Harry Anthony Tagalakis (NPI# 1386611093, PAC ID# 6305805920) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERVENTIONAL PAIN MANAGEMENT.
| Nation Provider ID (NPI) | 1386611093 |
| PAC ID by PECOS | 6305805920 |
| Professional Enrollment ID | I20050827000179 |
| Full Name | Harry Anthony Tagalakis |
| Organization Legal Name | ADVANCED PAIN MANAGEMENT SC |
| Address |
4216 S Green Bay Rd Racine WI 53403-9486 |
| Phone Number | 4143257246 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE |
| Graduation Year | 1999 |
| Primary Specialty | INTERVENTIONAL PAIN MANAGEMENT |
| Secondary Specialties | ANESTHESIOLOGY |
| Group Practice PAC ID | 1456257633 |
| Number of Group Practice Members | 79 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 520096 | WHEATON FRANCISCAN HEALTHCARE ALL SAINTS |
| Address | Phone | Organization |
|---|---|---|
| 959 N Mayfair Rd, Milwaukee, WI 53226-3465 | 4149557601 | THE MEDICAL COLLEGE OF WISCONSIN INC |
| 959 N Mayfair Rd, Suite 200, Milwaukee, WI 53226-3465 | 4149557601 | THE MEDICAL COLLEGE OF WISCONSIN INC |
| 4216 S Green Bay Rd, Racine, WI 53403-9486 | 4143257246 | ADVANCED PAIN MANAGEMENT SC |
| Organization Legal Name | ADVANCED PAIN MANAGEMENT SC |
| Physicians | 78 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alexandra Jane Gral | Nurse Practitioner | Advanced Pain Management Sc | 1000 Gateway Ct, West Bend, WI 53095-8541 |
| Raymond S Sohn | Pain Management | Advanced Pain Management Sc | 1616 N Casaloma Dr, Appleton, WI 54915-8245 |
| Tanya M Elmergreen | Nurse Practitioner | Advanced Pain Management Sc | 400 Westwood Dr, Suite 200, Wausau, WI 54401-7801 |
| Sara C Magrath | Nurse Practitioner | Advanced Pain Management Sc | 813 W Moreland Blvd, Waukesha, WI 53188-2963 |
| Tracy Plaskey | Nurse Practitioner | Advanced Pain Management Sc | 9697 St Catherine Dr, Suite 102, Pleasant Prairie, WI 53158 |
| Krista L Dopf | Physician Assistant | Advanced Pain Management Sc | 1604 Madison Ave, Fort Atkinson, WI 53538-3101 |
| Kostandinos C Tsoulfas | Pain Management | Advanced Pain Management Sc | 4216 S Green Bay Rd, Racine, WI 53403-9486 |
| Jane A Kunst | Nurse Practitioner | Advanced Pain Management Sc | 2124 Kohler Memorial Dr, Sheboygan, WI 53081-3125 |
| Megan H Hackel | Physician Assistant | Advanced Pain Management Sc | 1061 E Commerce Blvd, Slinger, WI 53086-9326 |
| Floyd W Elftman | Nurse Practitioner | Advanced Pain Management Sc | 2595 Development Dr, Suite 150, Green Bay, WI 54311-4267 |
| Street Address |
4216 S GREEN BAY RD |
| City | RACINE |
| State | WI |
| Zip | 53403-9486 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kostandinos C Tsoulfas | Pain Management | Advanced Pain Management Sc | 4216 S Green Bay Rd, Racine, WI 53403-9486 |
| Nancy A Spangler | Physician Assistant | Advanced Pain Management Sc | 4216 S Green Bay Rd, Racine, WI 53403-9486 |
| Erika E Palmtag | Physician Assistant | Advanced Pain Management Sc | 4216 S Green Bay Rd, Racine, WI 53403-9486 |
| Yogendra Bharat | Anesthesiology | Advanced Pain Management Sc | 4216 S Green Bay Rd, Racine, WI 53403-9486 |
| Irma Tan | Nurse Practitioner | Advanced Pain Management Sc | 4216 S Green Bay Rd, Racine, WI 53403-9486 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John E Warren | Optometry | 1 Main St, Suite 350, Racine, WI 53403-1069 | |
| Gerald R Wisniewski | Internal Medicine | Ascension Medical Group Southeast Wisconsin Inc | 1 Main St, Racine, WI 53403-1079 |
| James P Gierahn | Internal Medicine | Ascension Medical Group Southeast Wisconsin Inc | 1 Main St, Racine, WI 53403-1079 |
| Kayur V Patel | Rheumatology | Ascension Medical Group Southeast Wisconsin Inc | 1 Main St, Racine, WI 53403-1079 |
| Suzanne L Cooper | Nurse Practitioner | Wheaton Franciscan Medical Group | 1 Main St, Racine, WI 53403-1079 |
| Dean A Rosenberg | Optometry | 217 6th St, Racine, WI 53403-1213 | |
| Elizabeth Hanson Will | Clinical Social Worker | 420 7th St, Racine, WI 53403-1222 | |
| Lakeisha M Woods | Clinical Social Worker | 927 Main St, Racine, WI 53403-1524 | |
| David Galbis-reig | Internal Medicine | Ascension Medical Group Southeast Wisconsin Inc | 1320 Wisconsin Ave, Racine, WI 53403-1978 |
| Emily L Lock | Clinical Social Worker | Ascension Medical Group Southeast Wisconsin Inc | 1320 Wisconsin Ave, Racine, WI 53403-1978 |
| Find all physicians in zip 53403 | |||
| City | RACINE |
| Zip Code | 53403 |
| Specialty | INTERVENTIONAL PAIN MANAGEMENT |
| City + Specialty | RACINE + INTERVENTIONAL PAIN MANAGEMENT |
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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.