902879737) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902879737 |
| Entity Type | Individual |
| Full Name | MADELYN C SIERASKI |
| Credential | M.D. |
| Practice Address |
Prohealth Care Medical Centers-south 2130 Big Bend Road Waukesha WI 53189 |
| Mailing Address |
Waukesha Health Care Inc. N17 W24100 Riverwood Drive Suite 250 Waukesha WI 53188-1177 |
| Practice Telephone | 2629287555 |
| Practice Fax Number | 2625137575 |
| Mailing Telephone | 2629284100 |
| Mailing Fax Number | 2629285835 |
| Enumeration Date | 2006-02-10 |
| Last Update Date | 2009-03-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 32517 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 31755700 | 05 |
| Street Address |
PROHEALTH CARE MEDICAL CENTERS-SOUTH 2130 BIG BEND ROAD |
| City | WAUKESHA |
| State | WI |
| Zip Code | 53189 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275017907 | Shopko Stores Operating Co LLC | Eyewear Supplier (Equipment, not the service) | 1166 W Sunset Drive, Suite F100, Waukesha, WI 53189 | 2018-09-19 |
| 1851841910 | Jane Knoblock | Speech-Language Pathologist | S48w23663 Merlin Ln, Waukesha, WI 53189 | 2016-10-12 |
| 1063850246 | Tracey Sue Kochanski | Nurse Practitioner | 1130 W Sunset Ave, Waukesha, WI 53189 | 2013-06-10 |
| 1376981811 | Mark Russell Schmitt | Registered Nurse | 1804 Dixie Dr., Waukesha, WI 53189 | 2013-06-06 |
| 1760738546 | Schreve and Associates Inc. | Durable Medical Equipment & Medical Supplies | 406 Travis Ln., Ste 50, Waukesha, WI 53189 | 2012-07-30 |
| 1407152879 | Kimberly Lyn Moravec | Registered Nurse | W326 S3994 Spring Ridge Ct, Waukesha, WI 53189 | 2011-02-02 |
| 1154505113 | Le Ann Le Blanc | Day Training, Developmentally Disabled Services | S31 W28251 Sunset Drive, Waukesha, WI 53189 | 2007-12-26 |
| 1801934807 | Wisconsin Vision, Inc. | Technician/Technologist | 203a Sunset Drive, Waukesha, WI 53189 | 2007-02-02 |
| 1497828172 | Donna G. Kraklow D.d.s. | Dentist | 1507 E Sunset Dr, Suite 110, Waukesha, WI 53189 | 2006-11-17 |
| 1285713461 | Robert Evan Davies | Dentist | 2117 Corporate Dr., Suite 100, Waukesha, WI 53189 | 2006-11-06 |
| Find all providers in zip 53189 | ||||
| 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 |
|---|---|---|---|---|
| 1306376314 | Eric Paul Kuehn | Family Medicine | 210 Nw Barstow St Ste 210, Waukesha, WI 53188-3771 | 2017-06-13 |
| 1427504802 | Paladina Health, LLC | Family Medicine | 402 Travis Ln, #67, Waukesha, WI 53189-5011 | 2016-08-26 |
| 1720440019 | Heather Koch Harrison | Family Medicine | 210 Nw Barstow St Ste 201, Waukesha, WI 53188-3771 | 2016-03-24 |
| 1174535470 | Punnoose Mackiel | Family Medicine | 1240 Ridge Rd, Waukesha, WI 53186-1425 | 2006-08-13 |
| 1851300933 | Glenn Toth | Family Medicine | 403 N Grand Ave, Waukesha, WI 53186-4913 | 2006-08-06 |
| 1689647406 | Caryn A. Brownell | Family Medicine | 2130 Big Bend Road, Prohealth Care Medical Associates, Inc., Waukesha, WI 53189-7624 | 2006-02-10 |
| 1699747394 | Sandra G Amadon | Family Medicine | 240 Maple Ave, Prohealth Care Medical Associates Inc., Waukesha, WI 53149-8475 | 2006-02-06 |
| 1669457214 | Eduardo Scholcoff | Family Medicine | 210 Nw Barstow St, Suite 201, Waukesha, WI 53188-3771 | 2005-12-07 |
| 1710971668 | Robert J Beaumont | Family Medicine | 237 Wisconsin Ave, Waukesha, WI 53186-4955 | 2005-09-07 |
| 1699769596 | Cindy B Catania | Family Medicine | W231n1440 Corporate Ct, Waukesha, WI 53186-1303 | 2005-09-07 |
| Find all providers in WAUKESHA | ||||
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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.