Michael P Ejercito (NPI# 1710085048, PAC ID# 3779551940) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1710085048 |
| PAC ID by PECOS | 3779551940 |
| Professional Enrollment ID | I20050802001293 |
| Full Name | Michael P Ejercito |
| Organization Legal Name | EMERGENCY MEDICINE ASSOCIATES OF MADISON, SC |
| Address |
202 S Park St Madison WI 53715-1507 |
| Phone Number | 6084176206 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF WISCONSIN MEDICAL SCHOOL |
| Graduation Year | 2001 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 2567455264 |
| Number of Group Practice Members | 15 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 520089 | MERITER HOSPITAL |
| 520098 | UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY |
| Address | Phone | Organization |
|---|---|---|
| 202 S Park St, Madison, WI 53715-1507 | 6084176206 | EMERGENCY MEDICINE ASSOCIATES OF MADISON, SC |
| 4602 Eastpark Blvd, Madison, WI 53718-2002 | 6084406400 | UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC |
| 600 Highland Ave, Madison, WI 53792-0001 | 6082636400 | UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC |
| Organization Legal Name | EMERGENCY MEDICINE ASSOCIATES OF MADISON, SC |
| Physicians | 15 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher M Nielsen | Emergency Medicine | Emergency Medicine Associates of Madison, Sc | 202 S Park St, Madison, WI 53715-1507 |
| Karl A Nibbelink | Emergency Medicine | Emergency Medicine Associates of Madison, Sc | 202 S Park St, Madison, WI 53715-1507 |
| Maria V Ruiz | Emergency Medicine | Emergency Medicine Associates of Madison, Sc | 202 S Park St, Madison, WI 53715-1507 |
| Bryan K Tepper | Emergency Medicine | Emergency Medicine Associates of Madison, Sc | 202 S Park St, Madison, WI 53715-1507 |
| Brian T Veit | Emergency Medicine | Emergency Medicine Associates of Madison, Sc | 202 S Park St, Madison, WI 53715-1507 |
| Scott A Meskin | Emergency Medicine | Emergency Medicine Associates of Madison, Sc | 202 S Park St, Madison, WI 53715-1507 |
| Alicia H Meidinger | Nurse Practitioner | Emergency Medicine Associates of Madison, Sc | 202 S Park St, Madison, WI 53715-1507 |
| Adam C Hanson | Emergency Medicine | Emergency Medicine Associates of Madison, Sc | 202 S Park St, Madison, WI 53715-1507 |
| Sarah R Heiser | Emergency Medicine | Emergency Medicine Associates of Madison, Sc | 202 S Park St, Madison, WI 53715-1507 |
| Joseph J Lachica | Emergency Medicine | Emergency Medicine Associates of Madison, Sc | 202 S Park St, Madison, WI 53715-1507 |
| Street Address |
202 S PARK ST |
| City | MADISON |
| State | WI |
| Zip | 53715-1507 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica Ann Nowak | Nurse Practitioner | University of Wisconsin Medical Foundation Inc | 202 S Park St, Madison, WI 53715-1507 |
| R Compton Kurtz Ii | Family Medicine | Meriter Hospital, Inc | 202 S Park St, Madison, WI 53715-1507 |
| N Thomas Casper | Internal Medicine | Meriter Hospital, Inc | 202 S Park St, Madison, WI 53715-1507 |
| Peter G Pryde | Anesthesiology | Madison Anesthesiology Consultants, LLP | 202 S Park St, Madison, WI 53715-1507 |
| Brian Griffith | Pulmonary Disease | University of Wisconsin Medical Foundation Inc | 202 S Park St, Madison, WI 53715-1507 |
| Karen L Stammer | Internal Medicine | Meriter Hospital, Inc | 202 S Park St, Madison, WI 53715-1507 |
| Barbara A Caropreso | Anesthesiology | Madison Anesthesiology Consultants, LLP | 202 S Park St, Madison, WI 53715-1507 |
| Michael J Garren | General Surgery | University of Wisconsin Medical Foundation Inc | 202 S Park St, Madison, WI 53715-1507 |
| Robert A Golden | Family Medicine | Meriter Hospital, Inc | 202 S Park St, Madison, WI 53715-1507 |
| David D Pham | Cardiovascular Disease (cardiology) | University of Wisconsin Medical Foundation Inc | 202 S Park St, Madison, WI 53715-1507 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amol D Kulkarni | Ophthalmology | Dean Health Systems Inc | 1025 Regent St, Madison, WI 53715-1248 |
| John Vukich | Ophthalmology | Dean Health Systems Inc | 1025 Regent St, Madison, WI 53715-1248 |
| Mitchell D. Wolf | Ophthalmology | Dean Health Systems Inc | 1025 Regent St, Madison, WI 53715-1248 |
| Joan M Mcgrath | Anesthesiology | Dean Health Systems Inc | 1025 Regent St, Madison, WI 53715-1248 |
| Christopher M Pruet | Ophthalmology | Dean Health Systems Inc | 1025 Regent St, Madison, WI 53715-1248 |
| Richard J Grundman | Certified Registered Nurse Anesthetist (crna) | Dean Health Systems Inc | 1025 Regent St, Madison, WI 53715-1248 |
| James Bell | Ophthalmology | Dean Health Systems Inc | 1025 Regent St, Madison, WI 53715-1248 |
| Nathaniel C Harkins | Optometry | Dean Health Systems Inc | 1025 Regent St, Madison, WI 53715-1248 |
| Joseph Isik | Optometry | Dean Health Systems Inc | 1025 Regent St, Madison, WI 53715-1248 |
| Rachel K Glanville | Optometry | Dean Health Systems Inc | 1025 Regent St, Madison, WI 53715-1248 |
| Find all physicians in zip 53715 | |||
| City | MADISON |
| Zip Code | 53715 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | MADISON + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Michael P Ejercito.
| 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.