Jothis C Jose (NPI# 1306130737, PAC ID# 6608098355) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1306130737 |
| PAC ID by PECOS | 6608098355 |
| Professional Enrollment ID | I20141112001708 |
| Full Name | Jothis C Jose |
| Organization Legal Name | LAKESHORE MEDICAL CLINIC LLC |
| Address |
200 E Ryan Rd Oak Creek WI 53154-4563 |
| Phone Number | 4145703590 |
| Gender | M |
| Graduation Year | 2011 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 7719890730 |
| Number of Group Practice Members | 297 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 520138 | AURORA ST LUKES MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 200 E Ryan Rd, Oak Creek, WI 53154-4563 | 4145703590 | LAKESHORE MEDICAL CLINIC LLC |
| Organization Legal Name | LAKESHORE MEDICAL CLINIC LLC |
| Physicians | 101 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Faramarz Edalat | Diagnostic Radiology | Lakeshore Medical Clinic LLC | 200 E Layton Ave, Milwaukee, WI 53207-5908 |
| Molly Marie Yurk | Nurse Practitioner | Lakeshore Medical Clinic LLC | 100 15th Ave, South Milwaukee, WI 53172-1160 |
| Mary K Murphy | Nurse Practitioner | Lakeshore Medical Clinic LLC | 163 N Milwaukee St, Milwaukee, WI 53202-6012 |
| Kshama Keshava Bhat | Family Medicine | Lakeshore Medical Clinic LLC | 4202 W Oakwood Park Ct, Franklin, WI 53132-9118 |
| Kristin M Lavenhagen | Physician Assistant | Lakeshore Medical Clinic LLC | 200 E Ryan Rd, Oak Creek, WI 53154-4563 |
| Sarah Katharine Hambrook | Internal Medicine | Lakeshore Medical Clinic LLC | 331 E Puetz Rd, Oak Creek, WI 53154-3254 |
| Susan L Hafemann | Nurse Practitioner | Lakeshore Medical Clinic LLC | 14555 W National Ave, New Berlin, WI 53151-4494 |
| Dixie M Patel | Family Medicine | Lakeshore Medical Clinic LLC | 3611 S Chicago Ave, S Milwaukee, WI 53172-3738 |
| Gary Hauke | Obstetrics/gynecology | Lakeshore Medical Clinic LLC | 3305 S 20th St, Milwaukee, WI 53215-4940 |
| Rita E Schulz | Family Medicine | Lakeshore Medical Clinic LLC | 2000 E Layton Ave, Saint Francis, WI 53235-6053 |
| Street Address |
200 E RYAN RD |
| City | OAK CREEK |
| State | WI |
| Zip | 53154-4563 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristin M Lavenhagen | Physician Assistant | Lakeshore Medical Clinic LLC | 200 E Ryan Rd, Oak Creek, WI 53154-4563 |
| Lynne M Nevershoeft | Nurse Practitioner | Lakeshore Medical Clinic LLC | 200 E Ryan Rd, Oak Creek, WI 53154-4563 |
| Amanpreet Dhaliwal | Family Medicine | Lakeshore Medical Clinic LLC | 200 E Ryan Rd, Oak Creek, WI 53154-4563 |
| Wendy S Davis | Physician Assistant | Lakeshore Medical Clinic LLC | 200 E Ryan Rd, Oak Creek, WI 53154-4563 |
| Reena Annie George | Allergy/immunology | Lakeshore Medical Clinic LLC | 200 E Ryan Rd, Oak Creek, WI 53154-4563 |
| Bridget Bodenbach | Physician Assistant | Lakeshore Medical Clinic LLC | 200 E Ryan Rd, Oak Creek, WI 53154-4563 |
| Timothy A Bryan | Physician Assistant | Lakeshore Medical Clinic LLC | 200 E Ryan Rd, Oak Creek, WI 53154-4563 |
| Sarah C Schrik | Physician Assistant | Lakeshore Medical Clinic LLC | 200 E Ryan Rd, Oak Creek, WI 53154-4563 |
| Wendy S Halser | Physician Assistant | Lakeshore Medical Clinic LLC | 200 E Ryan Rd, Oak Creek, WI 53154-4563 |
| Gregg Tetting | Pediatric Medicine | Lakeshore Medical Clinic LLC | 200 E Ryan Rd, Oak Creek, WI 53154-4563 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gregory D Gavric | Chiropractic | 7003 S Howell Ave, Suite 1300, Oak Creek, WI 53154-1402 | |
| Daniel E Hyatt | Chiropractic | 7003 S Howell Ave, Suite 1300, Oak Creek, WI 53154-1402 | |
| Jessica N Grandlich | Physician Assistant | Forefront Dermatology Sc | 7001 S Howell Ave, Suite 900, Oak Creek, WI 53154-1408 |
| Jay L Mackman | Oral Surgery | Affiliated Health of Wisconsin Ltd | 7001 S Howell Ave, Suite 800, Oak Creek, WI 53154-1408 |
| Pamela Baker | Clinical Psychologist | Wellqor Psychological Services of Wisconsin, S.c. | 7550 S 13th St, Oak Creek, WI 53154-1823 |
| Jeffrey Paul Sischo | Physical Therapy | Athletic and Therapeutic Institute of Milwaukee, LLC | 600 W Drexel Ave, Suite 150, Oak Creek, WI 53154-1918 |
| Laith Shaman | Podiatry | Froedtert and The Medical College of Wisconsin Community Physicians In | 7901 S 6th St, Oak Creek, WI 53154-2010 |
| Jessica L Woznick | Family Medicine | Froedtert and The Medical College of Wisconsin Community Physicians In | 7901 S 6th St, Oak Creek, WI 53154-2010 |
| Karri A Huber | Rheumatology | Froedtert and The Medical College of Wisconsin Community Physicians In | 7901 S 6th St, Oak Creek, WI 53154-2010 |
| Elizabeth B Partain | Family Medicine | Froedtert and The Medical College of Wisconsin Community Physicians In | 7901 S 6th St, Oak Creek, WI 53154-2010 |
| Find all physicians in zip 53154 | |||
| City | OAK CREEK |
| Zip Code | 53154 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | OAK CREEK + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Jothis C Jose.
| 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.