PROCARE MEDICAL GROUP SC (NPI# 1922164656) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922164656 |
| Entity Type | Organization |
| Organization Name | PROCARE MEDICAL GROUP SC |
| Practice Address |
1218 W Kilbourn Ave Suite 124 Milwaukee WI 53233-1330 |
| Practice Telephone | 4142912626 |
| Practice Fax Number | 4142912630 |
| Mailing Telephone | 4142912626 |
| Mailing Fax Number | 4142912630 |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | ROSALINA VALLE (OFFICE MANAGER) |
| Authorized Official Telephone | 4142912624 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
WI | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 32808100 | 05 |
| Street Address |
1218 W KILBOURN AVE SUITE 124 |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53233-1330 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003891250 | Aboud Affi | Internal Medicine | 1218 W Kilbourn Ave, Suite 404, Milwaukee, WI 53233-1330 | 2005-12-09 |
| 1932633724 | Lori L Leidel | Nurse Practitioner | 1218 W Kilbourn Ave, Milwaukee, WI 53233-1330 | 2017-04-18 |
| 1801262746 | Progressive Community Health Centers, Inc. | Family Medicine | 1218 W Kilbourn Ave, Milwaukee, WI 53233-1330 | 2015-08-14 |
| 1316287071 | Maia F Schwartz | Physician Assistant | 1218 W Kilbourn Ave, Suite 301, Milwaukee, WI 53233-1330 | 2013-02-18 |
| 1245532050 | Aurora Health Care Metro, Inc. | Public Health or Welfare | 1218 W Kilbourn Ave, Suite 207, Milwaukee, WI 53233-1330 | 2010-11-30 |
| 1235465832 | Richard R Wesley | Physician Assistant | 1218 W Kilbourn Ave, Suite 301, Milwaukee, WI 53233-1330 | 2009-11-02 |
| 1619202546 | Aurora Health Care Wic | Public Health or Welfare | 1218 W Kilbourn Ave, Suite 207, Milwaukee, WI 53233-1330 | 2009-10-09 |
| 1215167523 | Marvin | Surgery | 1218 W Kilbourn Ave, Suite-401, Milwaukee, WI 53233-1330 | 2009-07-21 |
| 1073754776 | Elisabeth Catherine Biggs | Physician Assistant | 1218 W Kilbourn Ave, Suite 511, Milwaukee, WI 53233-1330 | 2009-03-10 |
| 1306013834 | Patrick Walter Jost | Orthopaedic Surgery | 1218 W Kilbourn Ave, Suite 301, Milwaukee, WI 53233-1330 | 2008-05-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104454750 | Henok Desta Hardilo | Student in an Organized Health Care Education/Training Program | Aurora Sinai Medical Center 945 N 12th Street, Milwaukee, WI 53233 | 2020-03-30 |
| 1821633314 | Ann E Millard | Occupational Therapist | 560 N. 16th Street, Room 214a, Milwaukee, WI 53233 | 2019-11-08 |
| 1306480918 | Teng Kai Ong | Dentist | 1801 West Wisconsin Ave., Milwaukee, WI 53233 | 2019-11-06 |
| 1356800478 | Nebiyu Abera Tilahun | Student in an Organized Health Care Education/Training Program | Aurora Sinai Medical Center, 945 N. 12th Street, Milwaukee, WI 53233 | 2019-03-18 |
| 1548748387 | Emily Claire Goetz | Physical Therapist | 945 N. 12th St. Suite 1100, Milwaukee, WI 53233 | 2018-08-03 |
| 1801373378 | Froedtert & The Medical College of Wisconsin Community Physicians | Non-Pharmacy Dispensing Site | 1721 W Canal St, Milwaukee, WI 53233 | 2018-07-26 |
| 1184170706 | Lauren Troll | Physical Therapist | 925 N 12th Street, Milwaukee, WI 53233 | 2016-09-01 |
| 1942694401 | Iryna Nemesh | Internal Medicine | 1020 N 12th St Fl 2, Milwaukee, WI 53233 | 2015-03-23 |
| 1649676032 | Matina Angelopoulou | Dentist | 1801 West Winsconsin Ave, Milwaukee, WI 53233 | 2014-11-12 |
| 1780007831 | John Ladisa | Technician, Other | 1637 W. Wisconsin Ave, Room 311, Milwaukee, WI 53233 | 2014-01-27 |
| Find all providers in zip 53233 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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|---|---|---|---|---|
| 1346882693 | My Health Clinic | Clinic/Center | 6300 N 76th St, Milwaukee, WI 53218-1208 | 2019-10-08 |
| 1710447008 | Afjv Inc | Clinic/Center | 2801 W Kinnickinnic River Pkwy Ste 470, Milwaukee, WI 53215-5211 | 2019-03-22 |
| 1497768659 | Wisconsin Health Fund | Clinic/Center | 6200 W Bluemound Rd, Milwaukee, WI 53213-4145 | 2006-08-15 |
| 1356907133 | Rgn Family Behavioral Health, LLC | Clinic/Center | 6917 W Oklahoma Ave, Milwaukee, WI 53219-2973 | 2019-05-16 |
| 1912484635 | Comprehensive Occupational Medical Associates of Connecticut P C | Clinic/Center | 633 E Mason St, Milwaukee, WI 53202-3813 | 2018-07-25 |
| 1073801395 | Shalem Healing | Clinic/Center | 800 E Locust St, Milwaukee, WI 53212-2634 | 2011-07-20 |
| 1083755177 | Curative Care Network, Inc. | Clinic/Center | 1000 N 92nd St, Milwaukee, WI 53226-3533 | 2007-02-09 |
| 1225071491 | Columbia St. Mary's Hospital Milwaukee Inc | Clinic/Center | 2323 N Lake Dr, Milwaukee, WI 53211-4508 | 2006-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881182889 | Allure Medical of Wisconsin Pllc | Clinic/Center | 1930 W Bluemound Rd Ste 340, Waukesha, WI 53186 | 2018-04-25 |
| 1811412091 | H2o:health Hydration Oasis | Clinic/Center | 17110 W Greenfield Ave Ste 6, Brookfield, WI 53005-6899 | 2017-08-08 |
| 1003336884 | 3d Brows and Wellness LLC | Clinic/Center | 801 Hoffman Rd Ste 106, Green Bay, WI 54301-1462 | 2017-06-22 |
| 1437529120 | Quad/med, LLC | Clinic/Center | W227 N6103 Sussex Rd, Sussex, WI 53089 | 2015-10-07 |
| 1891106092 | Wisconsin Wellness Clinic | Clinic/Center | 280 Regency Ct, Suite 100, Brookfield, WI 53045-6165 | 2014-05-11 |
| 1437317708 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | 1160 Service Rd, Kiel, WI 53042 | 2008-05-23 |
| 1679731954 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | 1128 E Parkway Ave, Oshkosh, WI 54901 | 2008-05-23 |
| 1669639142 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | N9642 County Rd N, Appleton, WI 54915 | 2008-05-21 |
| 1265699748 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | 1531 S Madison St Fl 4, Appleton, WI 54915 | 2008-05-21 |
| 1073770558 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | 1531 S Madison St Ste 580, Appleton, WI 54915 | 2008-05-21 |
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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.