Jack A Plate (NPI# 1053453340, PAC ID# 3971786757) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1053453340 |
| PAC ID by PECOS | 3971786757 |
| Professional Enrollment ID | I20110401000084 |
| Full Name | Jack A Plate |
| Organization Legal Name | LAKESIDE FAMILY THERAPY SERVICES LTD |
| Address |
4810 Northwestern Ave Racine WI 53406-1504 |
| Phone Number | 2626379984 |
| Gender | M |
| Medical School | UNIVERSITY OF WISCONSIN MEDICAL SCHOOL |
| Graduation Year | 1979 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 3678756400 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 4810 Northwestern Ave, Racine, WI 53406-1504 | 2626379984 | LAKESIDE FAMILY THERAPY SERVICES LTD |
| Organization Legal Name | LAKESIDE FAMILY THERAPY SERVICES LTD |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Susan E Moore Schneider | Clinical Social Worker | Lakeside Family Therapy Services Ltd | 4810 Northwestern Ave, Racine, WI 53406-1504 |
| Karla J Bidstrup | Clinical Social Worker | Lakeside Family Therapy Services Ltd | 4810 Northwestern Ave, Racine, WI 53406-1504 |
| Renee M Beck-santiago | Nurse Practitioner | Lakeside Family Therapy Services Ltd | 4810 Northwestern Ave, Racine, WI 53406-1504 |
| Kathleen R Rothmeyer | Clinical Social Worker | Lakeside Family Therapy Services Ltd | 4810 Northwestern Ave, Racine, WI 53406-1504 |
| Street Address |
4810 NORTHWESTERN AVE |
| City | RACINE |
| State | WI |
| Zip | 53406-1504 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Susan E Moore Schneider | Clinical Social Worker | Lakeside Family Therapy Services Ltd | 4810 Northwestern Ave, Racine, WI 53406-1504 |
| Karla J Bidstrup | Clinical Social Worker | Lakeside Family Therapy Services Ltd | 4810 Northwestern Ave, Racine, WI 53406-1504 |
| Renee M Beck-santiago | Nurse Practitioner | Lakeside Family Therapy Services Ltd | 4810 Northwestern Ave, Racine, WI 53406-1504 |
| Kathleen R Rothmeyer | Clinical Social Worker | Lakeside Family Therapy Services Ltd | 4810 Northwestern Ave, Racine, WI 53406-1504 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel R Algrim | Chiropractic | 5332 Spring St, Mount Pleasant, WI 53406-2910 | |
| John R Fisher | Chiropractic | 5332 Spring St, Mount Pleasant, WI 53406-2910 | |
| Brian J Trautman | Chiropractic | 5332 Spring St, Mount Pleasant, WI 53406-2910 | |
| Justin J Woods | Family Medicine | 5401 Spring St, Mt Pleasant, WI 53406-2911 | |
| Tammy L Zimmel | Psychologist, Clinical | 1135 N Green Bay Rd, Mount Pleasant, WI 53406-3501 | |
| Niraj K Shah | Family Medicine | Aurora Medical Group Inc | 8348 Washington Ave, Mount Pleasant, WI 53406-3733 |
| Nandita Batchra | Otolaryngology | Aurora Medical Group Inc | 8400 Washington Ave, Mount Pleasant, WI 53406-3735 |
| Priya Ramdass | Family Medicine | Aurora Medical Group Inc | 8400 Washington Ave, Mount Pleasant, WI 53406-3735 |
| Amy P Kelly | Family Medicine | Aurora Medical Group Inc | 8400 Washington Ave, Mount Pleasant, WI 53406-3735 |
| Timothy M Klusman | Anesthesiology Assistant | Aurora Medical Group Inc | 8400 Washington Ave, Mount Pleasant, WI 53406-3735 |
| Find all physicians in zip 53406 | |||
| City | RACINE |
| Zip Code | 53406 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | RACINE + CLINICAL SOCIAL WORKER |
Please comment or provide details below to improve the information on Jack A Plate.
| 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.