PULMONARY AND CRITICAL CARE ASSOCIATES, SC (NPI# 1104938331) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104938331 |
Entity Type | Organization |
Organization Name | PULMONARY AND CRITICAL CARE ASSOCIATES, SC |
Practice Address |
5900 S Lake Dr Cudahy WI 53110-3171 |
Practice Telephone | 4147444000 |
Practice Fax Number | 4144894022 |
Mailing Telephone | 4147444000 |
Mailing Fax Number | 4144894022 |
Enumeration Date | 2006-09-01 |
Last Update Date | 2018-01-22 |
Authorized Official Name | JEAN MARY IGNATIEV (OFFICE MANAGER) |
Authorized Official Telephone | 4147444000 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
Ambulatory Health Care Facilities |
Street Address |
5900 S LAKE DR |
City | CUDAHY |
State | WI |
Zip Code | 53110-3171 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073513974 | Allan Richard Pasch | Surgery | 5900 S Lake Dr, Cudahy, WI 53110-3171 | 2005-07-21 |
1386268977 | Dawn Sheffield | Social Worker | 5900 S Lake Dr, Cudahy, WI 53110-3171 | 2020-05-30 |
1114546470 | Ally Marthaler-gerads | Physical Therapist | 5900 S Lake Dr, Cudahy, WI 53110-3171 | 2020-04-15 |
1689293219 | Hilary Korb | Physical Therapist | 5900 S Lake Dr, Cudahy, WI 53110-3171 | 2020-04-14 |
1699394213 | Cynthia Faulkner Cook | Physical Therapist | 5900 S Lake Dr, Cudahy, WI 53110-3171 | 2020-04-14 |
1437655438 | Kimberly J Gehrig | Nurse Practitioner | 5900 S Lake Dr, Cudahy, WI 53110-3171 | 2018-03-30 |
1346792181 | Kathryn Merkel | Nurse Practitioner | 5900 S Lake Dr, Cudahy, WI 53110-3171 | 2016-10-27 |
1487004172 | Ben M Ramirez | Nurse Practitioner | 5900 S Lake Dr, Cudahy, WI 53110-3171 | 2016-06-14 |
1366838203 | Cameron M Malone | Hospitalist | 5900 S Lake Dr, Cudahy, WI 53110-3171 | 2015-04-07 |
1174917199 | Alyssa Kaleta | Internal Medicine | 5900 S Lake Dr, Cudahy, WI 53110 | 2015-03-27 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164059150 | Access Mobility Vans, Inc. | Durable Medical Equipment & Medical Supplies | 1995 E. Norse Ave., Cudahy, WI 53110 | 2020-03-27 |
1497191357 | Kristel Roebbeke | Occupational Therapist | 4157 W College Ave, Milwaukee, WI 53110 | 2013-05-20 |
1568684058 | City of Cudahy | Case Management | 5050 South Lake Drive, Cudahy, WI 53110 | 2007-05-03 |
1104854363 | Mathew George Mathai | Internal Medicine | 5900 S. Lake Dr., Cudahy, WI 53110 | 2006-06-28 |
1235355983 | Aurora Health Care Metro, Inc. | Clinic/Center | 5900 S Lake Drive, Cudahy, WI 53110 | 2007-04-18 |
1386722817 | Ami Prag | Family Medicine | 5900 S Lake Drive, #100, Cudahy, WI 53110 | 2006-11-01 |
1689780462 | Jack Avak Tertadian | Internal Medicine | 5900 S. Lake Drive, Cudahy, WI 53110 | 2006-08-22 |
1326205162 | Edward J Tomasik & Associate Optometrists Inc. | Durable Medical Equipment & Medical Supplies | 3552 E Layton Ave, Cudahy, WI 53110-0200 | 2008-05-20 |
1609171453 | Stat Access | Nursing Care | 3429 E Allerton Ave, Cudahy, WI 53110-1017 | 2011-01-25 |
1790314599 | John Hoehn | Social Worker | 3754 E Allerton Ave, Cudahy, WI 53110-1109 | 2020-04-03 |
Find all providers in zip 53110 |
Taxonomy Code | 261QM2500X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Medical Specialty |
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518446558 | Northwoods Family Physical Medicine of Wisconsin, S.c. | Clinic/Center | 2360a Duck Creek Pkwy Ste 2, Green Bay, WI 54303-3377 | 2018-08-10 |
1104222330 | Premier Cardiovascular Institute of Wisconsin LLC | Clinic/Center | 1309 S 54th St, Milwaukee, WI 53214-3404 | 2014-11-17 |
1629498522 | Asana Health & Wellness LLC | Clinic/Center | 2372 S Oneida St, Green Bay, WI 54304-5256 | 2014-04-18 |
1467792457 | Vein Care Associates S.c. | Clinic/Center | 215 Corporate Drive, Suite H, Beaver Dam, WI 53916-3124 | 2013-02-27 |
1447532403 | Lavender Lotus Acupuncture LLC | Clinic/Center | 130 Gregor St, Waterloo, WI 53594-1224 | 2011-09-15 |
1043501356 | Steven Victor Bittorf | Clinic/Center | 2505 Parkwood Dr, Green Bay, WI 54304-1956 | 2011-04-21 |
1881927812 | Gail A Weinand | Clinic/Center | 203 Schiek Plz, Rhinelander, WI 54501-3364 | 2009-09-09 |
1932368685 | Center for Stomach & Intestinal Disorders Ltd | Clinic/Center | 2300 N Mayfair Rd Ste 725, Wauwatosa, WI 53226-1533 | 2008-06-07 |
1568641439 | Daniel L. Gauerkei Dba Broadway Vision Center | Clinic/Center | 815 W Fulton St, Suite 103, Waupaca, WI 54981-1405 | 2007-10-29 |
1174723084 | Bruns Chiropractic Office Sc | Clinic/Center | 1429 North Ave, Sheboygan, WI 53083-4760 | 2007-07-19 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.