FROEDTERT & MEDICAL COLLEGE OF WI COMMUNITY PHYSICIANS (NPI# 1942677638) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942677638 |
| Entity Type | Organization |
| Organization Name | FROEDTERT & MEDICAL COLLEGE OF WI COMMUNITY PHYSICIANS |
| Practice Address |
1190 E Paradise Dr West Bend WI 53095-5444 |
| Practice Telephone | 2623066319 |
| Mailing Telephone | 2623066319 |
| Enumeration Date | 2015-08-28 |
| Last Update Date | 2015-08-28 |
| Authorized Official Name | MS. KARA WIESNER (DIRECTOR) |
| Authorized Official Telephone | 4147774806 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
12927 | WI | Ambulatory Health Care Facilities |
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
12927-24 | WI | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720604044 | Froedtert & Medical College of Wi Community Physicians | Non-Pharmacy Dispensing Site | 1700 Paradise Dr, West Bend, WI 53095-9795 | 2020-06-23 |
| Street Address |
1190 E PARADISE DR |
| City | WEST BEND |
| State | WI |
| Zip Code | 53095-5444 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710996236 | Rita J Newton | Physical Therapist | 1190 E Paradise Dr, West Bend, WI 53095-5444 | 2006-08-05 |
| 1386202976 | Nicholas Paul Wohkittel | Physical Therapist | 1190 E Paradise Dr, West Bend, WI 53095-5444 | 2019-05-30 |
| 1710456942 | Jennifer Barber | Occupational Therapist | 1190 E Paradise Dr, West Bend, WI 53095-5444 | 2018-11-16 |
| 1487145579 | Bradley Zenor Johnson | Physical Medicine & Rehabilitation | 1190 E Paradise Dr, West Bend, WI 53095 | 2018-05-23 |
| 1104276484 | Kathryn Hill | Physical Therapist | 1190 E Paradise Dr, West Bend, WI 53095-5444 | 2016-06-16 |
| 1376919654 | Joshua Miller | Physical Therapist | 1190 E Paradise Dr, West Bend, WI 53095-5444 | 2015-08-20 |
| 1588046635 | Casey Ann Hamill-barth | Specialist/Technologist | 1190 E Paradise Dr, West Bend, WI 53095-5444 | 2015-06-25 |
| 1164836698 | Molly Shea | Physical Therapist | 1190 E Paradise Dr, West Bend, WI 53095-5444 | 2014-06-12 |
| 1407268311 | Darlene Heather Jeson | Specialist/Technologist | 1190 E Paradise Dr, West Bend, WI 53095-5444 | 2014-05-27 |
| 1780021493 | Froedtert & The Medical College of Wisconsin Community Physicians | Durable Medical Equipment & Medical Supplies | 1190 E Paradise Dr, West Bend, WI 53095-5444 | 2013-06-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942820428 | David Fountain | Contractor | 726 Creedwood Lane, West Bend, WI 53095 | 2020-04-24 |
| 1922664358 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 1745 South Main St, West Bend, WI 53095 | 2019-05-10 |
| 1912423773 | Michelle R Prentice | Family Medicine | West Bend Health Center, 1700 W. Paradise Drive, West Bend, WI 53095 | 2017-08-14 |
| 1386165918 | Quad/med, LLC | Clinic/Center | 432 E. Washington St. #1115, West Bend, WI 53095 | 2017-07-05 |
| 1508230632 | Jesen Daniel | Counselor | 111 East Washington St, Affiliated Clinical Services, West Bend, WI 53095 | 2015-12-01 |
| 1477965259 | Jenna Crofts | Specialist/Technologist | 1190 East Paradise Drive, West Bend, WI 53095 | 2014-05-28 |
| 1023436342 | Visionworks | Optometrist | 1437 S. Main St., West Bend, WI 53095 | 2014-04-03 |
| 1295157295 | Stephanie Rabe | Registered Nurse | 910 E. Paradise Drive, West Bend, WI 53095 | 2014-01-09 |
| 1477898815 | Ralph Norman Olsen | Pediatrics | 6267 Riesch Road, West Bend, WI 53095 | 2012-12-11 |
| 1932458536 | Joshua Aaron Barta | Dentist | 2090 Continental Drive, West Bend, WI 53095 | 2012-08-29 |
| Find all providers in zip 53095 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124662465 | Momentum Movement Clinic LLC | Clinic/Center | 400 W Moreland Blvd Ste A, Waukesha, WI 53188-2425 | 2019-10-30 |
| 1508409293 | Boost Home Health LLC | Clinic/Center | 1198 121st Ave, New Richmond, WI 54017-7158 | 2019-10-24 |
| 1912481185 | Visiting Nurse Community Care, Inc. | Clinic/Center | 600 52nd St Ste 300, Kenosha, WI 53140-3423 | 2018-09-24 |
| 1790270932 | Genesis Eldercare Rehabilitation Services LLC | Clinic/Center | 533 E Calumet St, Chilton, WI 53014-1649 | 2018-06-29 |
| 1225548316 | Thrive Learning Center, LLP | Clinic/Center | N3219 County Road H Ste F, Lake Geneva, WI 53147-7074 | 2017-10-03 |
| 1720431877 | Milwaukee Center for Independence | Clinic/Center | 6100 N Baker Rd, Glendale, WI 53209-3704 | 2016-07-13 |
| 1518334986 | Physiotherapy Associates Inc | Clinic/Center | 3910 W Lisbon Ave, Milwaukee, WI 53208-1834 | 2015-09-01 |
| 1417367509 | Specialized Therapy Services LLC | Clinic/Center | 890 Elm Grove Rd Ste 1-1, Elm Grove, WI 53122-2528 | 2014-04-29 |
| 1710300173 | Genesis Eldercare Rehabilitation Services LLC | Clinic/Center | 1800 Bluebell Ln, C/o Harmony of Stevens Point, Stevens Point, WI 54482-8983 | 2014-01-21 |
| 1386900918 | Ministry Door County | Clinic/Center | 323 S 16th Pl, Sturgeon Bay, WI 54235 | 2012-04-09 |
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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.