Kyle David Bohan (NPI# 1457730855, PAC ID# 0648528208) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1457730855 |
| PAC ID by PECOS | 0648528208 |
| Professional Enrollment ID | I20180730003426 |
| Full Name | Kyle David Bohan |
| Organization Legal Name | SIXTEENTH STREET COMMUNITY HEALTH CENTERS INC |
| Address |
2906 S 20th St Milwaukee WI 53215-3732 |
| Phone Number | 4146721353 |
| Gender | M |
| Medical School | A T STILL UN, ARIZONA SCHL OF DENT.Y & ORAL HLTH |
| Graduation Year | 2015 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 6709876857 |
| Number of Group Practice Members | 62 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 520138 | AURORA ST LUKES MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1032 S Cesar E Chavez Dr, Milwaukee, WI 53204-2203 | 4146721353 | SIXTEENTH STREET COMMUNITY HEALTH CENTERS INC |
| 2906 S 20th St, Milwaukee, WI 53215-3732 | 4146721353 | SIXTEENTH STREET COMMUNITY HEALTH CENTERS INC |
| 4570 S 27th St, Milwaukee, WI 53221-2145 | 4146721353 | SIXTEENTH STREET COMMUNITY HEALTH CENTERS INC |
| Organization Legal Name | SIXTEENTH STREET COMMUNITY HEALTH CENTERS INC |
| Physicians | 70 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Emily Gebhardt | Physician Assistant | Sixteenth Street Community Health Centers Inc | 1032 S Cesar E Chavez Dr, Milwaukee, WI 53204-2203 |
| Daihanara Cintron-lafontaine | Internal Medicine | Sixteenth Street Community Health Centers Inc | 309 E N St, Waukesha, WI 53188-3718 |
| Amelia B Brost | Psychologist, Clinical | Sixteenth Street Community Health Centers Inc | 4570 S 27th St, Milwaukee, WI 53221-2145 |
| Karen F Lupa | Certified Nurse Midwife (cnm) | Sixteenth Street Community Health Centers Inc | 2906 S 20th St, Milwaukee, WI 53215-3732 |
| Jane M Collis Geers | Ophthalmology | Sixteenth Street Community Health Centers Inc | 1032 S Cesar E Chavez Dr, Milwaukee, WI 53204-2203 |
| Lisa M Soboleski | Physician Assistant | Sixteenth Street Community Health Centers Inc | 1032 S Cesar E Chavez Dr, Milwaukee, WI 53204-2203 |
| Madeline Kay Cernuda | Physician Assistant | Sixteenth Street Community Health Centers Inc | 1032 S Cesar E Chavez Dr, Milwaukee, WI 53204-2203 |
| Michael J Ewing | Psychiatry | Sixteenth Street Community Health Centers Inc | 1032 S Cesar E Chavez Dr, Milwaukee, WI 53204-2203 |
| Angela Kathryn Golon | Nurse Practitioner | Sixteenth Street Community Health Centers Inc | 1032 S Cesar E Chavez Dr, Milwaukee, WI 53204-2203 |
| Lisa Marie Collingwood | Psychologist, Clinical | Sixteenth Street Community Health Centers Inc | 1032 S Cesar E Chavez Dr, Milwaukee, WI 53204-2203 |
| Street Address |
2906 S 20TH ST |
| City | MILWAUKEE |
| State | WI |
| Zip | 53215-3732 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Karen F Lupa | Certified Nurse Midwife (cnm) | Sixteenth Street Community Health Centers Inc | 2906 S 20th St, Milwaukee, WI 53215-3732 |
| Jorge Augusto Ramallo | Internal Medicine | Sixteenth Street Community Health Centers Inc | 2906 S 20th St, Milwaukee, WI 53215-3732 |
| Michelle L Buelow | Family Medicine | Sixteenth Street Community Health Centers Inc | 2906 S 20th St, Milwaukee, WI 53215-3732 |
| Sana Mazher | Internal Medicine | Sixteenth Street Community Health Centers Inc | 2906 S 20th St, Milwaukee, WI 53215-3732 |
| Suelhem A Grochowski | Nurse Practitioner | Sixteenth Street Community Health Centers Inc | 2906 S 20th St, Milwaukee, WI 53215-3732 |
| Pamela Denise Wilson | Family Practice | Sixteenth Street Community Health Centers Inc | 2906 S 20th St, Milwaukee, WI 53215-3732 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alvaro Aleman | General Practice | 3527 W National Ave, Milwaukee, WI 53215-1024 | |
| Sergio C Casaclang | Family Medicine | 3501 W Greenfield Ave, Milwaukee, WI 53215-1445 | |
| Katherine A Michalek | Nurse Practitioner | Aurora Medical Group Inc | 4111 W Mitchell St, Milwaukee, WI 53215-1748 |
| Cynthia M Bellanger | Nurse Practitioner | Aurora Medical Group Inc | 4111 W Mitchell St, Milwaukee, WI 53215-1748 |
| Leslie A Mueller Grady | Nurse Practitioner | Aurora Medical Group Inc | 4111 W Mitchell St, Milwaukee, WI 53215-1748 |
| Michelle Suzanne Wangrow | Physical Therapy | Chad Novasic Pt Ltd | 2512 W Lincoln Ave, Milwaukee, WI 53215-2575 |
| Daniel Gage | Physical Therapy | Chad Novasic Pt Ltd | 2512 W Lincoln Ave, Milwaukee, WI 53215-2575 |
| Mark J Neu | Physical Therapy | Chad Novasic Pt Ltd | 2512 W Lincoln Ave, Milwaukee, WI 53215-2575 |
| Chad M Novasic | Physical Therapy | Chad Novasic Pt Ltd | 2512 W Lincoln Ave, Milwaukee, WI 53215-2575 |
| Travis R Hill | Physical Therapy | Chad Novasic Pt Ltd | 2512 W Lincoln Ave, Milwaukee, WI 53215-2575 |
| Find all physicians in zip 53215 | |||
| City | MILWAUKEE |
| Zip Code | 53215 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | MILWAUKEE + FAMILY MEDICINE |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.