Kim J Pansegrau (NPI# 1518990167, PAC ID# 0941305114) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORAL SURGERY.
| Nation Provider ID (NPI) | 1518990167 |
| PAC ID by PECOS | 0941305114 |
| Professional Enrollment ID | I20070712000018 |
| Full Name | Kim J Pansegrau |
| Organization Legal Name | CENTER FOR ORAL AND MAXILLOFACIAL SURGERY SC |
| Address |
20 S Park St Suite 506 Madison WI 53715-1306 |
| Phone Number | 6082561961 |
| Gender | M |
| Medical School | UNIVERSITY OF IOWA COLLEGE OF DENTISTRY |
| Graduation Year | 1996 |
| Primary Specialty | ORAL SURGERY |
| Group Practice PAC ID | 5294830451 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 20 S Park St, Suite 506, Madison, WI 53715-1306 | 6082561961 | CENTER FOR ORAL AND MAXILLOFACIAL SURGERY SC |
| 5302 Buttonwood Dr, Madison, WI 53718-2111 | 6082400863 | CENTER FOR ORAL AND MAXILLOFACIAL SURGERY SC |
| 7007 Old Sauk Rd, Madison, WI 53717-2307 | 6088198760 | CENTER FOR ORAL AND MAXILLOFACIAL SURGERY SC |
| Organization Legal Name | CENTER FOR ORAL AND MAXILLOFACIAL SURGERY SC |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Scott R Goldberg | Maxillofacial Surgery | Center for Oral and Maxillofacial Surgery Sc | 7007 Old Sauk Rd, Madison, WI 53717-2307 |
| Andrew J Kramer | Oral Surgery | Center for Oral and Maxillofacial Surgery Sc | 20 S Park St, Suite 506, Madison, WI 53715-1306 |
| Tj A Dyer | Maxillofacial Surgery | Center for Oral and Maxillofacial Surgery Sc | 20 S Park St, Suite 506, Madison, WI 53715-1306 |
| Geoffrey R Warda | Oral Surgery | Center for Oral and Maxillofacial Surgery Sc | 20 S Park St, Suite 506, Madison, WI 53715-1306 |
| Rhys P Strasia | Oral Surgery | Center for Oral and Maxillofacial Surgery Sc | 20 S Park St, Suite 506, Madison, WI 53715-1306 |
| Jeffery B Davis | Maxillofacial Surgery | Center for Oral and Maxillofacial Surgery Sc | 20 S Park St, Suite 506, Madison, WI 53715-1306 |
| Street Address |
20 S PARK ST SUITE 506 |
| City | MADISON |
| State | WI |
| Zip | 53715-1306 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patricia V Staats | Pediatric Medicine | University of Wisconsin Medical Foundation Inc | 20 S Park St, Madison, WI 53715-1348 |
| Paula R Cynkar | Physician Assistant | University of Wisconsin Medical Foundation Inc | 20 S Park St, Madison, WI 53715-1348 |
| David M Melnick | General Surgery | University of Wisconsin Medical Foundation Inc | 20 S Park St, Madison, WI 53715-1348 |
| Elizabeth Rushing | Physician Assistant | University of Wisconsin Medical Foundation Inc | 20 S Park St, Madison, WI 53715-1348 |
| Anna T Schmidt | Physician Assistant | University of Wisconsin Medical Foundation Inc | 20 S Park St, Madison, WI 53715-1348 |
| Theresa A Michel | Nurse Practitioner | University of Wisconsin Medical Foundation Inc | 20 S Park St, Madison, WI 53715-1348 |
| Megan K Sullivan | Nurse Practitioner | University of Wisconsin Medical Foundation Inc | 20 S Park St, Madison, WI 53715-1348 |
| Stefan V Zachary | Hand Surgery | University of Wisconsin Medical Foundation Inc | 20 S Park St, Madison, WI 53715-1348 |
| Justin C Bohrer | Obstetrics/gynecology | University of Wisconsin Medical Foundation Inc | 20 S Park St, Madison, WI 53715-1348 |
| Allison Elizabeth Dyrek | Nurse Practitioner | University of Wisconsin Medical Foundation Inc | 20 S Park St, Madison, WI 53715-1348 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amol D Kulkarni | Ophthalmology | Dean Health Systems Inc | 1025 Regent St, Madison, WI 53715-1248 |
| John Vukich | Ophthalmology | Dean Health Systems Inc | 1025 Regent St, Madison, WI 53715-1248 |
| Mitchell D. Wolf | Ophthalmology | Dean Health Systems Inc | 1025 Regent St, Madison, WI 53715-1248 |
| Joan M Mcgrath | Anesthesiology | Dean Health Systems Inc | 1025 Regent St, Madison, WI 53715-1248 |
| Christopher M Pruet | Ophthalmology | Dean Health Systems Inc | 1025 Regent St, Madison, WI 53715-1248 |
| Richard J Grundman | Certified Registered Nurse Anesthetist (crna) | Dean Health Systems Inc | 1025 Regent St, Madison, WI 53715-1248 |
| James Bell | Ophthalmology | Dean Health Systems Inc | 1025 Regent St, Madison, WI 53715-1248 |
| Nathaniel C Harkins | Optometry | Dean Health Systems Inc | 1025 Regent St, Madison, WI 53715-1248 |
| Joseph Isik | Optometry | Dean Health Systems Inc | 1025 Regent St, Madison, WI 53715-1248 |
| Rachel K Glanville | Optometry | Dean Health Systems Inc | 1025 Regent St, Madison, WI 53715-1248 |
| Find all physicians in zip 53715 | |||
| City | MADISON |
| Zip Code | 53715 |
| Specialty | ORAL SURGERY |
| City + Specialty | MADISON + ORAL SURGERY |
Please comment or provide details below to improve the information on Kim J Pansegrau.
| 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.