Matthew B Lee (NPI# 1396830089, PAC ID# 7810080959) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1396830089 |
| PAC ID by PECOS | 7810080959 |
| Professional Enrollment ID | I20081206000197 |
| Full Name | Matthew B Lee |
| Organization Legal Name | ASCENSION MEDICAL GROUP SOUTHEAST WISCONSIN INC |
| Address |
3040 N 117th St Suite 200 Wauwatosa WI 53222-4129 |
| Phone Number | 4147780070 |
| Gender | M |
| Medical School | MEDICAL COLLEGE OF GEORGIA |
| Graduation Year | 1995 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 8628980943 |
| Number of Group Practice Members | 586 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 520136 | WHEATON FRANCISCAN ST JOSEPH |
| 520177 | FROEDTERT MEMORIAL LUTHERAN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 3040 N 117th St, Suite 200, Wauwatosa, WI 53222-4129 | 4147780070 | ASCENSION MEDICAL GROUP SOUTHEAST WISCONSIN INC |
| Organization Legal Name | ASCENSION MEDICAL GROUP SOUTHEAST WISCONSIN INC |
| Physicians | 462 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Neal James Campbell Ii | Family Medicine | Ascension Medical Group Southeast Wisconsin Inc | 3610 Michelle Witmer Memorial Dr, New Berlin, WI 53151-5292 |
| David James Coulter | Cardiovascular Disease (cardiology) | Ascension Medical Group Southeast Wisconsin Inc | 2025 W Oklahoma Ave, Suite 105, Milwaukee, WI 53215-4455 |
| Danielle L Laczniak | Nurse Practitioner | Ascension Medical Group Southeast Wisconsin Inc | 3070 N 51st St, Suite 601, Milwaukee, WI 53210-1663 |
| Lisa Marie Leblanc | Nurse Practitioner | Ascension Medical Group Southeast Wisconsin Inc | 3040 N 117th St, Suite 200, Wauwatosa, WI 53222-4129 |
| Jorja K Mueller | Nurse Practitioner | Ascension Medical Group Southeast Wisconsin Inc | 7400 W Rawson Ave, Suite G40, Franklin, WI 53132-8114 |
| Breana C Cummens | Family Medicine | Ascension Medical Group Southeast Wisconsin Inc | 4600 W Loomis Rd, Greenfield, WI 53220-4858 |
| Katie L Leiteritz | Nurse Practitioner | Ascension Medical Group Southeast Wisconsin Inc | 8020 S Howell Ave, Oak Creek, WI 53154-2930 |
| Brian Zafonte | Hand Surgery | Ascension Medical Group Southeast Wisconsin Inc | 3811 Spring St, Suite 102, Mount Pleasant, WI 53405-1667 |
| Irina Ciubotaru | Endocrinology | Ascension Medical Group Southeast Wisconsin Inc | 3805 Spring St, Suite 310, Mount Pleasant, WI 53405-1600 |
| Carlos R Galvao Sobrinho | Nephrology | Ascension Medical Group Southeast Wisconsin Inc | 3805 B Spring St, Suite 260, Mount Pleasant, WI 53405-1643 |
| Street Address |
3040 N 117TH ST SUITE 200 |
| City | WAUWATOSA |
| State | WI |
| Zip | 53222-4129 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lisa Marie Leblanc | Nurse Practitioner | Ascension Medical Group Southeast Wisconsin Inc | 3040 N 117th St, Suite 200, Wauwatosa, WI 53222-4129 |
| Tod Poremski | Obstetrics/gynecology | Ascension Medical Group Southeast Wisconsin Inc | 3040 N 117th St, Suite 200, Wauwatosa, WI 53222-4129 |
| Carmen Terlizzi | Obstetrics/gynecology | Ascension Medical Group Southeast Wisconsin Inc | 3040 N 117th St, Suite 200, Wauwatosa, WI 53222-4129 |
| Jocelyn Eiche | Obstetrics/gynecology | Wheaton Franciscan Medical Group | 3040 N 117th St, Suite 200, Wauwatosa, WI 53222-4129 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stacey L Glover | Nurse Practitioner | Aurora Quick Care, LLC | 10800 W Capitol Dr, Wauwatosa, WI 53222-1109 |
| Veronica L Zimmer | Nurse Practitioner | Aurora Quick Care, LLC | 10800 W Capitol Dr, Wauwatosa, WI 53222-1109 |
| Rebecca A Schettle | Nurse Practitioner | Aurora Quick Care, LLC | 10800 W Capitol Dr, Wauwatosa, WI 53222-1109 |
| Brent Jones | Endocrinology | Columbia St. Mary's Hospital Milwaukee, Inc | 10950 W Capitol Dr, Wauwatosa, WI 53222-1110 |
| Amanda J Mentjes | Nurse Practitioner | Columbia St. Mary's Hospital Milwaukee, Inc | 10950 W Capitol Dr, Wauwatosa, WI 53222-1110 |
| Wayland J Loofboro | Chiropractic | 11038 W Capitol Dr, Wauwatosa, WI 53222-1111 | |
| Carolyn B Morris | Clinical Social Worker | West Grove Clinic LLC | 10012 W Capitol Dr, Suite 101, Wauwatosa, WI 53222-1300 |
| David W Schulz | Psychiatry | West Grove Clinic LLC | 10012 W Capitol Dr, Suite 101, Wauwatosa, WI 53222-1300 |
| Robert Thoreau | Clinical Social Worker | West Grove Clinic LLC | 10012 W Capitol Dr, Suite 101, Wauwatosa, WI 53222-1300 |
| Herbert A Oxman | Cardiovascular Disease (cardiology) | Dr. Oxman Internal Medicine and Cardiology, S.c. | 10111 W Capitol Dr, Wauwatosa, WI 53222-1335 |
| Find all physicians in zip 53222 | |||
| City | WAUWATOSA |
| Zip Code | 53222 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | WAUWATOSA + OBSTETRICS/GYNECOLOGY |
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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.