Philip Manuel Marden (NPI# 1073659546, PAC ID# 7012048614) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PEDIATRIC MEDICINE.
Nation Provider ID (NPI) | 1073659546 |
PAC ID by PECOS | 7012048614 |
Professional Enrollment ID | I20100810000484 |
Full Name | Philip Manuel Marden |
Address |
340 Summit Ave Oconomowoc WI 53066-3747 |
Gender | M |
Medical School | UNIVERSITY OF WISCONSIN MEDICAL SCHOOL |
Graduation Year | 1962 |
Primary Specialty | PEDIATRIC MEDICINE |
Secondary Specialties | ALLERGY/IMMUNOLOGY, FAMILY MEDICINE |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
520062 | OCONOMOWOC MEMORIAL HOSPITAL |
Address | Phone | Organization |
---|---|---|
340 Summit Ave, Oconomowoc, WI 53066-3747 |
Street Address |
340 SUMMIT AVE |
City | OCONOMOWOC |
State | WI |
Zip | 53066-3747 |
Name | Specialty | Organization | Address |
---|---|---|---|
Lara R Kalush | Nurse Practitioner | Prohealth Care Medical Associates Inc | 1185 Corporate Dr, Suite 350, Oconomowoc, WI 53066 |
Donna M Voigt | Nurse Practitioner | Prohealth Care Medical Associates Inc | 1185 Corporate Dr, Suite 350, Oconomowoc, WI 53066 |
Anne K Wick | Nurse Practitioner | Prohealth Care Medical Associates Inc | 1185 Corporate Dr, Suite 350, Oconomowoc, WI 53066 |
David D Schlomer | Internal Medicine | Prohealth Care Medical Associates Inc | 1185 Corporate Dr, Suite 350, Oconomowoc, WI 53066 |
Bobbiejo Paul | Nurse Practitioner | Prohealth Care Medical Associates Inc | 1185 Corporate Dr, Suite 350, Oconomowoc, WI 53066 |
Bradley Steven Schuster | Optometry | Oconomowoc Vision Clinic, LLC | 1674 Old School House Rd, Suite 101, Oconomowoc, WI 53066-1399 |
David M Bjork | Optometry | Oconomowoc Vision Clinic, LLC | 1674 Old School House Rd, Suite 101, Oconomowoc, WI 53066-1399 |
Nathan James Omick | Chiropractic | Michael R Traub D.c. Ltd | N58 W39799 Hwy 16, Oconomowoc, WI 53066-2185 |
Michael Ray Traub | Chiropractic | Michael R Traub D.c. Ltd | N58 W39799 Hwy 16, Oconomowoc, WI 53066-2185 |
Karen Ihry Gould | Chiropractic | Michael R Traub D.c. Ltd | N58 W39799 Hwy 16, Oconomowoc, WI 53066-2185 |
Find all physicians in zip 53066 |
City | OCONOMOWOC |
Zip Code | 53066 |
Specialty | PEDIATRIC MEDICINE |
City + Specialty | OCONOMOWOC + PEDIATRIC 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.