MARVIN (NPI# 1215167523) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215167523 |
| Entity Type | Organization |
| Organization Name | MARVIN |
| Practice Address |
1218 W Kilbourn Ave Suite-401 Milwaukee WI 53233-1330 |
| Practice Telephone | 4142724629 |
| Practice Fax Number | 4142724630 |
| Mailing Telephone | 4142724629 |
| Mailing Fax Number | 4142724630 |
| Enumeration Date | 2009-07-21 |
| Last Update Date | 2009-07-21 |
| Authorized Official Name | DR. MARVIN EDWARD SATTLER (GENERAL SURGEON) |
| Authorized Official Telephone | 4142724629 |
| Authorized Official Credential | M.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | BLUE CROSS/ BLUE SHIELD UNITED OF WISCONSIN | 391142042004 | 01 |
| WI | 30880400 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | MARVIN & ANNETTE LEE FOUNDATION, INC., THE | C/o David M. Lee, Trustee, 3014 Gleneagles Court, Bryan, TX 77802 |
| New York State Corporations | MARVIN & ANTHONY CONSTRUCTION LLC | 8221 Flatlands Avenue, Brooklyn, New York 11236 |
| Indiana Business Entities | MARVIN & BETTY WHALEY FAMILY LIMITED PARTNERSHIP | 3017 E. State Rd. 16, Brook, IN 47922 |
| New York State Corporations | MARVIN & DOLLY SUTTON'S FRESH START HOUSE INC. | 4252 Lower Bush Road, Kennedy, New York 14747 |
| New York State Corporations | MARVIN & ESTELLE BINIK INC. | 9202 Avenue A, Brooklyn, New York 11236 |
| Washington State Corporations | MARVIN & LINDA ENFIELD FAMILY, L.L.C. | 1064 Birch Bay Lynden Rd, Lynden, WA 98264-9490 |
| Virginia Business Entities | MARVIN & LOIS BOWMAN FAMILY LP | 5900 Bonbrook Mill Rd, Boones Mill, Virginia 24065-4614 |
| New York State Corporations | MARVIN & MONICA TAYLOR MINISTRIES INC. | 111-73 157th St, Jamaica, Ny 114333725 |
| Colorado Business Entities | Marvin & Palmer Associates, Inc. | 1201 N Market Street, Suite 2300, Wilmington, DE 19801 |
| Indiana Business Entities | MARVIN & RUTH JOLLIFF LLC | 6305 E 1550 N, Elnora, IN 47529 |
| Street Address |
1218 W KILBOURN AVE SUITE-401 |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53233-1330 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003891250 | Aboud Affi | Internal Medicine | 1218 W Kilbourn Ave, Suite 404, Milwaukee, WI 53233-1330 | 2005-12-09 |
| 1932633724 | Lori L Leidel | Nurse Practitioner | 1218 W Kilbourn Ave, Milwaukee, WI 53233-1330 | 2017-04-18 |
| 1801262746 | Progressive Community Health Centers, Inc. | Family Medicine | 1218 W Kilbourn Ave, Milwaukee, WI 53233-1330 | 2015-08-14 |
| 1316287071 | Maia F Schwartz | Physician Assistant | 1218 W Kilbourn Ave, Suite 301, Milwaukee, WI 53233-1330 | 2013-02-18 |
| 1245532050 | Aurora Health Care Metro, Inc. | Public Health or Welfare | 1218 W Kilbourn Ave, Suite 207, Milwaukee, WI 53233-1330 | 2010-11-30 |
| 1235465832 | Richard R Wesley | Physician Assistant | 1218 W Kilbourn Ave, Suite 301, Milwaukee, WI 53233-1330 | 2009-11-02 |
| 1619202546 | Aurora Health Care Wic | Public Health or Welfare | 1218 W Kilbourn Ave, Suite 207, Milwaukee, WI 53233-1330 | 2009-10-09 |
| 1073754776 | Elisabeth Catherine Biggs | Physician Assistant | 1218 W Kilbourn Ave, Suite 511, Milwaukee, WI 53233-1330 | 2009-03-10 |
