Katie J Larson (NPI# 1053558700, PAC ID# 2365598216) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1053558700 |
| PAC ID by PECOS | 2365598216 |
| Professional Enrollment ID | I20090918000307 |
| Full Name | Katie J Larson |
| Organization Legal Name | GREATER MILWAUKEE CRITICAL CARE AND PULMONARY ASSOCIATES SC |
| Address |
2900 W Oklahoma Ave Milwaukee WI 53215-4330 |
| Phone Number | 4146496000 |
| Gender | F |
| Graduation Year | 2008 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0244304558 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 520138 | AURORA ST LUKES MEDICAL CENTER |
| 520136 | WHEATON FRANCISCAN ST JOSEPH |
| Address | Phone | Organization |
|---|---|---|
| 2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 | 4146496000 | GREATER MILWAUKEE CRITICAL CARE AND PULMONARY ASSOCIATES SC |
| 7235 W Appleton Ave, Suite 1, Milwaukee, WI 53216-1932 | 4144553738 | TAHA MEDICAL CENTER |
| Organization Legal Name | GREATER MILWAUKEE CRITICAL CARE AND PULMONARY ASSOCIATES SC |
| Physicians | 12 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Antonio De Villa Salud Ii | Critical Care (intensivists) | Greater Milwaukee Critical Care and Pulmonary Associates Sc | 2301 N Lake Dr, Milwaukee, WI 53211-4508 |
| Rakesh Waghray | Pulmonary Disease | Greater Milwaukee Critical Care and Pulmonary Associates Sc | 2301 N Lake Dr, Milwaukee, WI 53211-4508 |
| Jason S Prudom | Pulmonary Disease | Greater Milwaukee Critical Care and Pulmonary Associates Sc | 2301 N Lake Dr, Milwaukee, WI 53211-4508 |
| Sadashiv Santosh | Critical Care (intensivists) | Greater Milwaukee Critical Care and Pulmonary Associates Sc | 2301 N Lake Dr, Milwaukee, WI 53211-4508 |
| Andrew J Zane | Emergency Medicine | Greater Milwaukee Critical Care and Pulmonary Associates Sc | 2301 N Lake Dr, Milwaukee, WI 53211-4508 |
| Joseph J Hine | Pulmonary Disease | Greater Milwaukee Critical Care and Pulmonary Associates Sc | 2301 N Lake Dr, Milwaukee, WI 53211-4508 |
| Jose Antony Paul | Pulmonary Disease | Greater Milwaukee Critical Care and Pulmonary Associates Sc | 3201 S 16th St, Suite 2015, Milwaukee, WI 53215-4532 |
| Jessica Mahsem | Nurse Practitioner | Greater Milwaukee Critical Care and Pulmonary Associates Sc | 3201 S 16th St, Suite 2015, Milwaukee, WI 53215-4532 |
| Amin Namazi | Nurse Practitioner | Greater Milwaukee Critical Care and Pulmonary Associates Sc | 3201 S 16th St, Suite 2015, Milwaukee, WI 53215-4532 |
| Venkata V Anne | Critical Care (intensivists) | Greater Milwaukee Critical Care and Pulmonary Associates Sc | 2301 N Lake Dr, Milwaukee, WI 53211-4508 |
| Street Address |
2900 W OKLAHOMA AVE |
| City | MILWAUKEE |
| State | WI |
| Zip | 53215-4330 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeffrey T Lyvers | Anesthesiology | Aurora Medical Group Inc | 2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 |
| John P Simanonok | Undersea and Hyperbaric Medicine | Aurora Medical Group Inc | 2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 |
| Mara Stasik | Physician Assistant | Aurora Medical Group Inc | 2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 |
| Tanner William Boes | Undersea and Hyperbaric Medicine | Aurora Medical Group Inc | 2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 |
| Tracy L Bird | Nurse Practitioner | Aurora Medical Group Inc | 2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 |
| Stephanie M Dreher | Emergency Medicine | Ermed, Sc | 2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 |
| Kavita Sharma | Hospice/palliative Care | Aurora Health Care Metro Inc | 2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 |
| Donald G Chrzan | Anesthesiology | Aurora Medical Group Inc | 2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 |
| Nathaniel T Jest | Gastroenterology | Gi Associates LLC | 2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 |
| Kelly M Kniprath | Nurse Practitioner | Aurora Medical Group Inc | 2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alvaro Aleman | General Practice | 3527 W National Ave, Milwaukee, WI 53215-1024 | |
| Sergio C Casaclang | Family Medicine | 3501 W Greenfield Ave, Milwaukee, WI 53215-1445 | |
| Katherine A Michalek | Nurse Practitioner | Aurora Medical Group Inc | 4111 W Mitchell St, Milwaukee, WI 53215-1748 |
| Cynthia M Bellanger | Nurse Practitioner | Aurora Medical Group Inc | 4111 W Mitchell St, Milwaukee, WI 53215-1748 |
| Leslie A Mueller Grady | Nurse Practitioner | Aurora Medical Group Inc | 4111 W Mitchell St, Milwaukee, WI 53215-1748 |
| Michelle Suzanne Wangrow | Physical Therapy | Chad Novasic Pt Ltd | 2512 W Lincoln Ave, Milwaukee, WI 53215-2575 |
| Daniel Gage | Physical Therapy | Chad Novasic Pt Ltd | 2512 W Lincoln Ave, Milwaukee, WI 53215-2575 |
| Mark J Neu | Physical Therapy | Chad Novasic Pt Ltd | 2512 W Lincoln Ave, Milwaukee, WI 53215-2575 |
| Chad M Novasic | Physical Therapy | Chad Novasic Pt Ltd | 2512 W Lincoln Ave, Milwaukee, WI 53215-2575 |
| Travis R Hill | Physical Therapy | Chad Novasic Pt Ltd | 2512 W Lincoln Ave, Milwaukee, WI 53215-2575 |
| Find all physicians in zip 53215 | |||
| City | MILWAUKEE |
| Zip Code | 53215 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | MILWAUKEE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Katie J Larson.
| 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.