Nicholas Wittry (NPI# 1538426697, PAC ID# 1658510037) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1538426697 |
| PAC ID by PECOS | 1658510037 |
| Professional Enrollment ID | I20170914001060 |
| Full Name | Nicholas Wittry |
| Organization Legal Name | ASCENSION MEDICAL GROUP SOUTHEAST WISCONSIN INC |
| Address |
1320 Wisconsin Ave Racine WI 53403-1978 |
| Phone Number | 2626872364 |
| Gender | M |
| Medical School | UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE |
| Graduation Year | 2012 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 8628980943 |
| Number of Group Practice Members | 586 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 520096 | WHEATON FRANCISCAN HEALTHCARE ALL SAINTS |
| Address | Phone | Organization |
|---|---|---|
| 1320 Wisconsin Ave, Racine, WI 53403-1978 | 2626872364 | ASCENSION MEDICAL GROUP SOUTHEAST WISCONSIN INC |
| Organization Legal Name | ASCENSION MEDICAL GROUP SOUTHEAST WISCONSIN INC |
| Physicians | 462 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Neal James Campbell Ii | Family Medicine | Ascension Medical Group Southeast Wisconsin Inc | 3610 Michelle Witmer Memorial Dr, New Berlin, WI 53151-5292 |
| David James Coulter | Cardiovascular Disease (cardiology) | Ascension Medical Group Southeast Wisconsin Inc | 2025 W Oklahoma Ave, Suite 105, Milwaukee, WI 53215-4455 |
| Danielle L Laczniak | Nurse Practitioner | Ascension Medical Group Southeast Wisconsin Inc | 3070 N 51st St, Suite 601, Milwaukee, WI 53210-1663 |
| Lisa Marie Leblanc | Nurse Practitioner | Ascension Medical Group Southeast Wisconsin Inc | 3040 N 117th St, Suite 200, Wauwatosa, WI 53222-4129 |
| Jorja K Mueller | Nurse Practitioner | Ascension Medical Group Southeast Wisconsin Inc | 7400 W Rawson Ave, Suite G40, Franklin, WI 53132-8114 |
| Breana C Cummens | Family Medicine | Ascension Medical Group Southeast Wisconsin Inc | 4600 W Loomis Rd, Greenfield, WI 53220-4858 |
| Katie L Leiteritz | Nurse Practitioner | Ascension Medical Group Southeast Wisconsin Inc | 8020 S Howell Ave, Oak Creek, WI 53154-2930 |
| Brian Zafonte | Hand Surgery | Ascension Medical Group Southeast Wisconsin Inc | 3811 Spring St, Suite 102, Mount Pleasant, WI 53405-1667 |
| Irina Ciubotaru | Endocrinology | Ascension Medical Group Southeast Wisconsin Inc | 3805 Spring St, Suite 310, Mount Pleasant, WI 53405-1600 |
| Carlos R Galvao Sobrinho | Nephrology | Ascension Medical Group Southeast Wisconsin Inc | 3805 B Spring St, Suite 260, Mount Pleasant, WI 53405-1643 |
| Street Address |
1320 WISCONSIN AVE |
| City | RACINE |
| State | WI |
| Zip | 53403-1978 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David Galbis-reig | Internal Medicine | Ascension Medical Group Southeast Wisconsin Inc | 1320 Wisconsin Ave, Racine, WI 53403-1978 |
| Emily L Lock | Clinical Social Worker | Ascension Medical Group Southeast Wisconsin Inc | 1320 Wisconsin Ave, Racine, WI 53403-1978 |
| Jennifer M Gullo | Clinical Social Worker | Ascension Medical Group Southeast Wisconsin Inc | 1320 Wisconsin Ave, Racine, WI 53403-1978 |
| Molly E Grosse | Clinical Social Worker | Ascension Medical Group Southeast Wisconsin Inc | 1320 Wisconsin Ave, Racine, WI 53403-1978 |
| Reginald D Adams | Family Medicine | Ascension Medical Group Southeast Wisconsin Inc | 1320 Wisconsin Ave, Racine, WI 53403-1978 |
| Rosaoleana Aguilar Audeo | Nurse Practitioner | Ascension Medical Group Southeast Wisconsin Inc | 1320 Wisconsin Ave, Racine, WI 53403-1978 |
| David W Pierce | Psychiatry | Ascension Medical Group Southeast Wisconsin Inc | 1320 Wisconsin Ave, Racine, WI 53403-1978 |
| Lisa A Johnson | Clinical Social Worker | Ascension Medical Group Southeast Wisconsin Inc | 1320 Wisconsin Ave, Racine, WI 53403-1978 |
| Melissa S Milne | Nurse Practitioner | Ascension Medical Group Southeast Wisconsin Inc | 1320 Wisconsin Ave, Racine, WI 53403-1978 |
| Elisabeth Steadman | Clinical Social Worker | Ascension Medical Group Southeast Wisconsin Inc | 1320 Wisconsin Ave, Racine, WI 53403-1978 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John E Warren | Optometry | 1 Main St, Suite 350, Racine, WI 53403-1069 | |
| Gerald R Wisniewski | Internal Medicine | Ascension Medical Group Southeast Wisconsin Inc | 1 Main St, Racine, WI 53403-1079 |
| James P Gierahn | Internal Medicine | Ascension Medical Group Southeast Wisconsin Inc | 1 Main St, Racine, WI 53403-1079 |
| Kayur V Patel | Rheumatology | Ascension Medical Group Southeast Wisconsin Inc | 1 Main St, Racine, WI 53403-1079 |
| Suzanne L Cooper | Nurse Practitioner | Wheaton Franciscan Medical Group | 1 Main St, Racine, WI 53403-1079 |
| Dean A Rosenberg | Optometry | 217 6th St, Racine, WI 53403-1213 | |
| Elizabeth Hanson Will | Clinical Social Worker | 420 7th St, Racine, WI 53403-1222 | |
| Lakeisha M Woods | Clinical Social Worker | 927 Main St, Racine, WI 53403-1524 | |
| Colette L Feldman | Clinical Social Worker | Ascension Medical Group Southeast Wisconsin Inc | 1320 Wisconsin Ave, Racine, WI 53403-1978 |
| Kimberly J Reynolds-solar | Clinical Social Worker | Ascension Medical Group Southeast Wisconsin Inc | 1320 Wisconsin Ave, Racine, WI 53403-1978 |
| Find all physicians in zip 53403 | |||
| City | RACINE |
| Zip Code | 53403 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | RACINE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Nicholas Wittry.
| 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.