Mace Walker Boshart (NPI# 1770749665, PAC ID# 4880762194) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1770749665 |
| PAC ID by PECOS | 4880762194 |
| Professional Enrollment ID | I20150404000041 |
| Full Name | Mace Walker Boshart |
| Organization Legal Name | PROHEALTH CARE MEDICAL ASSOCIATES INC |
| Address |
2750 Golf Rd Delafield WI 53018-2062 |
| Phone Number | 2629284900 |
| Gender | M |
| Graduation Year | 2006 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 3476465188 |
| Number of Group Practice Members | 370 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 520008 | WAUKESHA MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 195 Discovery Dr, Brookfield, WI 53045-2862 | 2629287100 | PROHEALTH CARE MEDICAL ASSOCIATES INC |
| 2750 Golf Rd, Delafield, WI 53018-2062 | 2629284900 | PROHEALTH CARE MEDICAL ASSOCIATES INC |
| 240 Maple Ave, Mukwonago, WI 53149-8475 | 2629281900 | PROHEALTH CARE MEDICAL ASSOCIATES INC |
| 13900 W National Ave, New Berlin, WI 53151-9515 | 2629284500 | PROHEALTH CARE MEDICAL ASSOCIATES INC |
| 109 Air Park Dr, Watertown, WI 53094-7400 | 2629285100 | PROHEALTH CARE MEDICAL ASSOCIATES INC |
| 2130 Big Bend Rd, Waukesha, WI 53189-7624 | 2629287555 | PROHEALTH CARE MEDICAL ASSOCIATES INC |
| Organization Legal Name | PROHEALTH CARE MEDICAL ASSOCIATES INC |
| Physicians | 375 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Katie L Scott | Nurse Practitioner | Prohealth Care Medical Associates Inc | 721 American Ave, Suite 310, Waukesha, WI 53188-5071 |
| Laurel Evans | Nurse Practitioner | Prohealth Care Medical Associates Inc | 2301 Sun Valley Dr, Delafield, WI 53018-2318 |
| Matthew Klein | Physical Therapy | Prohealth Care Medical Associates Inc | 17280 W N Ave, Suite 104, Brookfield, WI 53045-4366 |
| Kristen Fox | Family Medicine | Prohealth Care Medical Associates Inc | 210 Nw Barstow St, Suite 201, Waukesha, WI 53188-3771 |
| Dayken Underdahl | Physician Assistant | Prohealth Care Medical Associates Inc | 717 W Moreland Blvd, Waukesha, WI 53188-2432 |
| Savannah N Shores | Nurse Practitioner | Prohealth Care Medical Associates Inc | N16 W24131 Riverwood Dr, Waukesha, WI 53188-1177 |
| Crystal J Platz | Nurse Practitioner | Prohealth Care Medical Associates Inc | 785 Summit Ave, Suite 101, Oconomowoc, WI 53066-3844 |
| Jacqueline M Radaj | Nurse Practitioner | Prohealth Care Medical Associates Inc | 240 Maple Ave, Mukwonago, WI 53149-8475 |
| Lisa Drew | Nurse Practitioner | Prohealth Care Medical Associates Inc | 13750 W National Ave, New Berlin, WI 53151-4588 |
| Alyssa N Zielke | Physician Assistant | Prohealth Care Medical Associates Inc | 2750 Golf Rd, Delafield, WI 53018-2062 |
| Street Address |
2750 GOLF RD |
| City | DELAFIELD |
| State | WI |
| Zip | 53018-2062 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alyssa N Zielke | Physician Assistant | Prohealth Care Medical Associates Inc | 2750 Golf Rd, Delafield, WI 53018-2062 |
| Michael Joseph Long | Family Medicine | Prohealth Care Medical Associates Inc | 2750 Golf Rd, Delafield, WI 53018-2062 |
| Debra J Olson | Obstetrics/gynecology | Moreland Ob-gyn Associates S C | 2750 Golf Rd, Delafield, WI 53018-2062 |
| Steven C Meisner | Family Medicine | Prohealth Care Medical Associates Inc | 2750 Golf Rd, Delafield, WI 53018-2062 |
| Matthew N Weinberg | Cardiovascular Disease (cardiology) | Prohealth Care Medical Associates Inc | 2750 Golf Rd, Delafield, WI 53018-2062 |
| Steven C Fehr | Family Medicine | Prohealth Care Medical Associates Inc | 2750 Golf Rd, Delafield, WI 53018-2062 |
| Kooroush Saeian | Cardiovascular Disease (cardiology) | Prohealth Care Medical Associates Inc | 2750 Golf Rd, Delafield, WI 53018-2062 |
| Steven G Hammer | Family Medicine | Prohealth Care Medical Associates Inc | 2750 Golf Rd, Delafield, WI 53018-2062 |
| Geremiah S Krause | Physician Assistant | Prohealth Care Medical Associates Inc | 2750 Golf Rd, Delafield, WI 53018-2062 |
| Lisa M Schmitz | Cardiovascular Disease (cardiology) | Prohealth Care Medical Associates Inc | 2750 Golf Rd, Delafield, WI 53018-2062 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel T Murray | Chiropractic | Lake Country Health Center Sc | 1452 Genesee St, Delafield, WI 53018-1432 |
| Morgan Rose Reimer | Chiropractic | Lake Country Health Center Sc | 1452 Genesee St, Delafield, WI 53018-1432 |
| Brandon L Meye | Chiropractic | Lake Country Health Center Sc | 1452 Genesee St, Delafield, WI 53018-1432 |
| Peter J Hansen | Psychologist, Clinical | 817 Genesee St, Delafield, WI 53018-1446 | |
| Elise Comello | Clinical Social Worker | Affiliated Wellness Group LLC | 524 Milwaukee St, Suite 308, Delafield, WI 53018-1461 |
| Peggy Nies Scargall | Clinical Social Worker | Affiliated Wellness Group LLC | 524 Milwaukee St, Suite 308, Delafield, WI 53018-1461 |
| Kristen A Lauder | Clinical Social Worker | Affiliated Wellness Group LLC | 524 Milwaukee St, Suite 308, Delafield, WI 53018-1461 |
| Shannon Michelle Stadler | Chiropractic | 711 Main St, Delafield, WI 53018-1507 | |
| Jenifer Marie Baum | Chiropractic | Delafield Chiropractic LLC | 403 Genesee St, Delafield, WI 53018-1814 |
| Jacqueline Southard | Physical Therapy | Athletic and Therapeutic Institute of Milwaukee, LLC | 405 Genesee St, Delafield, WI 53018-1814 |
| Find all physicians in zip 53018 | |||
| City | DELAFIELD |
| Zip Code | 53018 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | DELAFIELD + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Mace Walker Boshart.
| 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.