Edward W St Ville (NPI# 1003838111, PAC ID# 7810809142) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1003838111 |
| PAC ID by PECOS | 7810809142 |
| Professional Enrollment ID | I20040126000498 |
| Full Name | Edward W St Ville |
| Organization Legal Name | AURORA ADVANCED HEALTHCARE INC |
| Address |
1100 Gateway Ct West Bend WI 53095-8539 |
| Phone Number | 2623358600 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON |
| Graduation Year | 1985 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 3375625833 |
| Number of Group Practice Members | 854 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 520189 | AURORA MEDICAL CENTER KENOSHA |
| 520138 | AURORA ST LUKES MEDICAL CENTER |
| 520206 | AURORA MEDICAL CENTER - SUMMIT |
| 520059 | AURORA MEMORIAL HOSPITAL BURLINGTON |
| 520207 | AURORA MEDICAL CENTER - GRAFTON |
| Address | Phone | Organization |
|---|---|---|
| 112 N Us Hwy 141, Crivitz, WI 54114-1708 | 7158543940 | AURORA BAY AREA MEDICAL GROUP LLC |
| 4061 Old Peshtigo Rd, Marinette, WI 54143-3887 | 7157328000 | AURORA BAY AREA MEDICAL GROUP LLC |
| 1346 E Green Bay St, Shawano, WI 54166-2210 | 7155266244 | AURORA MEDICAL GROUP INC |
| 2000 E Layton Ave, Suite 130, St Francis, WI 53235-6067 | 4147478856 | LAKESHORE MEDICAL CLINIC LLC |
| 1100 Gateway Ct, West Bend, WI 53095-8539 | 2623358600 | AURORA ADVANCED HEALTHCARE INC |
| Organization Legal Name | AURORA ADVANCED HEALTHCARE INC |
| Physicians | 907 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Abdulrehman Siddiqui | Family Medicine | Aurora Advanced Healthcare Inc | 12203 N Corporate Pkwy, Mequon, WI 53092-3388 |
| Alisa Orel | Registered Dietitian Or Nutrition Professional | Aurora Advanced Healthcare Inc | 215 W Washington St, Grafton, WI 53024-1700 |
| Stephanie K Covey | Family Medicine | Aurora Advanced Healthcare Inc | 3055 Hubertus Rd, Hubertus, WI 53033-9642 |
| Troy A Hurst | Physical Therapy | Aurora Advanced Healthcare Inc | N112 W17975 Mequon Rd, Germantown, WI 53022-2425 |
| Savan Panchal | Family Medicine | Aurora Advanced Healthcare Inc | 1055 N Mayfair Rd, Wauwatosa, WI 53226-3436 |
| Ann B Cates | Physical Therapy | Aurora Advanced Healthcare Inc | 4848 S 76th St, Suite 210, Greenfield, WI 53220-4361 |
| Brittany A Frisque | Nurse Practitioner | Aurora Advanced Healthcare Inc | 1640 E Sumner St, Hartford, WI 53027-2684 |
| Megan M Rorabeck | Physical Therapy | Aurora Advanced Healthcare Inc | 9200 W Loomis Rd, Suite 101, Franklin, WI 53132-5313 |
| Ryan M Lawrence | Physician Assistant | Aurora Advanced Healthcare Inc | 9120 W Loomis Rd, Suite 100, Franklin, WI 53132-9083 |
| Krista M Dyreson | Family Medicine | Aurora Advanced Healthcare Inc | 6425 W Mequon Rd, Mequon, WI 53092-1855 |
| Street Address |
1100 GATEWAY CT |
| City | WEST BEND |
| State | WI |
| Zip | 53095-8539 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tammy L Schladweiler | Nurse Practitioner | Aurora Advanced Healthcare Inc | 1100 Gateway Ct, West Bend, WI 53095-8539 |
| Jeffrey P Brejwo | Internal Medicine | Aurora Advanced Healthcare Inc | 1100 Gateway Ct, West Bend, WI 53095-8539 |
| Abigail J H Davis | Nurse Practitioner | Aurora Advanced Healthcare Inc | 1100 Gateway Ct, West Bend, WI 53095-8539 |
| Omuwa J Braimah | Family Medicine | Aurora Advanced Healthcare Inc | 1100 Gateway Ct, West Bend, WI 53095-8539 |
| Marie A Dominguez | Family Medicine | Aurora Advanced Healthcare Inc | 1100 Gateway Ct, West Bend, WI 53095-8539 |
| Steven W Holcomb | Family Medicine | Aurora Advanced Healthcare Inc | 1100 Gateway Ct, West Bend, WI 53095-8539 |
| Allison R Sajdak | Nurse Practitioner | Aurora Advanced Healthcare Inc | 1100 Gateway Ct, West Bend, WI 53095-8539 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lisa G Kornely | Podiatry | 2358 W Washington St, West Bend, WI 53095-2118 | |
| Craig J Schoenecker | Psychiatry | Washington County Wisconsin | 333 E Washington St, Suite 2100, West Bend, WI 53095-2503 |
| Kristin L Woznicki Servi | Clinical Social Worker | Washington County Wisconsin | 333 E Washington St, Suite 2100, West Bend, WI 53095-2503 |
| Alicia K Leslie | Clinical Social Worker | Washington County Wisconsin | 333 E Washington St, Suite 2100, West Bend, WI 53095-2503 |
| Christopher J Christian | Psychiatry | Washington County Wisconsin | 333 E Washington St, Suite 2100, West Bend, WI 53095-2503 |
| Samantha A Sprung | Clinical Social Worker | Washington County Wisconsin | 333 E Washington St, Suite 2100, West Bend, WI 53095-2503 |
| Sarah J Witte | Clinical Social Worker | Washington County Wisconsin | 333 E Washington St, Suite 2100, West Bend, WI 53095-2503 |
| Laura Collins | Nurse Practitioner | Washington County Wisconsin | 333 E Washington St, Suite 2100, West Bend, WI 53095-2503 |
| William M Drankiewicz | Clinical Psychologist | Washington County Wisconsin | 333 E Washington St, Suite 2100, West Bend, WI 53095-2503 |
| Melissa A Kowalske | Clinical Social Worker | Washington County Wisconsin | 333 E Washington St, West Bend, WI 53095-2503 |
| Find all physicians in zip 53095 | |||
| City | WEST BEND |
| Zip Code | 53095 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | WEST BEND + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Edward W St Ville.
| 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.