Jacqueline Y Sandoval (NPI# 1497292379, PAC ID# 5395028880) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1497292379 |
| PAC ID by PECOS | 5395028880 |
| Professional Enrollment ID | I20170207002402 |
| Full Name | Jacqueline Y Sandoval |
| Organization Legal Name | LAKESHORE MEDICAL CLINIC LLC |
| Address |
3305 S 20th St Milwaukee WI 53215-4940 |
| Phone Number | 4143842100 |
| Gender | F |
| Graduation Year | 2011 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 7719890730 |
| Number of Group Practice Members | 297 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 3305 S 20th St, Milwaukee, WI 53215-4940 | 4143842100 | LAKESHORE MEDICAL CLINIC LLC |
| Organization Legal Name | LAKESHORE MEDICAL CLINIC LLC |
| Physicians | 101 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Faramarz Edalat | Diagnostic Radiology | Lakeshore Medical Clinic LLC | 200 E Layton Ave, Milwaukee, WI 53207-5908 |
| Molly Marie Yurk | Nurse Practitioner | Lakeshore Medical Clinic LLC | 100 15th Ave, South Milwaukee, WI 53172-1160 |
| Mary K Murphy | Nurse Practitioner | Lakeshore Medical Clinic LLC | 163 N Milwaukee St, Milwaukee, WI 53202-6012 |
| Kshama Keshava Bhat | Family Medicine | Lakeshore Medical Clinic LLC | 4202 W Oakwood Park Ct, Franklin, WI 53132-9118 |
| Kristin M Lavenhagen | Physician Assistant | Lakeshore Medical Clinic LLC | 200 E Ryan Rd, Oak Creek, WI 53154-4563 |
| Sarah Katharine Hambrook | Internal Medicine | Lakeshore Medical Clinic LLC | 331 E Puetz Rd, Oak Creek, WI 53154-3254 |
| Susan L Hafemann | Nurse Practitioner | Lakeshore Medical Clinic LLC | 14555 W National Ave, New Berlin, WI 53151-4494 |
| Dixie M Patel | Family Medicine | Lakeshore Medical Clinic LLC | 3611 S Chicago Ave, S Milwaukee, WI 53172-3738 |
| Gary Hauke | Obstetrics/gynecology | Lakeshore Medical Clinic LLC | 3305 S 20th St, Milwaukee, WI 53215-4940 |
| Rita E Schulz | Family Medicine | Lakeshore Medical Clinic LLC | 2000 E Layton Ave, Saint Francis, WI 53235-6053 |
| Street Address |
3305 S 20TH ST |
| City | MILWAUKEE |
| State | WI |
| Zip | 53215-4940 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gary Hauke | Obstetrics/gynecology | Lakeshore Medical Clinic LLC | 3305 S 20th St, Milwaukee, WI 53215-4940 |
| Michael A Didion | Anesthesiology | 3305 S 20th St, Suite 150, Milwaukee, WI 53215-4941 | |
| Tracy A Park | Physical Medicine and Rehabilitation | Aurora Medical Group Inc | 3305 S 20th St, Milwaukee, WI 53215-4940 |
| Thomas M Farley | Anesthesiology | 3305 S 20th St, Suite 150, Milwaukee, WI 53215-4941 | |
| Michael M Mcnett | Family Medicine | Aurora Medical Group Inc | 3305 S 20th St, Milwaukee, WI 53215-4940 |
| Elizabeth M Ullig | Nurse Practitioner | Aurora Medical Group Inc | 3305 S 20th St, Milwaukee, WI 53215-4940 |
| Manoj K Nayak | Internal Medicine | Lakeshore Medical Clinic LLC | 3305 S 20th St, Milwaukee, WI 53215-4940 |
| Caitlin E Wiedenhoeft | Physician Assistant | Aurora Medical Group Inc | 3305 S 20th St, Milwaukee, WI 53215-4940 |
| Ashley Moriwaki | Nurse Practitioner | Lakeshore Medical Clinic LLC | 3305 S 20th St, Milwaukee, WI 53215-4940 |
| Navtej S Purewal | Anesthesiology | 3305 S 20th St, Suite 150, Milwaukee, WI 53215-4941 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alvaro Aleman | General Practice | 3527 W National Ave, Milwaukee, WI 53215-1024 | |
| Sergio C Casaclang | Family Medicine | 3501 W Greenfield Ave, Milwaukee, WI 53215-1445 | |
| Katherine A Michalek | Nurse Practitioner | Aurora Medical Group Inc | 4111 W Mitchell St, Milwaukee, WI 53215-1748 |
| Cynthia M Bellanger | Nurse Practitioner | Aurora Medical Group Inc | 4111 W Mitchell St, Milwaukee, WI 53215-1748 |
| Leslie A Mueller Grady | Nurse Practitioner | Aurora Medical Group Inc | 4111 W Mitchell St, Milwaukee, WI 53215-1748 |
| Michelle Suzanne Wangrow | Physical Therapy | Chad Novasic Pt Ltd | 2512 W Lincoln Ave, Milwaukee, WI 53215-2575 |
| Daniel Gage | Physical Therapy | Chad Novasic Pt Ltd | 2512 W Lincoln Ave, Milwaukee, WI 53215-2575 |
| Mark J Neu | Physical Therapy | Chad Novasic Pt Ltd | 2512 W Lincoln Ave, Milwaukee, WI 53215-2575 |
| Chad M Novasic | Physical Therapy | Chad Novasic Pt Ltd | 2512 W Lincoln Ave, Milwaukee, WI 53215-2575 |
| Travis R Hill | Physical Therapy | Chad Novasic Pt Ltd | 2512 W Lincoln Ave, Milwaukee, WI 53215-2575 |
| Find all physicians in zip 53215 | |||
| City | MILWAUKEE |
| Zip Code | 53215 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | MILWAUKEE + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Jacqueline Y Sandoval.
| 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.