John S Blackwood (NPI# 1093795171, PAC ID# 9537127964) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1093795171 |
| PAC ID by PECOS | 9537127964 |
| Professional Enrollment ID | I20041230000570 |
| Full Name | John S Blackwood |
| Organization Legal Name | WHEATON FRANCISCAN MEDICAL GROUP, INC. |
| Address |
17000 W N Ave Su 104w Brookfield WI 53005 |
| Phone Number | 2627851500 |
| Gender | M |
| Credential | MD |
| Medical School | MEDICAL COLLEGE OF WISCONSIN |
| Graduation Year | 1964 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 8628980943 |
| Number of Group Practice Members | 551 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 520136 | WHEATON FRANCISCAN ST JOSEPH |
| Address | Phone | Organization |
|---|---|---|
| 17000 W N Ave Su, 104w, Brookfield, WI 53005 | 2627851500 | WHEATON FRANCISCAN MEDICAL GROUP, INC. |
| Organization Legal Name | WHEATON FRANCISCAN MEDICAL GROUP, INC. |
| Physicians | 39 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rose Mary Dodd | Nurse Practitioner | Wheaton Franciscan Medical Group, Inc. | 2025 W Oklahoma Ave Su, Suite 102, Milwaukee, WI 53215-4455 |
| Daniel R Robillard | Physician Assistant | Wheaton Franciscan Medical Group, Inc. | 3238 S 16th St, Milwaukee, WI 53215-4535 |
| Janice M Gaeth | Audiologist | Wheaton Franciscan Medical Group, Inc. | 3801 Spring St, Racine, WI 53405-1667 |
| Anne E Stoltenberg | Nurse Practitioner | Wheaton Franciscan Medical Group, Inc. | 3821 Spring St, Racine, WI 53405-1667 |
| Trupti Akella | Hospitalist | Wheaton Franciscan Medical Group, Inc. | 3237 S 16th St, Milwaukee, WI 53215-4526 |
| James Won | Neurology | Wheaton Franciscan Medical Group, Inc. | 3805 B Spring St, Suite 320, Racine, WI 53405-1644 |
| Harry J Lewis | Clinical Social Worker | Wheaton Franciscan Medical Group, Inc. | 5000 W Chambers St, Milwaukee, WI 53210-1650 |
| Josie M Rukamp | Nurse Practitioner | Wheaton Franciscan Medical Group, Inc. | 17000 W N Ave Su, 104w, Brookfield, WI 53005 |
| Corey P Carr | Psychiatry | Wheaton Franciscan Medical Group, Inc. | 13950 W Capitol Dr, Brookfield, WI 53005-2441 |
| Arlene M Mcentegart | Nurse Practitioner | Wheaton Franciscan Medical Group, Inc. | 3801 Spring St, Racine, WI 53405-1667 |
| Street Address |
17000 W N AVE SU 104W |
| City | BROOKFIELD |
| State | WI |
| Zip | 53005 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Josie M Rukamp | Nurse Practitioner | Wheaton Franciscan Medical Group, Inc. | 17000 W N Ave Su, 104w, Brookfield, WI 53005 |
| Jesse V De Groat Jr. | Family Practice | Wheaton Franciscan Medical Group | 17000 W N Ave Su, 104w, Brookfield, WI 53005 |
| Leslie C Shaw | Nurse Practitioner | Wheaton Franciscan Medical Group | 17000 W N Ave Su, Brookfield, WI 53005 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marianne Schweighardt | Chiropractic | 4040 N Calhoun Rd, Brookfield, WI 53005-1340 | |
| Gregory Michael Blau | Chiropractic | 14625 W Lisbon Rd, Brookfield, WI 53005-1626 | |
| Susan M Smith | Physical Therapy | Keystone Physical Therapy LLC | 17045 W Capitol Dr, Brookfield, WI 53005-2153 |
| Kent Carlson | Physical Therapy | Keystone Physical Therapy LLC | 17045 W Capitol Dr, Brookfield, WI 53005-2153 |
| Stephanie J Helmuth | Physical Therapy | Keystone Physical Therapy LLC | 17045 W Capitol Dr, Brookfield, WI 53005-2153 |
| Megan R Stowe | Physical Therapy | Keystone Physical Therapy LLC | 17045 W Capitol Dr, Brookfield, WI 53005-2153 |
| Jill M Urban | Physical Therapy | Keystone Physical Therapy LLC | 17045 W Capitol Dr, Brookfield, WI 53005-2153 |
| Lesli K Mccarthy | Physical Therapy | Keystone Physical Therapy LLC | 17045 W Capitol Dr, Brookfield, WI 53005-2153 |
| Austin S Burlage | Physical Therapy | Freedom Physical Therapy Services Sc | 14625 W Capitol Dr, Suite 200, Brookfield, WI 53005-2318 |
| Tracy A Pfannerstill | Physical Therapy | Freedom Physical Therapy Services Sc | 14625 W Capitol Dr, Suite 200, Brookfield, WI 53005-2318 |
| Find all physicians in zip 53005 | |||
| City | BROOKFIELD |
| Zip Code | 53005 |
| Specialty | GENERAL SURGERY |
| City + Specialty | BROOKFIELD + GENERAL SURGERY |
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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.