Kirstin M Certalic (NPI# 1275542326, PAC ID# 6103844592) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1275542326 |
| PAC ID by PECOS | 6103844592 |
| Professional Enrollment ID | I20051103001023 |
| Full Name | Kirstin M Certalic |
| Organization Legal Name | FROEDTERT AND THE MEDICAL COLLEGE OF WISCONSIN COMMUNITY PHYSICIANS IN |
| Address |
W168n11237 Western Ave Germantown WI 53022-3239 |
| Phone Number | 2622535060 |
| Gender | F |
| Credential | DO |
| Graduation Year | 1996 |
| Primary Specialty | FAMILY PRACTICE |
| Group Practice PAC ID | 3678760063 |
| Number of Group Practice Members | 808 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 030036 | CHANDLER REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| W168n11237 Western Ave, Germantown, WI 53022-3239 | 2622535060 | FROEDTERT AND THE MEDICAL COLLEGE OF WISCONSIN COMMUNITY PHYSICIANS IN |
| 4805 S Moorland Rd, New Berlin, WI 53151-7401 | 2627987200 | 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 |
W168N11237 WESTERN AVE |
| City | GERMANTOWN |
| State | WI |
| Zip | 53022-3239 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lisa L Cook | Physician Assistant | Froedtert and The Medical College of Wisconsin Community Physicians In | W168n11237 Western Ave, Germantown, WI 53022-3239 |
| Bethany J Piotrowski | Physician Assistant | Froedtert and The Medical College of Wisconsin Community Physicians In | W168n11237 Western Ave, Germantown, WI 53022-3239 |
| Jennifer L Esser | Physician Assistant | Froedtert and The Medical College of Wisconsin Community Physicians In | W168n11237 Western Ave, Germantown, WI 53022-3239 |
| Kathryn Henschel | Physical Therapy | Froedtert and The Medical College of Wisconsin Community Physicians In | W168n11237 Western Ave, Germantown, WI 53022-3239 |
| Elizabeth M Schmidt | Physical Therapy | Froedtert and The Medical College of Wisconsin Community Physicians In | W168n11237 Western Ave, Germantown, WI 53022-3239 |
| Kathryn M Hill | Physical Therapy | Froedtert and The Medical College of Wisconsin Community Physicians In | W168n11237 Western Ave, Germantown, WI 53022-3239 |
| Ashleigh E Mixon | Nurse Practitioner | Froedtert and The Medical College of Wisconsin Community Physicians In | W168n11237 Western Ave, Germantown, WI 53022-3239 |
| Stephanie A Mcelligott | Physician Assistant | Froedtert and The Medical College of Wisconsin Community Physicians In | W168n11237 Western Ave, Germantown, WI 53022-3239 |
| Kevin V Moss | General Surgery | Froedtert and The Medical College of Wisconsin Community Physicians In | W168n11237 Western Ave, Germantown, WI 53022-3239 |
| Matthew R Plach | Occupational Therapy | Froedtert and The Medical College of Wisconsin Community Physicians In | W168n11237 Western Ave, Germantown, WI 53022-3239 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Troy A Hurst | Physical Therapy | Aurora Advanced Healthcare Inc | N112 W17975 Mequon Rd, Germantown, WI 53022-2425 |
| Adrienne M Maurer | Family Medicine | Aurora Advanced Healthcare Inc | N112 W17975 Mequon Rd, Germantown, WI 53022-2425 |
| Rebecca L Schwer | Physical Therapy | Aurora Advanced Healthcare Inc | N112 W17975 Mequon Rd, Germantown, WI 53022-2425 |
| Nancy J Blankenship | Diagnostic Radiology | Aurora Advanced Healthcare Inc | N112 W17975 Mequon Rd, Germantown, WI 53022-2425 |
| Leandro A Espinosa | Diagnostic Radiology | Aurora Advanced Healthcare Inc | N112 W17975 Mequon Rd, Germantown, WI 53022-2425 |
| Bradley R Ferguson | Diagnostic Radiology | Aurora Advanced Healthcare Inc | N112 W17975 Mequon Rd, Germantown, WI 53022-2425 |
| Julia A Bruckner | Diagnostic Radiology | Aurora Advanced Healthcare Inc | N112 W17975 Mequon Rd, Germantown, WI 53022-2425 |
| Matthew Brewer | Diagnostic Radiology | Aurora Advanced Healthcare Inc | N112 W17975 Mequon Rd, Germantown, WI 53022-2425 |
| Mack Alan Karnes | Diagnostic Radiology | Aurora Advanced Healthcare Inc | N112 W17975 Mequon Rd, Germantown, WI 53022-2425 |
| Debra K Vine | Occupational Therapy | Aurora Advanced Healthcare Inc | N112 W17975 Mequon Rd, Germantown, WI 53022-2425 |
| Find all physicians in zip 53022 | |||
| City | GERMANTOWN |
| Zip Code | 53022 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | GERMANTOWN + FAMILY PRACTICE |
Please comment or provide details below to improve the information on Kirstin M Certalic.
| 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.