GREAT LAKES MEDICAL & SURGICAL CENTER (NPI# 1932308186) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932308186 |
| Entity Type | Organization |
| Organization Name | GREAT LAKES MEDICAL & SURGICAL CENTER |
| Practice Address |
6000 South 27th Street Milwaukee WI 53221 |
| Mailing Address |
Po Box 210464 Milwaukee WI 53221 |
| Practice Telephone | 4142827575 |
| Mailing Telephone | 4142827575 |
| Enumeration Date | 2007-07-17 |
| Last Update Date | 2007-07-17 |
| Authorized Official Name | DR. BAHRAM NAMDARI (OWNER) |
| Authorized Official Telephone | 4142827575 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
19858020 | WI | Allopathic & Osteopathic Physicians |
| Y | 208600000X | Surgery | 19858020 | WI | Allopathic & Osteopathic Physicians |
| Street Address |
6000 SOUTH 27TH STREET |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487205944 | Hayat Pharmacy 20 LLC | Pharmacy | 805 W. Layton Ave., Suite B, Milwaukee, WI 53221 | 2019-09-26 |
| 1962053421 | Hayat Pharmacy 19 LLC | Pharmacy | 805 W. Layton Ave. Suite A, Milwaukee, WI 53221 | 2019-09-26 |
| 1407343965 | Informe Healthcare LLC | Counselor | 2741 W Layton Ave., Suite 106, Milwaukee, WI 53221 | 2018-04-19 |
| 1447781992 | Itamar Yaakov Gnatt | Emergency Medicine | 2900 W Oklahoma Ave, St Lukes Medical Center, Milwaukee, WI 53221 | 2017-03-27 |
| 1194277160 | Suzanne Derosier | Licensed Practical Nurse | 3910 W Bridge, Greenfield, WI 53221 | 2016-10-26 |
| 1265988117 | Obi Home Care | Clinic/Center | 4439 S 20th St, Milwaukee, WI 53221 | 2016-08-31 |
| 1427430602 | Zezenya Health Care S.c. | Pain Medicine | 5114 S 27th St # 763, Milwaukee, WI 53221 | 2015-06-24 |
| 1851771091 | Feisal J Salahadyn | Counselor | 4800 South 10th Street, Milwaukee, WI 53221 | 2015-06-03 |
| 1114312386 | Holistic Home Health Care Incorporated | Adult Companion | 3422 West Howard Ave, Greenfield, WI 53221 | 2015-04-03 |
| 1841698834 | Srt Prosthetics & Orthotics LLC | Prosthetic/Orthotic Supplier | 5220 S 27th St., Milwaukee, WI 53221 | 2014-12-08 |
| Find all providers in zip 53221 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598310195 | Matthew Laviolette | Surgery | Medical College of Wisconsin, 8701 Watertown Plank Rd., Surgical Oncology, Milwaukee, WI 53226 | 2019-08-09 |
| 1659832855 | Benjamin David Seadler | Surgery | Mcw, Department of Surgery, 8701 Watertown Plank Road, Milwaukee, WI 53226 | 2019-03-29 |
| 1538570338 | Nicholas Sich | Surgery | 2901 W Kinnickinnic River Pkwy Dept Ste 540, Milwaukee, WI 53215-3677 | 2014-05-14 |
| 1629312467 | Meredith Witten | Surgery | 945 N 12th St # 2110, Milwaukee, WI 53233 | 2012-11-17 |
| 1013203397 | Nicole M Zaremba | Surgery | 2801 W Kinnickinnic River Pkwy Ste 165, Milwaukee, WI 53215-3699 | 2011-06-24 |
| 1073803391 | Ryan Berg | Surgery | 3070 N 51st St Ste 207, Milwaukee, WI 53210-1661 | 2011-04-08 |
| 1417119769 | Sheldon Morris Solochek | Surgery | 3316 N Lake Dr, Milwaukee, WI 53211-2907 | 2008-06-27 |
| 1194906982 | Muhammad Yousof Khan | Surgery | 1218 W Kilbourn Ave Ste 409, Milwaukee, WI 53233-1325 | 2007-11-20 |
| 1063611820 | Lyle G. Henry Md Sc | Surgery | 2015 E Newport Ave Ste 305, Milwaukee, WI 53211-2949 | 2007-07-12 |
| 1083789663 | Aaron L Rogaczewski | Surgery | 2111 N 60th St, Milwaukee, WI 53208-1043 | 2006-11-21 |
| 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.