STEPHEN C MEDLIN (NPI# 1134195159) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134195159 |
| Entity Type | Individual |
| Full Name | STEPHEN C MEDLIN |
| Credential | DO |
| Practice Address |
2801 W Kinnickinnic River Pkwy Ste 980 Milwaukee WI 53215 |
| Mailing Address |
2801 W Kinnickinnic River Pkwy Ste 980 Milwaukee WI 53215-3689 |
| Practice Telephone | 1438451114 |
| Mailing Telephone | 1438451114 |
| Enumeration Date | 2006-02-28 |
| Last Update Date | 2018-10-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0000X |
Internal Medicine Specialization: Hematology |
44942 | WI | Allopathic & Osteopathic Physicians |
| N | 207RH0000X |
Internal Medicine Specialization: Hematology |
34.010546 | OH | Allopathic & Osteopathic Physicians |
| N | 207RH0000X |
Internal Medicine Specialization: Hematology |
6042 | SD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 1134195159 | 05 | |
| NE | 46022474342 | 05 | |
| MN | PRIMEWEST | 92411422911 | 01 |
| MN | CC SYSTEMS/ BLUE PLUS | 214D7ME | 01 |
| SD | BLUE CROSS | 4993050 | 01 |
| MN | BLUE CROSS | 214D7ME | 01 |
| SD | MEDICA | 3600766 | 01 |
| SD | PREFERRED ONE | 678061051266 | 01 |
| MN | 047908000 | 05 | |
| SD | WPS TRICARE | 57105AH10 | 01 |
| SD | ARAZ/ AMERICA'S PPO | 1134195159 | 01 |
| SD | MIDLANDS CHOICE | 253094 | 01 |
| SD | 6631870 | 05 | |
| SD | DAKOTACARE | 6042 | 01 |
| SD | DEPT OF LABOR | 370624200 | 01 |
| SD | HEALTHPARTNERS | HP79180 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 234 Goodman St, Cincinnati, OH 45219 | 5135848500 | 5135848554 |
| Street Address |
2801 W KINNICKINNIC RIVER PKWY STE 980 |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083189633 | Mary E Lees | Nurse Practitioner | 2801 W Kinnickinnic River Pkwy Ste 980, Milwaukee, WI 53215-3689 | 2018-10-10 |
| 1194847228 | Sherjeel Sana | Internal Medicine | 2801 W Kinnickinnic River Pkwy Ste 980, Milwaukee, WI 53215 | 2007-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841829918 | Joshua Michael Brooks | Student in an Organized Health Care Education/Training Program | Aurora St. Lukes Medical Center 2901 W Oklahoma Ave, Milwaukee, WI 53215 | 2020-04-02 |
| 1053967091 | Kristina Strupp | Clinical Nurse Specialist | 2900 W. Oaklahoma Avenue, Milwaukee, WI 53215 | 2019-08-15 |
| 1427510296 | Madelyn Pickle | Student in an Organized Health Care Education/Training Program | 2801 W. Kinnickinnic Rd Ste 250, Milwaukee, WI 53215 | 2019-04-02 |
| 1932601838 | Elizabeth D Morawski | Nurse Practitioner | 2801 Kinnickinnic Parkway, Suite 630, Milwaukee, WI 53215 | 2018-03-06 |
| 1457872673 | Canzata Kimberly Dent | Counselor | 2727 W. Cleveland Suite 204, Milwaukee, WI 53215 | 2017-06-28 |
| 1538689955 | Christian Pena | Durable Medical Equipment & Medical Supplies | 2800 W Forest Home Ave, Suite 100, Milwaukee, WI 53215 | 2017-06-27 |
| 1386178804 | Dane A Olsen | Family Medicine | 801 W Kinnickinnic River Pkwy., Suite 250, Milwaukee, WI 53215 | 2017-04-12 |
| 1811443492 | Thomas Diamond | Physical Therapist | 2901 Kinnickinnic Parkway, Milwaukee, WI 53215 | 2016-09-01 |
| 1487055133 | Sam Khalili | Otolaryngology | 2801 W Kinnickinnic River Pkwy # 680, Milwaukee, WI 53215 | 2014-09-12 |
| 1992105621 | Nicole R Hall | Nurse Practitioner | 2901 S Kinnickinnic Ave, Milwaukee, WI 53215 | 2014-08-29 |
| Find all providers in zip 53215 | ||||
| Taxonomy Code | 207RH0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology |
| An internist with additional training who specializes in diseases of the blood, spleen and lymph. This specialist treats conditions such as anemia, clotting disorders, sickle cell disease, hemophilia, leukemia and lymphoma. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972913614 | Bronwen E Shaw | Internal Medicine | 9200 W Wisconsin Ave, Division of Hematology/oncology, Milwaukee, WI 53226-3522 | 2014-05-03 |
| 1689837379 | Saurabh Chhabra | Internal Medicine | 9200 W Wisconsin Ave, Hematology and Oncology, Milwaukee, WI 53226-3522 | 2008-07-03 |
| 1609938067 | Joshua J Field | Internal Medicine | 9200 W Wisconsin Ave, Division of Neoplastic Diseases, Milwaukee, WI 53226-3522 | 2006-12-14 |
| 1629044649 | Walter L Longo | Internal Medicine | 9200 W Wisconsin Ave, Milwaukee, WI 53226 | 2006-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982996906 | Bradford S Schwartz | Internal Medicine | 600 Highland Ave, Madison, WI 53792-0001 | 2011-05-10 |
| 1386890978 | Vaishalee Padgaonkar Kenkre | Internal Medicine | 600 Highland Ave, Madison, WI 53792 | 2008-08-14 |
| 1114121092 | Christopher D Fletcher | Internal Medicine | 600 Highland Ave, K6/510 Csc, Madison, WI 53792-0001 | 2007-06-13 |
| 1306932561 | Y Gregory Lin | Internal Medicine | 1000 N Oak Ave, Marshfield, WI 54449 | 2006-10-05 |
| 1548360803 | Richard J Mercier | Internal Medicine | 1000 N Oak Ave, Marshfield, WI 54449 | 2006-09-25 |
| 1538184825 | Ryan J Mattison | Internal Medicine | 600 Highland Ave, Madison, WI 53792 | 2006-07-13 |
| 1679524078 | Julie Elizabeth Chang | Internal Medicine | 600 Highland Ave, Madison, WI 53792-0001 | 2006-05-12 |
| 1548221468 | Robert D Woodson | Internal Medicine | 600 Highland Ave, Madison, WI 53792-0001 | 2006-03-30 |
| 1265493175 | Eliot C Williams | Internal Medicine | 600 Highland Ave, Madison, WI 53792 | 2006-03-30 |
| 1699736090 | John P Sheehan | Internal Medicine | 600 Highland Ave, Madison, WI 53792 | 2006-03-28 |
| Find all providers with the same taxonomy | ||||
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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.