Timothy G Buchanan (NPI# 1912085416, PAC ID# 8729074513) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1912085416 |
| PAC ID by PECOS | 8729074513 |
| Professional Enrollment ID | I20040426000792 |
| Full Name | Timothy G Buchanan |
| Organization Legal Name | LAKESHORE MEDICAL CLINIC LLC |
| Address |
S68w15500 Janesville Rd Muskego WI 53150-2613 |
| Phone Number | 4144224000 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1982 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 7719890730 |
| Number of Group Practice Members | 297 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 520138 | AURORA ST LUKES MEDICAL CENTER |
| 520139 | WEST ALLIS MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| S68w15500 Janesville Rd, Muskego, WI 53150-2613 | 4144224000 | LAKESHORE MEDICAL CLINIC LLC |
| 14555 W National Ave, New Berlin, WI 53151-4494 | 2628272959 | LAKESHORE MEDICAL CLINIC LLC |
| 2000 E Layton Ave, Saint Francis, WI 53235-6053 | 4147446589 | LAKESHORE MEDICAL CLINIC LLC |
| Organization Legal Name | LAKESHORE MEDICAL CLINIC LLC |
| Physicians | 101 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Faramarz Edalat | Diagnostic Radiology | Lakeshore Medical Clinic LLC | 200 E Layton Ave, Milwaukee, WI 53207-5908 |
| Molly Marie Yurk | Nurse Practitioner | Lakeshore Medical Clinic LLC | 100 15th Ave, South Milwaukee, WI 53172-1160 |
| Mary K Murphy | Nurse Practitioner | Lakeshore Medical Clinic LLC | 163 N Milwaukee St, Milwaukee, WI 53202-6012 |
| Kshama Keshava Bhat | Family Medicine | Lakeshore Medical Clinic LLC | 4202 W Oakwood Park Ct, Franklin, WI 53132-9118 |
| Kristin M Lavenhagen | Physician Assistant | Lakeshore Medical Clinic LLC | 200 E Ryan Rd, Oak Creek, WI 53154-4563 |
| Sarah Katharine Hambrook | Internal Medicine | Lakeshore Medical Clinic LLC | 331 E Puetz Rd, Oak Creek, WI 53154-3254 |
| Susan L Hafemann | Nurse Practitioner | Lakeshore Medical Clinic LLC | 14555 W National Ave, New Berlin, WI 53151-4494 |
| Dixie M Patel | Family Medicine | Lakeshore Medical Clinic LLC | 3611 S Chicago Ave, S Milwaukee, WI 53172-3738 |
| Gary Hauke | Obstetrics/gynecology | Lakeshore Medical Clinic LLC | 3305 S 20th St, Milwaukee, WI 53215-4940 |
| Rita E Schulz | Family Medicine | Lakeshore Medical Clinic LLC | 2000 E Layton Ave, Saint Francis, WI 53235-6053 |
| Street Address |
S68W15500 JANESVILLE RD |
| City | MUSKEGO |
| State | WI |
| Zip | 53150-2613 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeanette A Kalupa | Nurse Practitioner | Lakeshore Medical Clinic LLC | S68w15500 Janesville Rd, Muskego, WI 53150-2613 |
| Lisa Neerhof | Registered Dietitian Or Nutrition Professional | Lakeshore Medical Clinic LLC | S68w15500 Janesville Rd, Muskego, WI 53150-2613 |
| Monica C Jones | Nurse Practitioner | Aurora Medical Group Inc | S68w15500 Janesville Rd, Suite A, Muskego, WI 53150-2613 |
| Maysa Sameh | Family Medicine | Lakeshore Medical Clinic LLC | S68w15500 Janesville Rd, Muskego, WI 53150-2613 |
| Trista Kleppin | Family Medicine | Lakeshore Medical Clinic LLC | S68w15500 Janesville Rd, Muskego, WI 53150-2613 |
| Kong Her | Physician Assistant | Aurora Medical Group Inc | S68w15500 Janesville Rd, Suite A, Muskego, WI 53150-2613 |
| Brian J Dudor | Family Medicine | Lakeshore Medical Clinic LLC | S68w15500 Janesville Rd, Muskego, WI 53150-2613 |
| Camillia C Pignotti | Physician Assistant | Aurora Medical Group Inc | S68w15500 Janesville Rd, Suite A, Muskego, WI 53150-2613 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Darrell L Fynaardt | Chiropractic | S63w13620 Janesville Rd, Muskego, WI 53150-2713 | |
| Andrea L Wilson | Qualified Speech Language Pathologist | Aegis Group Practice LLC | S64w13780 Janesville Rd, Muskego, WI 53150-2743 |
| Niketa P Henry | Physical Therapy | Aegis Group Practice LLC | S64w13780 Janesville Rd, Muskego, WI 53150-2743 |
| Diana F Soltis-friesner | Clinical Social Worker | Aurora Medical Group Inc | S74w16775 Janesville Rd, Muskego, WI 53150-7742 |
| Denise Ann Brachmann | Psychiatry | Aurora Medical Group Inc | S74w16775 Janesville Rd, Muskego, WI 53150-7742 |
| Laura T Mirhoseini | Psychologist, Clinical | Aurora Medical Group Inc | S74w16775 Janesville Rd, Muskego, WI 53150-7742 |
| Shawn Marie Stemper | Nurse Practitioner | Aurora Medical Group Inc | S74w16775 Janesville Rd, Muskego, WI 53150-7742 |
| Eric J Bruster | Psychologist, Clinical | Aurora Medical Group Inc | S74w16775 Janesville Rd, Muskego, WI 53150-7742 |
| Mervin J Langley | Clinical Social Worker | Aurora Medical Group Inc | S74w16775 Janesville Rd, Muskego, WI 53150-7742 |
| Shelly Gentry | Nurse Practitioner | Aurora Medical Group Inc | S74w16775 Janesville Rd, Muskego, WI 53150-7742 |
| Find all physicians in zip 53150 | |||
| City | MUSKEGO |
| Zip Code | 53150 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | MUSKEGO + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Timothy G Buchanan.
| 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.