Marie Ustruck (NPI# 1518441898, PAC ID# 5890049852) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1518441898 |
| PAC ID by PECOS | 5890049852 |
| Professional Enrollment ID | I20181112000815 |
| Full Name | Marie Ustruck |
| Organization Legal Name | FROEDTERT AND THE MEDICAL COLLEGE OF WISCONSIN COMMUNITY PHYSICIANS IN |
| Address |
16650 W Bluemound Rd Suite 200 Brookfield WI 53005-5959 |
| Phone Number | 2628279200 |
| Gender | F |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 3678760063 |
| Number of Group Practice Members | 808 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 520103 | COMMUNITY MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 16650 W Bluemound Rd, Suite 200, Brookfield, WI 53005-5959 | 2628279200 | FROEDTERT AND THE MEDICAL COLLEGE OF WISCONSIN COMMUNITY PHYSICIANS IN |
| Organization Legal Name | FROEDTERT AND THE MEDICAL COLLEGE OF WISCONSIN COMMUNITY PHYSICIANS IN |
| Physicians | 564 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Laith Shaman | Podiatry | Froedtert and The Medical College of Wisconsin Community Physicians In | 7901 S 6th St, Oak Creek, WI 53154-2010 |
| Lauren E Wanie | Physician Assistant | Froedtert and The Medical College of Wisconsin Community Physicians In | 16650 W Bluemound Rd, Suite 200, Brookfield, WI 53005-5959 |
| Nicholas Samuel Yunez | Family Medicine | Froedtert and The Medical College of Wisconsin Community Physicians In | 7208 N 76th St, Milwaukee, WI 53223-4502 |
| Tracy L Farrey | Physical Therapy | Froedtert and The Medical College of Wisconsin Community Physicians In | 1271 N 6th St, Milwaukee, WI 53212-3360 |
| Jennifer J Schmidt | Nurse Practitioner | Froedtert and The Medical College of Wisconsin Community Physicians In | 2180 S Main St, West Bend, WI 53095-5754 |
| Amanda Hoffman | Nurse Practitioner | Froedtert and The Medical College of Wisconsin Community Physicians In | N51 W24953 Lisbon Rd, Sussex, WI 53089 |
| Courtney L Pyant Dan Pullo | Obstetrics/gynecology | Froedtert and The Medical College of Wisconsin Community Physicians In | W129n7055 Northfield Dr, Menomonee Falls, WI 53051-0538 |
| Katie Lammi | Nurse Practitioner | Froedtert and The Medical College of Wisconsin Community Physicians In | 10101 W Wisconsin Ave, Wauwatosa, WI 53226-4861 |
| Laura Folger | Nurse Practitioner | Froedtert and The Medical College of Wisconsin Community Physicians In | 4455 S 108th St, Greenfield, WI 53228-2504 |
| Amanda Louise Ensz | Internal Medicine | Froedtert and The Medical College of Wisconsin Community Physicians In | 840 N 87th St, Milwaukee, WI 53226-3586 |
| Street Address |
16650 W BLUEMOUND RD SUITE 200 |
| City | BROOKFIELD |
| State | WI |
| Zip | 53005-5959 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lauren E Wanie | Physician Assistant | Froedtert and The Medical College of Wisconsin Community Physicians In | 16650 W Bluemound Rd, Suite 200, Brookfield, WI 53005-5959 |
| Subhashish Agarwal | Cardiovascular Disease (cardiology) | Froedtert and The Medical College of Wisconsin Community Physicians In | 16650 W Bluemound Rd, Suite 200, Brookfield, WI 53005-5959 |
| James A Oujiri | Cardiac Electrophysiology | The Medical College of Wisconsin Inc | 16650 W Bluemound Rd, Suite 200, Brookfield, WI 53005-5959 |
| Jessica K Kuennen | Physician Assistant | Froedtert and The Medical College of Wisconsin Community Physicians In | 16650 W Bluemound Rd, Suite 200, Brookfield, WI 53005-5959 |
| Maria Lisa Diener | Physician Assistant | Froedtert and The Medical College of Wisconsin Community Physicians In | 16650 W Bluemound Rd, Suite 200, Brookfield, WI 53005-5959 |
| Shannon Daye | Nurse Practitioner | Froedtert and The Medical College of Wisconsin Community Physicians In | 16650 W Bluemound Rd, Suite 200, Brookfield, WI 53005-5959 |
| Kevin P Cohoon | Cardiovascular Disease (cardiology) | Froedtert and The Medical College of Wisconsin Community Physicians In | 16650 W Bluemound Rd, Suite 200, Brookfield, WI 53005-5959 |
| Benjamin A Lacoursiere | Physician Assistant | Froedtert and The Medical College of Wisconsin Community Physicians In | 16650 W Bluemound Rd, Suite 200, Brookfield, WI 53005-5959 |
| Charles F Reuben | Thoracic Surgery | Froedtert and The Medical College of Wisconsin Community Physicians In | 16650 W Bluemound Rd, Suite 200, Brookfield, WI 53005-5959 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John S Blackwood | General Surgery | Wheaton Franciscan Medical Group, Inc. | 17000 W N Ave Su, 104w, Brookfield, WI 53005 |
| Josie M Rukamp | Nurse Practitioner | Wheaton Franciscan Medical Group, Inc. | 17000 W N Ave Su, 104w, Brookfield, WI 53005 |
| Jesse V De Groat Jr. | Family Practice | Wheaton Franciscan Medical Group | 17000 W N Ave Su, 104w, Brookfield, WI 53005 |
| Leslie C Shaw | Nurse Practitioner | Wheaton Franciscan Medical Group | 17000 W N Ave Su, Brookfield, WI 53005 |
| Marianne Schweighardt | Chiropractic | 4040 N Calhoun Rd, Brookfield, WI 53005-1340 | |
| Gregory Michael Blau | Chiropractic | 14625 W Lisbon Rd, Brookfield, WI 53005-1626 | |
| Susan M Smith | Physical Therapy | Keystone Physical Therapy LLC | 17045 W Capitol Dr, Brookfield, WI 53005-2153 |
| Kent Carlson | Physical Therapy | Keystone Physical Therapy LLC | 17045 W Capitol Dr, Brookfield, WI 53005-2153 |
| Stephanie J Helmuth | Physical Therapy | Keystone Physical Therapy LLC | 17045 W Capitol Dr, Brookfield, WI 53005-2153 |
| Megan R Stowe | Physical Therapy | Keystone Physical Therapy LLC | 17045 W Capitol Dr, Brookfield, WI 53005-2153 |
| Find all physicians in zip 53005 | |||
| City | BROOKFIELD |
| Zip Code | 53005 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | BROOKFIELD + NURSE PRACTITIONER |
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| 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.