Raul Mateo (NPI# 1295814028, PAC ID# 8921085788) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1295814028 |
| PAC ID by PECOS | 8921085788 |
| Professional Enrollment ID | I20040630000786 |
| Full Name | Raul Mateo |
| Organization Legal Name | LAKESHORE MEDICAL CLINIC LLC |
| Address |
14555 W National Ave New Berlin WI 53151-4494 |
| Phone Number | 2628272959 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1980 |
| 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 |
| Address | Phone | Organization |
|---|---|---|
| 9200 W Layton Ave, Greenfield, WI 53228-3348 | 4144255600 | LAKESHORE MEDICAL CLINIC LLC |
| 1400 N Prospect Ave, Milwaukee, WI 53202-3043 | 4142899600 | 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 |
14555 W NATIONAL AVE |
| City | NEW BERLIN |
| State | WI |
| Zip | 53151-4494 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Susan L Hafemann | Nurse Practitioner | Lakeshore Medical Clinic LLC | 14555 W National Ave, New Berlin, WI 53151-4494 |
| Seth E Smith | General Surgery | Aurora Advanced Healthcare Inc | 14555 W National Ave, Suite 160, New Berlin, WI 53151-4497 |
| Carl L Chojnacki | Nurse Practitioner | Aurora Advanced Healthcare Inc | 14555 W National Ave, Suite 165, New Berlin, WI 53151-4497 |
| Brian P Mcsorley | Family Medicine | Aurora Advanced Healthcare Inc | 14555 W National Ave, Suite 120, New Berlin, WI 53151-4494 |
| Reny Varghese | Family Medicine | Aurora Advanced Healthcare Inc | 14555 W National Ave, Suite 120, New Berlin, WI 53151-4494 |
| Patrick T Daley | Family Medicine | Aurora Advanced Healthcare Inc | 14555 W National Ave, Suite 160, New Berlin, WI 53151-4497 |
| Steve M Czymbor | Podiatry | Aurora Advanced Healthcare Inc | 14555 W National Ave, Suite 120, New Berlin, WI 53151-4494 |
| Charles Player | Family Medicine | Lakeshore Medical Clinic LLC | 14555 W National Ave, New Berlin, WI 53151-4494 |
| Michael D Damico | Family Medicine | Lakeshore Medical Clinic LLC | 14555 W National Ave, New Berlin, WI 53151-4494 |
| Siena Fox | Physician Assistant | Lakeshore Medical Clinic LLC | 14555 W National Ave, New Berlin, WI 53151-4494 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeffry R Dauk | Chiropractic | 16873 W Greenfield Ave, New Berlin, WI 53151-1362 | |
| Evan L Norum | Chiropractic | 17047 W Greenfield Ave, New Berlin, WI 53151-1364 | |
| Jason M Schilder | Chiropractic | 16645 W Greenfield Ave, Suite D, New Berlin, WI 53151-1424 | |
| Emily Johanna Johnson | Chiropractic | 16645 W Greenfield Ave, Suite D, New Berlin, WI 53151-1546 | |
| Larisa Hutchins | Psychologist, Clinical | Wellqor Psychological Services of Wisconsin, S.c. | 2898 S Moorland Rd, New Berlin, WI 53151-3744 |
| Nicole M Jonas | Optometry | Jeffrey L Morer Od PC | 13755 W Fieldpoint Dr, New Berlin, WI 53151-3979 |
| Scott A Simkowski | Chiropractic | 12414 W National Ave, New Berlin, WI 53151-4054 | |
| Ryan E Nutter | Physician Assistant | Aspen Orthopedic and Rehabilation Specalist | 12555 W National Ave, Suite 100, New Berlin, WI 53151-4061 |
| Steve I Chang | Internal Medicine | 12555 W National Ave, Suite 200, New Berlin, WI 53151-4061 | |
| Roger V Torres | Internal Medicine | 12555 W National Ave, Suite 201, New Berlin, WI 53151-4061 | |
| Find all physicians in zip 53151 | |||
| City | NEW BERLIN |
| Zip Code | 53151 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | NEW BERLIN + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Raul Mateo.
| 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.