Simonida Kokanovic (NPI# 1063709749, PAC ID# 4385822790) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1063709749 |
| PAC ID by PECOS | 4385822790 |
| Professional Enrollment ID | I20110706000338 |
| Full Name | Simonida Kokanovic |
| Organization Legal Name | STATE OF WISCONSIN |
| Address |
21425 Spring St Union Grove WI 53182-9707 |
| Phone Number | 2628782411 |
| Gender | F |
| Graduation Year | 1995 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 9234181751 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 520096 | WHEATON FRANCISCAN HEALTHCARE ALL SAINTS |
| Address | Phone | Organization |
|---|---|---|
| 21425 Spring St, Union Grove, WI 53182-9707 | 2628782411 | STATE OF WISCONSIN |
| Organization Legal Name | STATE OF WISCONSIN |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rana Tabassum | Internal Medicine | State of Wisconsin | 21425 Spring St, Union Grove, WI 53182-9707 |
| Alejandro A Eisma | Internal Medicine | State of Wisconsin | Po Box, Suite 9, Winnebago, WI 54985-0009 |
| Joel Rigueur | Psychiatry | State of Wisconsin | Po Box, Suite 9, Winnebago, WI 54985-0009 |
| Nikolo C Quinones | Internal Medicine | State of Wisconsin | Po Box, Suite 9, Winnebago, WI 54985-0009 |
| Michael Anthony Mcalister | Nurse Practitioner | State of Wisconsin | Po Box, Suite 9, Winnebago, WI 54985-0009 |
| James A Richter | Psychiatry | State of Wisconsin | Po Box, Suite 9, Winnebago, WI 54985-0009 |
| Jennifer B Lothian | Psychiatry | State of Wisconsin | Po Box, Suite 9, Winnebago, WI 54985-0009 |
| Kaye F Zwiacher | Psychiatry | State of Wisconsin | Po Box, Suite 9, Winnebago, WI 54985-0009 |
| Street Address |
21425 SPRING ST |
| City | UNION GROVE |
| State | WI |
| Zip | 53182-9707 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rana Tabassum | Internal Medicine | State of Wisconsin | 21425 Spring St, Union Grove, WI 53182-9707 |
| Sarah Kordus | Nurse Practitioner | Aurora Medical Group Inc | 21425 Spring St, Union Grove, WI 53182-9707 |
| Laura Lee Wayd | Nurse Practitioner | Aurora Medical Group Inc | 21425 Spring St, Union Grove, WI 53182-9707 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ann M Lange | Podiatry | Preferred Podiatry Group PC | 1390 8th Ave, Union Grove, WI 53182-1063 |
| Andrew J Connolly | Physical Therapy | Dpt Holdings LLC | 951 Main St, Suite 120, Union Grove, WI 53182-1074 |
| Anthony R Matoska | Physical Therapy | Sports Physical Therapy and Rehab Specialist Sc | 1201 Main St, Union Grove, WI 53182-1303 |
| Allison A Kosinski | Physical Therapy | Sports Physical Therapy and Rehab Specialist Sc | 1201 Main St, Union Grove, WI 53182-1303 |
| Andrew A Nicholas | Physical Therapy | Sports Physical Therapy and Rehab Specialist Sc | 1201 Main St, Union Grove, WI 53182-1303 |
| William T Hendrick | Chiropractic | Melby Chiropractic Clinic, S.c. | 1208 Main St, Union Grove, WI 53182-1304 |
| William I Melby | Chiropractic | Melby Chiropractic Clinic, S.c. | 1208 Main St, Union Grove, WI 53182-1304 |
| Laurie Beth Potratz | Family Medicine | Ascension Medical Group Southeast Wisconsin Inc | 1120 Main St, Union Grove, WI 53182-1328 |
| Lisa M Simonds | Family Medicine | Ascension Medical Group Southeast Wisconsin Inc | 1120 Main St, Union Grove, WI 53182-1328 |
| Louise M Omdahl | Nurse Practitioner | Ascension Medical Group Southeast Wisconsin Inc | 1120 Main St, Union Grove, WI 53182-1328 |
| Find all physicians in zip 53182 | |||
| City | UNION GROVE |
| Zip Code | 53182 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | UNION GROVE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Simonida Kokanovic.
| 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.