Shannon C Loftis (NPI# 1972557221, PAC ID# 2163555152) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1972557221 |
| PAC ID by PECOS | 2163555152 |
| Professional Enrollment ID | I20100727001071 |
| Full Name | Shannon C Loftis |
| Organization Legal Name | FROEDTERT AND THE MEDICAL COLLEGE OF WISCONSIN COMMUNITY PHYSICIANS IN |
| Address |
1155 N Mayfair Rd Wauwatosa WI 53226-3462 |
| Phone Number | 4149555990 |
| Gender | F |
| Graduation Year | 1996 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 3678760063 |
| Number of Group Practice Members | 808 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1155 N Mayfair Rd, Wauwatosa, WI 53226-3462 | 4149555990 | FROEDTERT AND THE MEDICAL COLLEGE OF WISCONSIN COMMUNITY PHYSICIANS IN |
| Organization Legal Name | FROEDTERT AND THE MEDICAL COLLEGE OF WISCONSIN COMMUNITY PHYSICIANS IN |
| Physicians | 564 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Laith Shaman | Podiatry | Froedtert and The Medical College of Wisconsin Community Physicians In | 7901 S 6th St, Oak Creek, WI 53154-2010 |
| Lauren E Wanie | Physician Assistant | Froedtert and The Medical College of Wisconsin Community Physicians In | 16650 W Bluemound Rd, Suite 200, Brookfield, WI 53005-5959 |
| Nicholas Samuel Yunez | Family Medicine | Froedtert and The Medical College of Wisconsin Community Physicians In | 7208 N 76th St, Milwaukee, WI 53223-4502 |
| Tracy L Farrey | Physical Therapy | Froedtert and The Medical College of Wisconsin Community Physicians In | 1271 N 6th St, Milwaukee, WI 53212-3360 |
| Jennifer J Schmidt | Nurse Practitioner | Froedtert and The Medical College of Wisconsin Community Physicians In | 2180 S Main St, West Bend, WI 53095-5754 |
| Amanda Hoffman | Nurse Practitioner | Froedtert and The Medical College of Wisconsin Community Physicians In | N51 W24953 Lisbon Rd, Sussex, WI 53089 |
| Courtney L Pyant Dan Pullo | Obstetrics/gynecology | Froedtert and The Medical College of Wisconsin Community Physicians In | W129n7055 Northfield Dr, Menomonee Falls, WI 53051-0538 |
| Katie Lammi | Nurse Practitioner | Froedtert and The Medical College of Wisconsin Community Physicians In | 10101 W Wisconsin Ave, Wauwatosa, WI 53226-4861 |
| Laura Folger | Nurse Practitioner | Froedtert and The Medical College of Wisconsin Community Physicians In | 4455 S 108th St, Greenfield, WI 53228-2504 |
| Amanda Louise Ensz | Internal Medicine | Froedtert and The Medical College of Wisconsin Community Physicians In | 840 N 87th St, Milwaukee, WI 53226-3586 |
| Street Address |
1155 N MAYFAIR RD |
| City | WAUWATOSA |
| State | WI |
| Zip | 53226-3462 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sabina Diehr | Family Medicine | Froedtert and The Medical College of Wisconsin Community Physicians In | 1155 N Mayfair Rd, Wauwatosa, WI 53226-3462 |
| Melissa Wojtkowski | Nurse Practitioner | Froedtert and The Medical College of Wisconsin Community Physicians In | 1155 N Mayfair Rd, Wauwatosa, WI 53226-3462 |
| Legenda Gooding | Nurse Practitioner | Froedtert and The Medical College of Wisconsin Community Physicians In | 1155 N Mayfair Rd, Wauwatosa, WI 53226-3462 |
| James A Bockeloh | Nurse Practitioner | Froedtert and The Medical College of Wisconsin Community Physicians In | 1155 N Mayfair Rd, Wauwatosa, WI 53226-3462 |
| Stephen C Malcom | Internal Medicine | Froedtert and The Medical College of Wisconsin Community Physicians In | 1155 N Mayfair Rd, Wauwatosa, WI 53226-3462 |
| Richard R Wesley | Physician Assistant | Froedtert and The Medical College of Wisconsin Community Physicians In | 1155 N Mayfair Rd, Wauwatosa, WI 53226-3462 |
| Krystina L Kienast | Nurse Practitioner | Froedtert and The Medical College of Wisconsin Community Physicians In | 1155 N Mayfair Rd, Wauwatosa, WI 53226-3462 |
| Veronica D Tent | Family Medicine | Froedtert and The Medical College of Wisconsin Community Physicians In | 1155 N Mayfair Rd, Wauwatosa, WI 53226-3462 |
| David F Goldberg | Internal Medicine | Froedtert and The Medical College of Wisconsin Community Physicians In | 1155 N Mayfair Rd, Wauwatosa, WI 53226-3462 |
| Raven A Koeppler | Obstetrics/gynecology | Froedtert and The Medical College of Wisconsin Community Physicians In | 1155 N Mayfair Rd, Wauwatosa, WI 53226-3462 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bernadette A Demuri | Psychiatry | Associated Mental Health Consultants Inc | 2600 N Mayfair, Suite 305, Wauwatosa, WI 53226-1303 |
| Kristi L Reynolds | Clinical Social Worker | County of Walworth | 2600 N Mayfair Rd, Suite 305, Wauwatosa, WI 53226-1303 |
| Mariellen Fischer | Psychologist, Clinical | Associated Mental Health Consultants Inc | 2600 N Mayfair, Suite 305, Wauwatosa, WI 53226-1303 |
| Sarah J Ford | Clinical Social Worker | Associated Mental Health Consultants Inc | 2600 N Mayfair, Suite 305, Wauwatosa, WI 53226-1303 |
| Nicole E Heinrich | Clinical Social Worker | County of Walworth | 2600 N Mayfair Rd, Suite 305, Wauwatosa, WI 53226-1303 |
| Ilya Melina Ray | Nurse Practitioner | County of Walworth | 2600 N Mayfair Rd, Suite 305, Wauwatosa, WI 53226-1303 |
| Jennifer K Cicero | Clinical Social Worker | Associated Mental Health Consultants Inc | 2600 N Mayfair, Suite 305, Wauwatosa, WI 53226-1303 |
| Barbara J Reinke | Psychologist, Clinical | Associated Mental Health Consultants Inc | 2600 N Mayfair, Suite 305, Wauwatosa, WI 53226-1303 |
| Mark O Pease | Nurse Practitioner | County of Walworth | 2600 N Mayfair Rd, Suite 305, Wauwatosa, WI 53226-1303 |
| Laura C Liguori | Psychologist, Clinical | Associated Mental Health Consultants Inc | 2600 N Mayfair, Suite 305, Wauwatosa, WI 53226-1303 |
| Find all physicians in zip 53226 | |||
| City | WAUWATOSA |
| Zip Code | 53226 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | WAUWATOSA + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Shannon C Loftis.
| 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.