Mary Beth Graham (NPI# 1639123904, PAC ID# 4981737665) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INFECTIOUS DISEASE.
| Nation Provider ID (NPI) | 1639123904 |
| PAC ID by PECOS | 4981737665 |
| Professional Enrollment ID | I20100802000428 |
| Full Name | Mary Beth Graham |
| Organization Legal Name | THE MEDICAL COLLEGE OF WISCONSIN INC |
| Address |
2400 W Villard Ave Milwaukee WI 53209-4901 |
| Phone Number | 4145278191 |
| Gender | F |
| Medical School | NORTHWESTERN UNIVERSITY MEDICAL SCHOOL |
| Graduation Year | 1984 |
| Primary Specialty | INFECTIOUS DISEASE |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 2668384371 |
| Number of Group Practice Members | 1573 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 520177 | FROEDTERT MEMORIAL LUTHERAN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2400 W Villard Ave, Milwaukee, WI 53209-4901 | 4145278191 | THE MEDICAL COLLEGE OF WISCONSIN INC |
| 8701 W Watertown Plank Rd, Milwaukee, WI 53226-3548 | 4144564100 | THE MEDICAL COLLEGE OF WISCONSIN INC |
| 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 4148050505 | THE MEDICAL COLLEGE OF WISCONSIN INC |
| Organization Legal Name | THE MEDICAL COLLEGE OF WISCONSIN INC |
| Physicians | 1866 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amanda Manders | Nurse Practitioner | The Medical College of Wisconsin Inc | 2400 W Villard Ave, Milwaukee, WI 53209-4901 |
| Sachin Shivaji Kumbhar | Diagnostic Radiology | The Medical College of Wisconsin Inc | 3195 Hillside Dr, Delafield, WI 53018-2189 |
| Karen E Kersting | Psychologist, Clinical | The Medical College of Wisconsin Inc | 1121 E N Ave, Milwaukee, WI 53212-3515 |
| Abdel Hai Alqwasmi | Hematology/oncology | The Medical College of Wisconsin Inc | W180n8045 Town Hall Rd, Menomonee Falls, WI 53051-3518 |
| Sujan Fernando | Diagnostic Radiology | The Medical College of Wisconsin Inc | 21700 Intertech Dr, Brookfield, WI 53045-5197 |
| Jacqueline K Dake | Nurse Practitioner | The Medical College of Wisconsin Inc | 9000 W Wisconsin Ave, Milwaukee, WI 53226-4874 |
| Claire T Rich | Clinical Nurse Specialist | The Medical College of Wisconsin Inc | 1155 N Mayfair Rd B, Milwaukee, WI 53226-3462 |
| Piero G Antuono | Neurology | The Medical College of Wisconsin Inc | 1238 S Cesar E Chavez Dr, Milwaukee, WI 53204-2267 |
| John N Jensen | Plastic and Reconstructive Surgery | The Medical College of Wisconsin Inc | 8701 W Watertown Plank Rd, Milwaukee, WI 53226-3548 |
| Anne E B Lakatos | Nurse Practitioner | The Medical College of Wisconsin Inc | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 |
| Street Address |
2400 W VILLARD AVE |
| City | MILWAUKEE |
| State | WI |
| Zip | 53209-4901 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amanda Manders | Nurse Practitioner | The Medical College of Wisconsin Inc | 2400 W Villard Ave, Milwaukee, WI 53209-4901 |
| Pakhadi H Buddhadev | Hospitalist | The Medical College of Wisconsin Inc | 2400 W Villard Ave, Milwaukee, WI 53209-4901 |
| Andrea L Bequest | Physician Assistant | The Medical College of Wisconsin Inc | 2400 W Villard Ave, Milwaukee, WI 53209-4901 |
| Umair A Bajwa | Hospitalist | The Medical College of Wisconsin Inc | 2400 W Villard Ave, Milwaukee, WI 53209-4901 |
| Jerri D Solik-fifarek | Nurse Practitioner | The Medical College of Wisconsin Inc | 2400 W Villard Ave, Milwaukee, WI 53209-4901 |
| Joy Ikeri | Nurse Practitioner | The Medical College of Wisconsin Inc | 2400 W Villard Ave, Milwaukee, WI 53209-4901 |
| Claire K Choren | Physician Assistant | The Medical College of Wisconsin Inc | 2400 W Villard Ave, Milwaukee, WI 53209-4901 |
| Cecille G Sulman | Otolaryngology | The Medical College of Wisconsin Inc | 2400 W Villard Ave, Milwaukee, WI 53209-4901 |
| Michael L Guralnick | Urology | The Medical College of Wisconsin Inc | 2400 W Villard Ave, Milwaukee, WI 53209-4901 |
| Philip A Nelson | Physical Medicine and Rehabilitation | The Medical College of Wisconsin Inc | 2400 W Villard Ave, Milwaukee, WI 53209-4901 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patricia E Noonan | Clinical Nurse Specialist | Columbia St. Mary's Hospital Milwaukee, Inc | 9233 N Green Bay Rd, Brown Deer, WI 53209-1103 |
| Galina Bakman | Nurse Practitioner | Columbia St. Mary's Hospital Milwaukee, Inc | 9233 N Green Bay Rd, Brown Deer, WI 53209-1103 |
| Yuliy M Pershman | Physical Medicine and Rehabilitation | Ascension Medical Group Southeast Wisconsin Inc | 9252 N Green Bay Rd, Brown Deer, WI 53209-1104 |
| Barry K Gimbel | Cardiovascular Disease (cardiology) | Ascension Medical Group Southeast Wisconsin Inc | 9252 N Green Bay Rd, Milwaukee, WI 53209-1104 |
| Sean P Ronayne | Family Medicine | Ascension Medical Group Southeast Wisconsin Inc | 9252 N Green Bay Rd, Milwaukee, WI 53209-1104 |
| Marina L Kropp | Physical Medicine and Rehabilitation | Ascension Medical Group Southeast Wisconsin Inc | 9252 N Green Bay Rd, Milwaukee, WI 53209-1104 |
| Kelly A Richards | Nurse Practitioner | Ascension Medical Group Southeast Wisconsin Inc | 9252 N Green Bay Rd, Milwaukee, WI 53209-1104 |
| Robert Michael Kitsis | Family Medicine | Columbia St. Mary's Hospital Milwaukee, Inc | 9252 N Green Bay Rd, Fl 2, Brown Deer, WI 53209-1104 |
| Heather M Wells-holtey | Dermatology | Columbia St. Mary's Hospital Milwaukee, Inc | 9252 N Green Bay Rd, Fl 2, Brown Deer, WI 53209-1104 |
| Shannon S Muderlak | Family Medicine | Ascension Medical Group Southeast Wisconsin Inc | 9252 N Green Bay Rd, Milwaukee, WI 53209-1104 |
| Find all physicians in zip 53209 | |||
| City | MILWAUKEE |
| Zip Code | 53209 |
| Specialty | INFECTIOUS DISEASE |
| City + Specialty | MILWAUKEE + INFECTIOUS DISEASE |
Please comment or provide details below to improve the information on Mary Beth Graham.
| 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.