Domenic J Pulito (NPI# 1871599712, PAC ID# 1456414085) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
Nation Provider ID (NPI) | 1871599712 |
PAC ID by PECOS | 1456414085 |
Professional Enrollment ID | I20090108000707 |
Full Name | Domenic J Pulito |
Address |
7545 N Port Washington Rd Glendale WI 53217-3422 |
Gender | M |
Medical School | MEDICAL COLLEGE OF WISCONSIN |
Graduation Year | 1976 |
Primary Specialty | ORTHOPEDIC SURGERY |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
520027 | COLUMBIA ST MARYS HOSPITAL OZAUKEE |
520177 | FROEDTERT MEMORIAL LUTHERAN HOSPITAL |
520136 | WHEATON FRANCISCAN ST JOSEPH |
Address | Phone | Organization |
---|---|---|
7545 N Port Washington Rd, Glendale, WI 53217-3422 |
Street Address |
7545 N PORT WASHINGTON RD |
City | GLENDALE |
State | WI |
Zip | 53217-3422 |
Name | Specialty | Organization | Address |
---|---|---|---|
Deborah Jordan | Physical Therapy | 727 W Laramie Ln, Bayside, WI 53217-1227 | |
Gary Donaldson | Chiropractic | 9200 N Tennyson Dr, Bayside, WI 53217-1464 | |
Erin J Woody | Physical Therapy | Sport Clinic Physical Therapy Inc | 8911 N Port Washington Rd, Bayside, WI 53217-1634 |
Christine Mary Wiedmeyer | Qualified Audiologist | Seniorwell of Wisconsin LLC | 7800 N Green Bay Rd, Glendale, WI 53217-2047 |
Jessica L Herrmann | Physical Therapy | Integra Physical Therapy,sc | 8677 N Port Washington Rd, Fox Point, WI 53217-2209 |
Hussam A Saras | Optometry | Myeyedr Optometry of Wisconsin LLC | 8693 N Port Washington Rd, Fox Point, WI 53217-2209 |
Stephanie Smith | Physical Therapy | Integra Physical Therapy,sc | 8677 N Port Washington Rd, Fox Point, WI 53217-2209 |
Erik K Bork | Physical Therapy | Integra Physical Therapy,sc | 8677 N Port Washington Rd, Fox Point, WI 53217-2209 |
Jeremiah A Weber | Physical Therapy | Integra Physical Therapy,sc | 8677 N Port Washington Rd, Fox Point, WI 53217-2209 |
Jamie L Hofschulte | Physical Therapy | Integra Physical Therapy,sc | 8677 N Port Washington Rd, Fox Point, WI 53217-2209 |
Find all physicians in zip 53217 |
City | GLENDALE |
Zip Code | 53217 |
Specialty | ORTHOPEDIC SURGERY |
City + Specialty | GLENDALE + ORTHOPEDIC SURGERY |
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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.