Ronak Mehta (NPI# 1508132002, PAC ID# 5991034621) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1508132002 |
| PAC ID by PECOS | 5991034621 |
| Professional Enrollment ID | I20190905002897 |
| Full Name | Ronak Mehta |
| Organization Legal Name | UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC |
| Address |
4590 County Rd N Cottage Grove WI 53527-9208 |
| Phone Number | 6088392104 |
| Gender | F |
| Medical School | UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE |
| Graduation Year | 2012 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 6608785464 |
| Number of Group Practice Members | 1845 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 520098 | UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY |
| Address | Phone | Organization |
|---|---|---|
| 4590 County Rd N, Cottage Grove, WI 53527-9208 | 6088392104 | UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC |
| Organization Legal Name | UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC |
| Physicians | 1953 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica Ann Nowak | Nurse Practitioner | University of Wisconsin Medical Foundation Inc | 202 S Park St, Madison, WI 53715-1507 |
| Kimberly E Daniel | Gastroenterology | University of Wisconsin Medical Foundation Inc | 750 University Row, Madison, WI 53705-1311 |
| James D Thompson | Otolaryngology | University of Wisconsin Medical Foundation Inc | 600 Highland Ave, Madison, WI 53792-0001 |
| Katherine A Mccreary | Family Medicine | University of Wisconsin Medical Foundation Inc | 5543 E Cheryl Pkwy, Fitchburg, WI 53711-5376 |
| Adam James Blanchard | Diagnostic Radiology | University of Wisconsin Medical Foundation Inc | 1620 Mehta Ln, Fort Atkinson, WI 53538-9178 |
| Emily J Staudt | Physician Assistant | University of Wisconsin Medical Foundation Inc | 4131 Meridian Dr, Windsor, WI 53598-9699 |
| Muhammad S Karim | Nephrology | University of Wisconsin Medical Foundation Inc | 4600 American Pkwy, Suite 108, Madison, WI 53718-8337 |
| Gillian I Silberzahn | Nurse Practitioner | University of Wisconsin Medical Foundation Inc | 5115 N Biltmore Ln, Madison, WI 53718-2161 |
| Sara E Odonnell | Nurse Practitioner | University of Wisconsin Medical Foundation Inc | 5618 Odana Rd, Madison, WI 53719-1208 |
| Laura J. Kopplin | Ophthalmology | University of Wisconsin Medical Foundation Inc | 2880 University Ave, Madison, WI 53705-3644 |
| Street Address |
4590 COUNTY RD N |
| City | COTTAGE GROVE |
| State | WI |
| Zip | 53527-9208 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anne R Niebler | Family Medicine | University of Wisconsin Medical Foundation Inc | 4590 County Rd N, Cottage Grove, WI 53527-9208 |
| Gina Marie Degiovanni | Family Medicine | University of Wisconsin Medical Foundation Inc | 4590 County Rd N, Cottage Grove, WI 53527-9208 |
| Edward J Kramper | Family Practice | University of Wisconsin Medical Foundation Inc | 4590 County Rd N, Cottage Grove, WI 53527-9208 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Caroline J Ruppert | Chiropractic | 2850 Cottage Grove Rd, Cottage Grove, WI 53527-8862 | |
| Kami A Hansen | Chiropractic | 2850 County Rd Bb, Cottage Grove, WI 53527-8862 | |
| Jeffrey R Lyne | Chiropractic | Luedtke-storm-mackey Chiropractic Clinic, Sc | 204 W Cottage Grove Rd, Cottage Grove, WI 53527-9211 |
| Eric J Gormanson | Chiropractic | Luedtke-storm-mackey Chiropractic Clinic, Sc | 204 W Cottage Grove Rd, Cottage Grove, WI 53527-9211 |
| Luke J Smith | Chiropractic | Luedtke-storm-mackey Chiropractic Clinic, Sc | 204 W Cottage Grove Rd, Cottage Grove, WI 53527-9211 |
| Sara M Kirkman | Chiropractic | Luedtke-storm-mackey Chiropractic Clinic, Sc | 204 W Cottage Grove Rd, Cottage Grove, WI 53527-9211 |
| Julie L Qualle | Chiropractic | Luedtke-storm-mackey Chiropractic Clinic, Sc | 204 W Cottage Grove Rd, Cottage Grove, WI 53527-9211 |
| Amanda J Pennekamp | Chiropractic | Luedtke-storm-mackey Chiropractic Clinic, Sc | 204 W Cottage Grove Rd, Cottage Grove, WI 53527-9211 |
| Benjamin M Mikla | Chiropractic | Luedtke-storm-mackey Chiropractic Clinic, Sc | 204 W Cottage Grove Rd, Cottage Grove, WI 53527-9211 |
| Jeffrey E Horkan | Chiropractic | Luedtke-storm-mackey Chiropractic Clinic, Sc | 204 W Cottage Grove Rd, Cottage Grove, WI 53527-9211 |
| Find all physicians in zip 53527 | |||
| City | COTTAGE GROVE |
| Zip Code | 53527 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | COTTAGE GROVE + FAMILY MEDICINE |
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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.