Gregory J Griepentrog (NPI# 1114991890, PAC ID# 9931139284) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
Nation Provider ID (NPI) | 1114991890 |
PAC ID by PECOS | 9931139284 |
Professional Enrollment ID | I20090420000089 |
Full Name | Gregory J Griepentrog |
Organization Legal Name | THE MEDICAL COLLEGE OF WISCONSIN INC |
Address |
1249 W Liebau Rd Mequon WI 53092-3396 |
Phone Number | 2622433001 |
Gender | M |
Credential | MD |
Medical School | UNIVERSITY OF WISCONSIN MEDICAL SCHOOL |
Graduation Year | 2004 |
Primary Specialty | OPHTHALMOLOGY |
Secondary Specialties | PEDIATRIC MEDICINE |
Group Practice PAC ID | 2668384371 |
Number of Group Practice Members | 1573 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
520177 | FROEDTERT MEMORIAL LUTHERAN HOSPITAL |
Address | Phone | Organization |
---|---|---|
1249 W Liebau Rd, Mequon, WI 53092-3396 | 2622433001 | THE MEDICAL COLLEGE OF WISCONSIN INC |
2400 W Villard Ave, Milwaukee, WI 53209-4901 | 4145278191 | THE MEDICAL COLLEGE OF WISCONSIN INC |
8701 W Watertown Plank Rd, Milwaukee, WI 53226-3548 | 4144564100 | THE MEDICAL COLLEGE OF WISCONSIN INC |
9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 4148050505 | THE MEDICAL COLLEGE OF WISCONSIN INC |
4805 S Moorland Rd, New Berlin, WI 53151-7401 | 2627987200 | FROEDTERT AND THE MEDICAL COLLEGE OF WISCONSIN COMMUNITY PHYSICIANS IN |
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 |
1249 W LIEBAU RD |
City | MEQUON |
State | WI |
Zip | 53092-3396 |
Name | Specialty | Organization | Address |
---|---|---|---|
Rosemarie M Brueggeman | Ophthalmology | Eye Physician Associates Sc | 1249 W Liebau Rd, Suite 102, Mequon, WI 53092-3397 |
Marc D Hirsch | Ophthalmology | Eye Physician Associates Sc | 1249 W Liebau Rd, Suite 102, Mequon, WI 53092-3397 |
Michael T Rissell | Ophthalmology | Eye Physician Associates Sc | 1249 W Liebau Rd, Suite 102, Mequon, WI 53092-3397 |
Chirantan Mukhopadhyay | Ophthalmology | Eye Physician Associates Sc | 1249 W Liebau Rd, Suite 102, Mequon, WI 53092-3397 |
Charles B Yang | Ophthalmology | Eye Physician Associates Sc | 1249 W Liebau Rd, Suite 102, Mequon, WI 53092-3397 |
Name | Specialty | Organization | Address |
---|---|---|---|
Bruce C Herman | Internal Medicine | 407 N Main St, Thiensville, WI 53092-1212 | |
Therese A Jaeckle | Nurse Practitioner | 136 N Main St, Suite 304, Thiensville, WI 53092-1606 | |
Gary S Lewis | Family Medicine | Independent Physicians of Wisconsin LLC | 136 N Main St, Suite 201, Thiensville, WI 53092-1606 |
Maria P Fenske | Chiropractic | Prohealth Chiropractic Center Sc | 136 N Main St, Suite 202, Thiensville, WI 53092-1606 |
James R Shelstad | Chiropractic | Prohealth Chiropractic Center Sc | 136 N Main St, Suite 202, Thiensville, WI 53092-1606 |
Sarah J Krueger | Psychologist, Clinical | 216 N Green Bay Ave, Suite 108, Thiensville, WI 53092-1625 | |
Sharon K Thurow | Nurse Practitioner | 216 Green Bay Rd, Suite 101, Thiensville, WI 53092-1625 | |
Lynn M Fitzsimmons | Psychologist, Clinical | 216 Green Bay Rd, Suite 108, Thiensville, WI 53092-1625 | |
David B Tick | Internal Medicine | 216 Green Bay Rd, Thiensville, WI 53092-1658 | |
Krista M Dyreson | Family Medicine | Aurora Advanced Healthcare Inc | 6425 W Mequon Rd, Mequon, WI 53092-1855 |
Find all physicians in zip 53092 |
City | MEQUON |
Zip Code | 53092 |
Specialty | OPHTHALMOLOGY |
City + Specialty | MEQUON + OPHTHALMOLOGY |
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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.