George M Lange (NPI# 1508898263, PAC ID# 0840210688) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1508898263 |
| PAC ID by PECOS | 0840210688 |
| Professional Enrollment ID | I20051123000082 |
| Full Name | George M Lange |
| Organization Legal Name | COLUMBIA ST. MARY'S HOSPITAL MILWAUKEE, INC |
| Address |
2505 E Bradford Ave Milwaukee WI 53211-4262 |
| Phone Number | 4149636151 |
| Gender | M |
| Credential | MD |
| Medical School | MEDICAL COLLEGE OF WISCONSIN |
| Graduation Year | 1975 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 5890604722 |
| Number of Group Practice Members | 338 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 520051 | COLUMBIA ST. MARY'S HOSPITAL MILWAUKEE |
| 520177 | FROEDTERT MEMORIAL LUTHERAN HOSPITAL |
| 520027 | COLUMBIA ST MARYS HOSPITAL OZAUKEE |
| 520136 | WHEATON FRANCISCAN ST JOSEPH |
| Address | Phone | Organization |
|---|---|---|
| 2505 E Bradford Ave, Milwaukee, WI 53211-4262 | 4149636151 | COLUMBIA ST. MARY'S HOSPITAL MILWAUKEE, INC |
| 10950 W Capitol Dr, Wauwatosa, WI 53222-1110 | 4144644460 | COLUMBIA ST. MARY'S HOSPITAL MILWAUKEE, INC |
| 4545 N 92nd St, Wauwatosa, WI 53225-4807 | 4142039662 | COLUMBIA ST. MARY'S HOSPITAL MILWAUKEE, INC |
| 7500 W N Ave, Wauwatosa, WI 53213-1717 | 4142586170 | COLUMBIA ST. MARY'S HOSPITAL MILWAUKEE, INC |
| 8220 Harwood Ave, Wauwatosa, WI 53213-2562 | 4142566800 | COLUMBIA ST. MARY'S HOSPITAL MILWAUKEE, INC |
| 801 S 70th St, West Allis, WI 53214-3147 | COLUMBIA ST. MARY'S HOSPITAL MILWAUKEE, INC |
| Organization Legal Name | COLUMBIA ST. MARY'S HOSPITAL MILWAUKEE, INC |
| Physicians | 287 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Linda P Perez | Nurse Practitioner | Columbia St. Mary's Hospital Milwaukee, Inc | 734 N Jackson St, Milwaukee, WI 53202-4602 |
| Jillian E Stancevic | Nurse Practitioner | Columbia St. Mary's Hospital Milwaukee, Inc | 13133 N Pt Wash Rd, Suite 116, Mequon, WI 53097-2422 |
| Tracy L Donahue | Dermatology | Columbia St. Mary's Hospital Milwaukee, Inc | 2323 S 102nd St, West Allis, WI 53227-2103 |
| Brent Jones | Endocrinology | Columbia St. Mary's Hospital Milwaukee, Inc | 10950 W Capitol Dr, Wauwatosa, WI 53222-1110 |
| Tamara A Adducci | Obstetrics/gynecology | Columbia St. Mary's Hospital Milwaukee, Inc | 4027 N Oakland Ave, Shorewood, WI 53211-2356 |
| Adam E Blackwell | Family Medicine | Columbia St. Mary's Hospital Milwaukee, Inc | 1901 E Capitol Dr, Shorewood, WI 53211-2335 |
| Mary Grace H Lasquety | Family Medicine | Columbia St. Mary's Hospital Milwaukee, Inc | 2311 N Prospect Ave, Milwaukee, WI 53211-4445 |
| Michael F Johnstone | Family Medicine | Columbia St. Mary's Hospital Milwaukee, Inc | 2505 E Bradford Ave, Milwaukee, WI 53211-4262 |
| Jack E Maloney | Dermatology | Columbia St. Mary's Hospital Milwaukee, Inc | 801 S 70th St, West Allis, WI 53214-3147 |
| Margaret H Carr | Obstetrics/gynecology | Columbia St. Mary's Hospital Milwaukee, Inc | 2301 N Lake Dr, Milwaukee, WI 53211-4508 |
| Street Address |
2505 E BRADFORD AVE |
| City | MILWAUKEE |
| State | WI |
| Zip | 53211-4262 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael F Johnstone | Family Medicine | Columbia St. Mary's Hospital Milwaukee, Inc | 2505 E Bradford Ave, Milwaukee, WI 53211-4262 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Monica E Maroney | Chiropractic | Monica E. Maroney S C | 4433 N Oakland Ave A, Shorewood, WI 53211-1600 |
| Brittany W Igwike | Chiropractic | Monica E. Maroney S C | 4433 N Oakland Ave A, Shorewood, WI 53211-1600 |
| Jennifer May Dotto | Chiropractic | Monica E. Maroney S C | 4433 N Oakland Ave A, Shorewood, WI 53211-1600 |
| Michael Toye | Physician Assistant | Center for Pain Management, Sc | 4495 N Oakland Ave, Shorewood, WI 53211-1611 |
| Trinh Gia Truong | Physical Medicine and Rehabilitation | 4495 N Oakland Ave, Milwaukee, WI 53211-1611 | |
| Nicole B Laabs | Physician Assistant | Center for Pain Management, Sc | 4495 N Oakland Ave, Shorewood, WI 53211-1611 |
| Joshua D Delahan | Clinical Social Worker | 4465 N Oakland Ave, Suite 400d Downstairs, Shorewood, WI 53211-1662 | |
| Gail M Heinecke | Physical Therapy | Paxxon Healthcare Services LLC | 1111 E Capitol Dr, Shorewood, WI 53211-1810 |
| Sandra R Moog | Qualified Speech Language Pathologist | Paxxon Healthcare Services LLC | 1111 E Capitol Dr, Shorewood, WI 53211-1810 |
| Patricia L Allen Brickman | Speech Language Pathologist | Paxxon Healthcare Services LLC | 1111 E Capitol Dr, Shorewood, WI 53211-1810 |
| Find all physicians in zip 53211 | |||
| City | MILWAUKEE |
| Zip Code | 53211 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | MILWAUKEE + INTERNAL 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.