CARDIOTHORACIC SURGERY GROUP, SC (NPI# 1114214350) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114214350 |
| Entity Type | Organization |
| Organization Name | CARDIOTHORACIC SURGERY GROUP, SC |
| Practice Address |
10150 W National Ave Suite 190 West Allis WI 53227-2145 |
| Practice Telephone | 4142715119 |
| Practice Fax Number | 4142713756 |
| Mailing Telephone | 4142715119 |
| Mailing Fax Number | 4142713756 |
| Enumeration Date | 2011-07-08 |
| Last Update Date | 2011-07-08 |
| Authorized Official Name | ROBERT MCMANUS (M.D.) |
| Authorized Official Telephone | 4142715119 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
2780-23 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
10150 W NATIONAL AVE SUITE 190 |
| City | WEST ALLIS |
| State | WI |
| Zip Code | 53227-2145 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538160163 | Odyssey Healthcare Operating B Lp | Hospice Care, Community Based | 10150 W National Ave, Suite 200, West Allis, WI 53227-2145 | 2005-08-04 |
| 1376087957 | Milwaukee Surgery Center, LLC | Clinic/Center | 10150 W National Ave, Suite 350, West Allis, WI 53227-2145 | 2016-12-15 |
| 1831554922 | Anthony Kustermann | Social Worker | 10150 W National Ave, Ste 370, West Allis, WI 53227-2145 | 2015-12-16 |
| 1982992111 | Patrick Geiger | Physician Assistant | 10150 W National Ave, Suite 190, West Allis, WI 53227-2145 | 2011-07-21 |
| 1487837993 | Thomas Grulkowski | Perfusionist | 10150 W National Ave, Suite 190, West Allis, WI 53227-2145 | 2007-12-07 |
| 1417130923 | Holly Ann Estill | Perfusionist | 10150 W National Ave, Suite 190, West Allis, WI 53227-2145 | 2007-12-07 |
| 1992907885 | Daniel M Paskowitz | Ophthalmology | 10150 W National Ave, West Allis, WI 53227-2145 | 2007-06-03 |
| 1417007493 | Cecilia Teresa Ortiz | Social Worker | 10150 W National Ave, Ste 370, West Allis, WI 53227-2152 | 2007-01-11 |
| 1225064926 | Gentiva Certified Healthcare Corp. | Home Health | 10150 W National Ave, Suite 300, West Allis, WI 53227-2145 | 2006-06-24 |
| 1124097936 | Daniel Ferguson | Ophthalmology | 10150 W National Ave, West Allis, WI 53227-2145 | 2006-03-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205451564 | Ginger Renee Bland | Nurse Practitioner | 11133 W. National Avenue, West Allis, WI 53227 | 2020-06-12 |
| 1003312141 | Dynamic Medical Equipment, LLC | Durable Medical Equipment & Medical Supplies | 10236 W National Ave, West Allis, WI 53227 | 2018-04-05 |
| 1932572641 | Alissa Kristine Walker | Specialist/Technologist | 11601 W Lincoln Ave, West Allis, WI 53227 | 2015-11-03 |
| 1396155990 | Bradly Earl Helinski | Physical Therapy Assistant | 3023 S 84th St., Milwaukee, WI 53227 | 2014-05-05 |
| 1609299783 | Amy Renee Rozumalski | Occupational Therapy Assistant | 10150 W. National Ave, Suite 150, Premiere Medical Staffing Services, LLC, Milwaukee, WI 53227 | 2014-01-27 |
| 1497098438 | Kathleen Marie Schneider | Physical Therapy Assistant | 3023 S. 84th Street, Milwaukee, WI 53227 | 2013-03-28 |
| 1760723373 | Lee Ann Schraith | Physical Therapy Assistant | 3023 S. 84th St, Milwaukee, WI 53227 | 2013-03-06 |
| 1740520725 | Samantha Lynn Wozniak | Physical Therapist | 3023 S. 84th St., Milwaukee, WI 53227 | 2013-02-27 |
| 1831434901 | Andrew Paul Roeder | Physical Therapy Assistant | 3023 S. 89th Street, Milwaukee, WI 53227 | 2012-11-30 |
| 1538418116 | Christine Wilford | Social Worker | 2044 S 96th Street, West Allis, WI 53227 | 2012-08-29 |
| Find all providers in zip 53227 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346577954 | Darren Rosser | Physician Assistant | 2931 S 108th St, West Allis, WI 53227-3519 | 2009-11-03 |
| 1861752842 | Greater Milwaukee Surgical Assistants | Physician Assistant | 2931 S 108th St, West Allis, WI 53227-3519 | 2012-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821612045 | Cassidy Renee Thomas | Physician Assistant | 1111 Delafield St Ste 209, Waukesha, WI 53188-3403 | 2020-06-03 |
| 1982056768 | Luke Harbers | Physician Assistant | 6226 Bankers Rd Ste 11, Mount Pleasant, WI 53403-9799 | 2016-07-06 |
| 1093085664 | Abraham David Pacheco | Physician Assistant | 3246 S 35th St, Milwaukee, WI 53215-4156 | 2012-01-12 |
| 1033359401 | Matthew S. Bay | Physician Assistant | 1818 N. Meade St Suite 240 West, Fox Valley Surgical Associates, Appleton, WI 54911-3496 | 2009-02-25 |
| 1265657068 | Surgical and Rehab Services Inc | Physician Assistant | E4051 Steven Way, Spring Green, WI 53588-9271 | 2007-04-16 |
| 1992844385 | Jill Ann Schumacher | Physician Assistant | 2265 90th St, Eau Claire, WI 54703-0181 | 2007-02-05 |
| 1609915073 | Brian Felix Robinson | Physician Assistant | S725 Turner Valley Rd, Mondovi, WI 54755-8331 | 2007-02-05 |
| 1124176383 | William Henry Price | Physician Assistant | 4819 5th Ave, Unit 2, Kenosha, WI 53140-2924 | 2007-01-06 |
| 1619032919 | Michael R Depew | Physician Assistant | 1650 S. 41st St., Lakeshore Orthopedics, Manitowoc, WI 54220 | 2006-12-27 |
| 1235195835 | Angela M Clark | Physician Assistant | 2009 5th St, Monroe, WI 53566-1546 | 2006-04-22 |
| Find all providers with the same taxonomy | ||||
| City | WEST ALLIS |
| Zip Code | 53227 |
Please comment or provide details below to improve the information on CARDIOTHORACIC SURGERY GROUP, SC.
| 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.