Jodi L Porter (NPI# 1568902088, PAC ID# 8628354024) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1568902088 |
| PAC ID by PECOS | 8628354024 |
| Professional Enrollment ID | I20170420000377 |
| Full Name | Jodi L Porter |
| Organization Legal Name | THE MEDICAL COLLEGE OF WISCONSIN INC |
| Address |
1155 N Mayfair Rd B Milwaukee WI 53226-3462 |
| Phone Number | 4144567199 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 2668384371 |
| Number of Group Practice Members | 1576 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 520177 | FROEDTERT MEMORIAL LUTHERAN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1155 N Mayfair Rd B, Milwaukee, WI 53226-3462 | 4144567199 | THE MEDICAL COLLEGE OF WISCONSIN INC |
| 9000 W Wisconsin Ave, Milwaukee, WI 53226-4874 | 4142662000 | THE MEDICAL COLLEGE OF WISCONSIN INC |
| Organization Legal Name | THE MEDICAL COLLEGE OF WISCONSIN INC |
| Physicians | 1866 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amanda Manders | Nurse Practitioner | The Medical College of Wisconsin Inc | 2400 W Villard Ave, Milwaukee, WI 53209-4901 |
| Sachin Shivaji Kumbhar | Diagnostic Radiology | The Medical College of Wisconsin Inc | 3195 Hillside Dr, Delafield, WI 53018-2189 |
| Karen E Kersting | Psychologist, Clinical | The Medical College of Wisconsin Inc | 1121 E N Ave, Milwaukee, WI 53212-3515 |
| Abdel Hai Alqwasmi | Hematology/oncology | The Medical College of Wisconsin Inc | W180n8045 Town Hall Rd, Menomonee Falls, WI 53051-3518 |
| Sujan Fernando | Diagnostic Radiology | The Medical College of Wisconsin Inc | 21700 Intertech Dr, Brookfield, WI 53045-5197 |
| Jacqueline K Dake | Nurse Practitioner | The Medical College of Wisconsin Inc | 9000 W Wisconsin Ave, Milwaukee, WI 53226-4874 |
| Claire T Rich | Clinical Nurse Specialist | The Medical College of Wisconsin Inc | 1155 N Mayfair Rd B, Milwaukee, WI 53226-3462 |
| Piero G Antuono | Neurology | The Medical College of Wisconsin Inc | 1238 S Cesar E Chavez Dr, Milwaukee, WI 53204-2267 |
| John N Jensen | Plastic and Reconstructive Surgery | The Medical College of Wisconsin Inc | 8701 W Watertown Plank Rd, Milwaukee, WI 53226-3548 |
| Anne E B Lakatos | Nurse Practitioner | The Medical College of Wisconsin Inc | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 |
| Street Address |
1155 N MAYFAIR RD B |
| City | MILWAUKEE |
| State | WI |
| Zip | 53226-3462 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Claire T Rich | Clinical Nurse Specialist | The Medical College of Wisconsin Inc | 1155 N Mayfair Rd B, Milwaukee, WI 53226-3462 |
| Edward Sarmiento | Internal Medicine | The Medical College of Wisconsin Inc | 1155 N Mayfair Rd B, Milwaukee, WI 53226-3462 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bernadette A Demuri | Psychiatry | Associated Mental Health Consultants Inc | 2600 N Mayfair, Suite 305, Wauwatosa, WI 53226-1303 |
| Kristi L Reynolds | Clinical Social Worker | County of Walworth | 2600 N Mayfair Rd, Suite 305, Wauwatosa, WI 53226-1303 |
| Mariellen Fischer | Psychologist, Clinical | Associated Mental Health Consultants Inc | 2600 N Mayfair, Suite 305, Wauwatosa, WI 53226-1303 |
| Sarah J Ford | Clinical Social Worker | Associated Mental Health Consultants Inc | 2600 N Mayfair, Suite 305, Wauwatosa, WI 53226-1303 |
| Nicole E Heinrich | Clinical Social Worker | County of Walworth | 2600 N Mayfair Rd, Suite 305, Wauwatosa, WI 53226-1303 |
| Ilya Melina Ray | Nurse Practitioner | County of Walworth | 2600 N Mayfair Rd, Suite 305, Wauwatosa, WI 53226-1303 |
| Jennifer K Cicero | Clinical Social Worker | Associated Mental Health Consultants Inc | 2600 N Mayfair, Suite 305, Wauwatosa, WI 53226-1303 |
| Barbara J Reinke | Psychologist, Clinical | Associated Mental Health Consultants Inc | 2600 N Mayfair, Suite 305, Wauwatosa, WI 53226-1303 |
| Mark O Pease | Nurse Practitioner | County of Walworth | 2600 N Mayfair Rd, Suite 305, Wauwatosa, WI 53226-1303 |
| Laura C Liguori | Psychologist, Clinical | Associated Mental Health Consultants Inc | 2600 N Mayfair, Suite 305, Wauwatosa, WI 53226-1303 |
| Find all physicians in zip 53226 | |||
| City | MILWAUKEE |
| Zip Code | 53226 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | MILWAUKEE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Jodi L Porter.
| 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.