| 1306013834 | Patrick Walter Jost | Orthopaedic Surgery | 1218 W Kilbourn Ave, Suite 301, Milwaukee, WI 53233-1330 | 2008-05-14 |
| 1104003300 | Razan Khattab | Internal Medicine | 1218 W Kilbourn Ave, Ste 124, Milwaukee, WI 53233-1330 | 2008-01-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104454750 | Henok Desta Hardilo | Student in an Organized Health Care Education/Training Program | Aurora Sinai Medical Center 945 N 12th Street, Milwaukee, WI 53233 | 2020-03-30 |
| 1821633314 | Ann E Millard | Occupational Therapist | 560 N. 16th Street, Room 214a, Milwaukee, WI 53233 | 2019-11-08 |
| 1306480918 | Teng Kai Ong | Dentist | 1801 West Wisconsin Ave., Milwaukee, WI 53233 | 2019-11-06 |
| 1356800478 | Nebiyu Abera Tilahun | Student in an Organized Health Care Education/Training Program | Aurora Sinai Medical Center, 945 N. 12th Street, Milwaukee, WI 53233 | 2019-03-18 |
| 1548748387 | Emily Claire Goetz | Physical Therapist | 945 N. 12th St. Suite 1100, Milwaukee, WI 53233 | 2018-08-03 |
| 1801373378 | Froedtert & The Medical College of Wisconsin Community Physicians | Non-Pharmacy Dispensing Site | 1721 W Canal St, Milwaukee, WI 53233 | 2018-07-26 |
| 1184170706 | Lauren Troll | Physical Therapist | 925 N 12th Street, Milwaukee, WI 53233 | 2016-09-01 |
| 1942694401 | Iryna Nemesh | Internal Medicine | 1020 N 12th St Fl 2, Milwaukee, WI 53233 | 2015-03-23 |
| 1649676032 | Matina Angelopoulou | Dentist | 1801 West Winsconsin Ave, Milwaukee, WI 53233 | 2014-11-12 |
| 1780007831 | John Ladisa | Technician, Other | 1637 W. Wisconsin Ave, Room 311, Milwaukee, WI 53233 | 2014-01-27 |
| Find all providers in zip 53233 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598310195 | Matthew Laviolette | Surgery | Medical College of Wisconsin, 8701 Watertown Plank Rd., Surgical Oncology, Milwaukee, WI 53226 | 2019-08-09 |
| 1659832855 | Benjamin David Seadler | Surgery | Mcw, Department of Surgery, 8701 Watertown Plank Road, Milwaukee, WI 53226 | 2019-03-29 |
| 1538570338 | Nicholas Sich | Surgery | 2901 W Kinnickinnic River Pkwy Dept Ste 540, Milwaukee, WI 53215-3677 | 2014-05-14 |
| 1629312467 | Meredith Witten | Surgery | 945 N 12th St # 2110, Milwaukee, WI 53233 | 2012-11-17 |
| 1013203397 | Nicole M Zaremba | Surgery | 2801 W Kinnickinnic River Pkwy Ste 165, Milwaukee, WI 53215-3699 | 2011-06-24 |
| 1073803391 | Ryan Berg | Surgery | 3070 N 51st St Ste 207, Milwaukee, WI 53210-1661 | 2011-04-08 |
| 1417119769 | Sheldon Morris Solochek | Surgery | 3316 N Lake Dr, Milwaukee, WI 53211-2907 | 2008-06-27 |
| 1194906982 | Muhammad Yousof Khan | Surgery | 1218 W Kilbourn Ave Ste 409, Milwaukee, WI 53233-1325 | 2007-11-20 |
| 1063611820 | Lyle G. Henry Md Sc | Surgery | 2015 E Newport Ave Ste 305, Milwaukee, WI 53211-2949 | 2007-07-12 |
| 1083789663 | Aaron L Rogaczewski | Surgery | 2111 N 60th St, Milwaukee, WI 53208-1043 | 2006-11-21 |
| Find all providers in MILWAUKEE | ||||
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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.