DR. MATHEW ANTHONY LETIZIA (NPI# 1245722545) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245722545 |
| Entity Type | Individual |
| Full Name | DR. MATHEW ANTHONY LETIZIA |
| Credential | PHARMD |
| Practice Address |
1121 E North Ave Milwaukee WI 53212-3515 |
| Mailing Address |
8531 W Hayes Pl West Allis WI 53227-2536 |
| Practice Telephone | 4145882865 |
| Enumeration Date | 2018-06-01 |
| Last Update Date | 2018-06-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P2201X |
Pharmacist Specialization: Ambulatory Care |
1875440 | WI | Pharmacy Service Providers |
| Street Address |
1121 E NORTH AVE |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53212-3515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487605853 | Gregory Brotzman | Family Medicine | 1121 E North Ave, Columbia-st. Mary's Family Practice, Milwaukee, WI 53212-3515 | 2006-05-12 |
| 1053931600 | Joshua Berger | Student in an Organized Health Care Education/Training Program | 1121 E North Ave, Milwaukee, WI 53212-3515 | 2020-04-23 |
| 1982232385 | Deseray Eve Aguirre | Student in an Organized Health Care Education/Training Program | 1121 E North Ave, Milwaukee, WI 53212-3515 | 2020-03-31 |
| 1669000204 | Mario Robert Tempe | Student in an Organized Health Care Education/Training Program | 1121 E North Ave, Milwaukee, WI 53212-3515 | 2020-03-30 |
| 1942838685 | Taylor Elaine Bachaus | Student in an Organized Health Care Education/Training Program | 1121 E North Ave, Milwaukee, WI 53212-3515 | 2020-03-30 |
| 1740818319 | Claire Springer | Student in an Organized Health Care Education/Training Program | 1121 E North Ave, Milwaukee, WI 53212-3515 | 2020-03-30 |
| 1134757172 | Melinda Pierdomenico | Student in an Organized Health Care Education/Training Program | 1121 E North Ave, Milwaukee, WI 53212-3515 | 2020-03-27 |
| 1942838941 | Ellen Hallberg | Student in an Organized Health Care Education/Training Program | 1121 E North Ave, Milwaukee, WI 53212-3515 | 2020-03-27 |
| 1134756505 | Sarah Katharine Larsen | Student in an Organized Health Care Education/Training Program | 1121 E North Ave, Milwaukee, WI 53212-3515 | 2020-03-25 |
| 1629539655 | Ellen Ashley Wegner | Student in an Organized Health Care Education/Training Program | 1121 E North Ave, Milwaukee, WI 53212-3515 | 2019-03-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609481001 | Beth Leanna | Counselor | Benedict Center 1849 N Dr. Marin Luther King Dr., Suite 101, Milwaukee, WI 53212 | 2020-09-11 |
| 1326683749 | A.b.d.h. Counseling Services LLC | Clinic/Center | 518 E Concordia Avenue, Milwaukee, WI 53212 | 2019-11-08 |
| 1467095703 | Ifrah Hameed | Psychologist | 1849 N Doctor M.l.k. Jr Dr# 101, Milwaukee, WI 53212 | 2019-10-18 |
| 1386293330 | Rachel Mae Nelson Bagha | Student in an Organized Health Care Education/Training Program | 1849 N Doctor M.l.k. Jr Dr #101, Milwaukee, WI 53212 | 2019-09-11 |
| 1164085205 | Mary Sue Daase Bowen | Counselor | 2821 N 4th Street, Milwaukee, WI 53212 | 2019-04-15 |
| 1649733189 | Stacey King | Counselor | Rivershore Comprehensive Treatment Facility, 3703 N Richards St, Milwaukee Wi, Milwaukee, WI 53212 | 2019-04-11 |
| 1710447701 | Scott William Stauder | Student in an Organized Health Care Education/Training Program | 1121 E. North Ave., Milwaukee, WI 53212 | 2019-03-25 |
| 1821561168 | Lydia Ann Mendez | Counselor | 3703 N Richards St, Milwaukee, WI 53212 | 2019-01-09 |
| 1851863302 | Glen Victor Fleming | Counselor | 2821 North 4th Street Suite 210, