Timothy R Wassenaar (NPI# 1518928993, PAC ID# 5496771313) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is HEMATOLOGY/ONCOLOGY.
| Nation Provider ID (NPI) | 1518928993 |
| PAC ID by PECOS | 5496771313 |
| Professional Enrollment ID | I20051020000367 |
| Full Name | Timothy R Wassenaar |
| Organization Legal Name | PROHEALTH CARE MEDICAL ASSOCIATES INC |
| Address |
785 Summit Ave Suite 101 Oconomowoc WI 53066-3844 |
| Phone Number | 2625690345 |
| Gender | M |
| Credential | MD |
| Graduation Year | 2002 |
| Primary Specialty | HEMATOLOGY/ONCOLOGY |
| 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 |
| 520062 | OCONOMOWOC MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 785 Summit Ave, Suite 101, Oconomowoc, WI 53066-3844 | 2625690345 | PROHEALTH CARE MEDICAL ASSOCIATES INC |
| 791 Summit Ave, Oconomowoc, WI 53066-3844 | PROHEALTH CARE MEDICAL ASSOCIATES INC | |
| 725 American Ave, Waukesha, WI 53188-5031 | 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 |
785 SUMMIT AVE SUITE 101 |
| City | OCONOMOWOC |
| State | WI |
| Zip | 53066-3844 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Crystal J Platz | Nurse Practitioner | Prohealth Care Medical Associates Inc | 785 Summit Ave, Suite 101, Oconomowoc, WI 53066-3844 |
| Tammy L Johnsen | Nurse Practitioner | Prohealth Care Medical Associates Inc | 785 Summit Ave, Suite 101, Oconomowoc, WI 53066-3844 |
| Abbigail R Brauch | Physician Assistant | Prohealth Care Medical Associates Inc | 785 Summit Ave, Suite 101, Oconomowoc, WI 53066-3844 |
| Stanley Markus | General Surgery | Prohealth Care Medical Associates Inc | 785 Summit Ave, Suite 101, Oconomowoc, WI 53066-3844 |
| Beth Angsten | Obstetrics/gynecology | Moreland Ob-gyn Associates S C | 785 Summit Ave, Suite 203, Oconomowoc, WI 53066-3844 |
| Amy L Hewuse | Nurse Practitioner | Prohealth Care Medical Associates Inc | 785 Summit Ave, Suite 101, Oconomowoc, WI 53066-3844 |
| Janet G Turner | Gynecological Oncology | Prohealth Care Medical Associates Inc | 785 Summit Ave, Suite 101, Oconomowoc, WI 53066-3844 |
| Vicken R Vorperian | Cardiac Electrophysiology | Prohealth Care Medical Associates Inc | 785 Summit Ave, Suite 101, Oconomowoc, WI 53066-3844 |
| Kristine M Zinkgraf | Nurse Practitioner | Prohealth Care Medical Associates Inc | 785 Summit Ave, Suite 101, Oconomowoc, WI 53066-3844 |
| Nestor Anguiano | Pulmonary Disease | Prohealth Care Medical Associates Inc | 785 Summit Ave, Suite 101, Oconomowoc, WI 53066-3844 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lara R Kalush | Nurse Practitioner | Prohealth Care Medical Associates Inc | 1185 Corporate Dr, Suite 350, Oconomowoc, WI 53066 |
| Donna M Voigt | Nurse Practitioner | Prohealth Care Medical Associates Inc | 1185 Corporate Dr, Suite 350, Oconomowoc, WI 53066 |
| Anne K Wick | Nurse Practitioner | Prohealth Care Medical Associates Inc | 1185 Corporate Dr, Suite 350, Oconomowoc, WI 53066 |
| David D Schlomer | Internal Medicine | Prohealth Care Medical Associates Inc | 1185 Corporate Dr, Suite 350, Oconomowoc, WI 53066 |
| Bobbiejo Paul | Nurse Practitioner | Prohealth Care Medical Associates Inc | 1185 Corporate Dr, Suite 350, Oconomowoc, WI 53066 |
| Bradley Steven Schuster | Optometry | Oconomowoc Vision Clinic, LLC | 1674 Old School House Rd, Suite 101, Oconomowoc, WI 53066-1399 |
| David M Bjork | Optometry | Oconomowoc Vision Clinic, LLC | 1674 Old School House Rd, Suite 101, Oconomowoc, WI 53066-1399 |
| Nathan James Omick | Chiropractic | Michael R Traub D.c. Ltd | N58 W39799 Hwy 16, Oconomowoc, WI 53066-2185 |
| Michael Ray Traub | Chiropractic | Michael R Traub D.c. Ltd | N58 W39799 Hwy 16, Oconomowoc, WI 53066-2185 |
| Karen Ihry Gould | Chiropractic | Michael R Traub D.c. Ltd | N58 W39799 Hwy 16, Oconomowoc, WI 53066-2185 |
| Find all physicians in zip 53066 | |||
| City | OCONOMOWOC |
| Zip Code | 53066 |
| Specialty | HEMATOLOGY/ONCOLOGY |
| City + Specialty | OCONOMOWOC + HEMATOLOGY/ONCOLOGY |
Please comment or provide details below to improve the information on Timothy R Wassenaar.
| 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.