Renata B Ptak (NPI# 1902955933, PAC ID# 7416911102) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1902955933 |
| PAC ID by PECOS | 7416911102 |
| Professional Enrollment ID | I20041112000643 |
| Full Name | Renata B Ptak |
| Organization Legal Name | INDEPENDENT PHYSICIANS OF WISCONSIN LLC |
| Address |
2501 W Silver Spring Dr Glendale WI 53209-4217 |
| Phone Number | 4144619250 |
| Gender | F |
| Credential | PA |
| Graduation Year | 2001 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 3274842034 |
| Number of Group Practice Members | 22 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2501 W Silver Spring Dr, Glendale, WI 53209-4217 | 4144619250 | INDEPENDENT PHYSICIANS OF WISCONSIN LLC |
| 5233 S 27th St, Greenfield, WI 53221-3764 | 4147275850 | INDEPENDENT PHYSICIANS OF WISCONSIN LLC |
| 5434 W Capitol Dr, Suite 3, Milwaukee, WI 53216-2298 | 4142171229 | INDEPENDENT PHYSICIANS OF WISCONSIN LLC |
| Organization Legal Name | INDEPENDENT PHYSICIANS OF WISCONSIN LLC |
| Physicians | 22 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vicki Milroy | Nurse Practitioner | Independent Physicians of Wisconsin LLC | 501 Superior Ave, Sheboygan, WI 53081-2855 |
| Maqbool Arshad | Pulmonary Disease | Independent Physicians of Wisconsin LLC | 5800 W Burleigh St, Milwaukee, WI 53210-1516 |
| Kirsten L Oquinn | Family Medicine | Independent Physicians of Wisconsin LLC | W178n9912 Rivercrest Dr, Suite 105, Germantown, WI 53022-4662 |
| Brian R Wolter | Family Medicine | Independent Physicians of Wisconsin LLC | 140 E Water St, Suite 1, West Bend, WI 53095-3415 |
| Chad F Tamez | Family Medicine | Independent Physicians of Wisconsin LLC | W178n9201 Water Tower Pl, Suite 200, Menomonee Falls, WI 53051-8029 |
| Nikki J Allen | Family Medicine | Independent Physicians of Wisconsin LLC | 4580 S Nicholson Ave, Cudahy, WI 53110-1360 |
| Miodrag M Popovich | Diagnostic Radiology | Independent Physicians of Wisconsin LLC | 2501 W Silver Spring Dr, Glendale, WI 53209-4217 |
| Mohammad Q Khan | Internal Medicine | Independent Physicians of Wisconsin LLC | 5434 W Capitol Dr, Suite 3, Milwaukee, WI 53216-2298 |
| Malik S Ali | Internal Medicine | Independent Physicians of Wisconsin LLC | 5434 W Capitol Dr, Suite 3, Milwaukee, WI 53216-2298 |
| Pamela D Powell | Nurse Practitioner | Independent Physicians of Wisconsin LLC | 5434 W Capitol Dr, Suite 3, Milwaukee, WI 53216-2298 |
| Street Address |
2501 W SILVER SPRING DR |
| City | GLENDALE |
| State | WI |
| Zip | 53209-4217 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Miodrag M Popovich | Diagnostic Radiology | Independent Physicians of Wisconsin LLC | 2501 W Silver Spring Dr, Glendale, WI 53209-4217 |
| Kamal Amin | Nephrology | Independent Physicians of Wisconsin LLC | 2501 W Silver Spring Dr, Glendale, WI 53209-4217 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patricia E Noonan | Clinical Nurse Specialist | Columbia St. Mary's Hospital Milwaukee, Inc | 9233 N Green Bay Rd, Brown Deer, WI 53209-1103 |
| Galina Bakman | Nurse Practitioner | Columbia St. Mary's Hospital Milwaukee, Inc | 9233 N Green Bay Rd, Brown Deer, WI 53209-1103 |
| Yuliy M Pershman | Physical Medicine and Rehabilitation | Ascension Medical Group Southeast Wisconsin Inc | 9252 N Green Bay Rd, Brown Deer, WI 53209-1104 |
| Barry K Gimbel | Cardiovascular Disease (cardiology) | Ascension Medical Group Southeast Wisconsin Inc | 9252 N Green Bay Rd, Milwaukee, WI 53209-1104 |
| Sean P Ronayne | Family Medicine | Ascension Medical Group Southeast Wisconsin Inc | 9252 N Green Bay Rd, Milwaukee, WI 53209-1104 |
| Marina L Kropp | Physical Medicine and Rehabilitation | Ascension Medical Group Southeast Wisconsin Inc | 9252 N Green Bay Rd, Milwaukee, WI 53209-1104 |
| Kelly A Richards | Nurse Practitioner | Ascension Medical Group Southeast Wisconsin Inc | 9252 N Green Bay Rd, Milwaukee, WI 53209-1104 |
| Robert Michael Kitsis | Family Medicine | Columbia St. Mary's Hospital Milwaukee, Inc | 9252 N Green Bay Rd, Fl 2, Brown Deer, WI 53209-1104 |
| Heather M Wells-holtey | Dermatology | Columbia St. Mary's Hospital Milwaukee, Inc | 9252 N Green Bay Rd, Fl 2, Brown Deer, WI 53209-1104 |
| Shannon S Muderlak | Family Medicine | Ascension Medical Group Southeast Wisconsin Inc | 9252 N Green Bay Rd, Milwaukee, WI 53209-1104 |
| Find all physicians in zip 53209 | |||
| City | GLENDALE |
| Zip Code | 53209 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | GLENDALE + PHYSICIAN ASSISTANT |
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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.