Paul M Smullen (NPI# 1033234406, PAC ID# 2668665696) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1033234406 |
| PAC ID by PECOS | 2668665696 |
| Professional Enrollment ID | I20101021001201 |
| Full Name | Paul M Smullen |
| Organization Legal Name | AURORA MEDICAL GROUP INC |
| Address |
4100 Dewey St Manitowoc WI 54220-5497 |
| Phone Number | 9206865700 |
| Gender | M |
| Medical School | MEDICAL COLLEGE OF WISCONSIN |
| Graduation Year | 2007 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 6709794258 |
| Number of Group Practice Members | 2463 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 520034 | AURORA MEDICAL CTR MANITOWOC COUNTY |
| Address | Phone | Organization |
|---|---|---|
| 4100 Dewey St, Manitowoc, WI 54220-5497 | 9206865700 | AURORA MEDICAL GROUP INC |
| Organization Legal Name | AURORA MEDICAL GROUP INC |
| Physicians | 2268 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brianna A Smith | Psychologist, Clinical | Aurora Medical Group Inc | 2424 S 90th St, West Allis, WI 53227-2455 |
| Ryan F Brower | Family Medicine | Aurora Medical Group Inc | 201 Townline Rd, Lake Geneva, WI 53147-4612 |
| Jeffrey T Lyvers | Anesthesiology | Aurora Medical Group Inc | 2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 |
| Vanja Z Rissky | Nurse Practitioner | Aurora Medical Group Inc | 2801 W Kinnickinnic River Pkwy, Milwaukee, WI 53215-3669 |
| Kelly J Herbst-frailing | Physical Therapy | Aurora Medical Group Inc | 9000 W Sura Ln, Greenfield, WI 53228-3477 |
| Chinwe D Opara | Nurse Practitioner | Aurora Medical Group Inc | 3023 S 84th St, West Allis, WI 53227-3703 |
| Courtney F Klatt | Nurse Practitioner | Aurora Medical Group Inc | 1902 Mead Ave, Sheboygan, WI 53081-6140 |
| Nandita Batchra | Otolaryngology | Aurora Medical Group Inc | 8400 Washington Ave, Mount Pleasant, WI 53406-3735 |
| Phenu V Zachariah | Endocrinology | Aurora Medical Group Inc | 1151 Warwick Way, Racine, WI 53406-5661 |
| Adam M Stoll | Clinical Social Worker | Aurora Medical Group Inc | 12225 71st St, Kenosha, WI 53142-7320 |
| Street Address |
4100 DEWEY ST |
| City | MANITOWOC |
| State | WI |
| Zip | 54220-5497 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brett J Leiknes | Family Medicine | Aurora Medical Group Inc | 4100 Dewey St, Manitowoc, WI 54220-5497 |
| Jennifer A Hoenig | Nurse Practitioner | Aurora Medical Group Inc | 4100 Dewey St, Manitowoc, WI 54220-5497 |
| Samantha J Klinkner | Nurse Practitioner | Aurora Medical Group Inc | 4100 Dewey St, Manitowoc, WI 54220-5497 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joshua J Heimerl | Chiropractic | 1632 N 18th St, Manitowoc, WI 54220-1858 | |
| Brenda L Stallbaum | Nurse Practitioner | Holy Family Memorial Inc | 339 Reed Ave, Manitowoc, WI 54220-2020 |
| Mary Beth Reynoso | Clinical Social Worker | Holy Family Memorial Inc | 339 Reed Ave, Manitowoc, WI 54220-2020 |
| Glenda A Mcconnell | Nurse Practitioner | Holy Family Memorial Inc | 339 Reed Ave, Manitowoc, WI 54220-2020 |
| Mylan Kohler | Psychiatry | Holy Family Memorial Inc | 339 Reed Ave, Manitowoc, WI 54220-2020 |
| Callie Schroeder | Psychologist, Clinical | Holy Family Memorial Inc | 339 Reed Ave, Manitowoc, WI 54220-2020 |
| Cameron A Goetz | Psychologist, Clinical | Holy Family Memorial Inc | 339 Reed Ave, Manitowoc, WI 54220-2020 |
| Ellen A Rylander | Clinical Social Worker | Holy Family Memorial Inc | 339 Reed Ave, Manitowoc, WI 54220-2020 |
| Joanna M Smogoleski | Nurse Practitioner | Aurora Medical Group Inc | 601 Reed Ave, Manitowoc, WI 54220-2026 |
| Amber M Schmitz | Nurse Practitioner | Aurora Medical Group Inc | 601 Reed Ave, Manitowoc, WI 54220-2026 |
| Find all physicians in zip 54220 | |||
| City | MANITOWOC |
| Zip Code | 54220 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | MANITOWOC + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Paul M Smullen.
| 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.