David J Drake (NPI# 1205941481, PAC ID# 3173603214) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1205941481 |
| PAC ID by PECOS | 3173603214 |
| Professional Enrollment ID | I20080102000496 |
| Full Name | David J Drake |
| Organization Legal Name | FROEDTERT SOUTH INC |
| Address |
3400 Market Ln Kenosha WI 53144-3430 |
| Phone Number | 2625514600 |
| Gender | M |
| Medical School | MEDICAL COLLEGE OF WISCONSIN |
| Graduation Year | 1996 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 9537071196 |
| Number of Group Practice Members | 86 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 520021 | UNITED HOSPITAL SYSTEM |
| Address | Phone | Organization |
|---|---|---|
| 3400 Market Ln, Kenosha, WI 53144-3430 | 2625514600 | FROEDTERT SOUTH INC |
| Organization Legal Name | FROEDTERT SOUTH INC |
| Physicians | 83 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Laronda James | Nurse Practitioner | Froedtert South Inc | 9697 Saint Catherines Dr, Pleasant Prairie, WI 53158-2118 |
| Hanna Mariani | Endocrinology | Froedtert South Inc | 6308 8th Ave, Kenosha, WI 53143-5031 |
| Leena M Joshi | Internal Medicine | Froedtert South Inc | 9555 76th St, Pleasant Prairie, WI 53158-1984 |
| Brigg W Barsness | Family Medicine | Froedtert South Inc | 7322 236th Ave, Salem, WI 53168-9664 |
| William Jeranek | Family Medicine | Froedtert South Inc | 9555 76th St, Pleasant Prairie, WI 53158-1984 |
| Aimee C Ledesma | Family Medicine | Froedtert South Inc | 6308 8th Ave, Kenosha, WI 53143-5031 |
| Michael Zeihen | Internal Medicine | Froedtert South Inc | 6308 8th Ave, Kenosha, WI 53143-5031 |
| Sarah Stasiewicz | Physician Assistant | Froedtert South Inc | 6308 8th Ave, Kenosha, WI 53143-5031 |
| Timothy A Sanborn | Cardiovascular Disease (cardiology) | Froedtert South Inc | 6308 8th Ave, Kenosha, WI 53143-5031 |
| Amanda Quinonez | Nurse Practitioner | Froedtert South Inc | 6308 8th Ave, Kenosha, WI 53143-5031 |
| Street Address |
3400 MARKET LN |
| City | KENOSHA |
| State | WI |
| Zip | 53144-3430 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rebekah Costello | Family Medicine | Froedtert South Inc | 3400 Market Ln, Kenosha, WI 53144-3430 |
| Neil Shepler | Family Medicine | Froedtert South Inc | 3400 Market Ln, Kenosha, WI 53144-3430 |
| Jason D Talmadge | Otolaryngology | Froedtert and The Medical College of Wisconsin Community Physicians In | 3400 Market Ln, Kenosha, WI 53144-3430 |
| Shelley Flasch | Nurse Practitioner | Froedtert South Inc | 3400 Market Ln, Kenosha, WI 53144-3430 |
| Jeanne S Vedder | Otolaryngology | Froedtert and The Medical College of Wisconsin Community Physicians In | 3400 Market Ln, Kenosha, WI 53144-3430 |
| Heather Nicole Thomas | Nurse Practitioner | Froedtert South Inc | 3400 Market Ln, Kenosha, WI 53144-3430 |
| Juli Marie Degrave | Nurse Practitioner | Froedtert South Inc | 3400 Market Ln, Kenosha, WI 53144-3430 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David L Graziano | Physical Therapy | Dpt Holdings LLC | 3825 39th Ave, Suite 110, Kenosha, WI 53144 |
| Doni B Davis | Chiropractic | 1711 Green Bay Rd, Suite C, Kenosha, WI 53144-1209 | |
| Cynthia Malvitz Overly | Optometry | Myeyedr Optometry of Wisconsin LLC | 2305 30th Ave, Kenosha, WI 53144-1411 |
| Jeffrey R Thomas | Optometry | Myeyedr Optometry of Wisconsin LLC | 2305 30th Ave, Kenosha, WI 53144-1411 |
| Randall J Paye | Optometry | Myeyedr Optometry of Wisconsin LLC | 2305 30th Ave, Kenosha, WI 53144-1411 |
| Dave A Ziegler | Optometry | Myeyedr Optometry of Wisconsin LLC | 2305 30th Ave, Kenosha, WI 53144-1411 |
| Donna M Brunello | Optometry | Myeyedr Optometry of Wisconsin LLC | 2305 30th Ave, Kenosha, WI 53144-1411 |
| Nicole R Casady | Nurse Practitioner | Hcr Manor Care Medical Services of Florida LLC | 3100 Washington Rd, Kenosha, WI 53144-1604 |
| Vincent P Savaglio | Ophthalmology | 3535 30th Ave, Suite 102, Kenosha, WI 53144-1632 | |
| William A Yoder | Podiatry | 3535 30th Ave, Suite 203, Kenosha, WI 53144-1632 | |
| Find all physicians in zip 53144 | |||
| City | KENOSHA |
| Zip Code | 53144 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | KENOSHA + FAMILY MEDICINE |
Please comment or provide details below to improve the information on David J Drake.
| 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.