Holly Wallace (NPI# 1124660592, PAC ID# 7214369735) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1124660592 |
| PAC ID by PECOS | 7214369735 |
| Professional Enrollment ID | I20191121000030 |
| Full Name | Holly Wallace |
| Organization Legal Name | OAK MEDICAL SC |
| Address |
7500 W Dean Rd Milwaukee WI 53223-2638 |
| Phone Number | 4143717300 |
| Gender | F |
| Graduation Year | 2019 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0042595175 |
| Number of Group Practice Members | 17 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 7500 W Dean Rd, Milwaukee, WI 53223-2638 | 4143717300 | OAK MEDICAL SC |
| Organization Legal Name | OAK MEDICAL SC |
| Physicians | 17 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kaitlyn Solveson | Nurse Practitioner | Oak Medical Sc | W173n10915 Bernies Way, Germantown, WI 53022-4043 |
| Elizabeth Jarecki | Nurse Practitioner | Oak Medical Sc | 18740 W Bluemound Rd, Brookfield, WI 53045-2936 |
| Jennifer N Berger | Nurse Practitioner | Oak Medical Sc | 7500 W Dean Rd, Milwaukee, WI 53223-2638 |
| Nameeta M Dookeran | Internal Medicine | Oak Medical Sc | 1061 Cecelia Dr, Pewaukee, WI 53072-2555 |
| Tiffany L Schwabe | Nurse Practitioner | Oak Medical Sc | 9047 W Greenfield Ave, Milwaukee, WI 53214-2808 |
| Zubin T Lathara | Nephrology | Oak Medical Sc | 1625 Coldwater Dr, Waukesha, WI 53188-5031 |
| Jeremy Wojtecki | Physician Assistant | Oak Medical Sc | 121 Hospital Dr, Watertown, WI 53098-3303 |
| Ludmil V Lazarov | Internal Medicine | Oak Medical Sc | 2400 Golf Rd, Pewaukee, WI 53072-5590 |
| Jaswinder K Sidhu | Internal Medicine | Oak Medical Sc | 18740 W Bluemound Rd, Brookfield, WI 53045-2936 |
| Harry B Hostetler Iv | Internal Medicine | Oak Medical Sc | 1625 Coldwater Dr, Waukesha, WI 53188-5031 |
| Street Address |
7500 W DEAN RD |
| City | MILWAUKEE |
| State | WI |
| Zip | 53223-2638 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer N Berger | Nurse Practitioner | Oak Medical Sc | 7500 W Dean Rd, Milwaukee, WI 53223-2638 |
| Tareq I Maraqa | Family Medicine | Vohra Wound Physicians of The Mid-west, S.c. | 7500 W Dean Rd, Milwaukee, WI 53223-2695 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Twila M Pearson | Nurse Practitioner | Rogers Memorial Hospital Incorporated | 4600 W Schroeder Dr, Brown Deer, WI 53223-1469 |
| Nadine E Miller | Physician Assistant | Rogers Memorial Hospital Incorporated | 4600 W Schroeder Dr, Brown Deer, WI 53223-1469 |
| Tiffany Sandra Sheperd | Nurse Practitioner | Rogers Memorial Hospital Incorporated | 4600 W Schroeder Dr, Brown Deer, WI 53223-1469 |
| Monika A Khiani | Psychiatry | Rogers Memorial Hospital Incorporated | 4600 W Schroeder Dr, Brown Deer, WI 53223-1469 |
| Adam H Margolis | Nurse Practitioner | Rogers Memorial Hospital Incorporated | 4600 W Schroeder Dr, Brown Deer, WI 53223-1469 |
| Tatjana Barisic-dujmovic | Psychiatry | Rogers Memorial Hospital Incorporated | 4600 W Schroeder Dr, Brown Deer, WI 53223-1469 |
| Pamela Y Thomas King | Interventional Pain Management | Pain Management and Treatment Center, S.c. | 8901 N 76th St, Milwaukee, WI 53223-1901 |
| Juliette M Martin Thomas | Psychologist, Clinical | 8901 N 76th St, Milwaukee, WI 53223-1901 | |
| Brian E Christofferson | Physician Assistant | Pain Management and Treatment Center, S.c. | 8901 N 76th St, Milwaukee, WI 53223-1901 |
| Roman Berezovski | Physical Medicine and Rehabilitation | Pain Management and Treatment Center, S.c. | 8901 N 76th St, Milwaukee, WI 53223-1901 |
| Find all physicians in zip 53223 | |||
| City | MILWAUKEE |
| Zip Code | 53223 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | MILWAUKEE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Holly Wallace.
| 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.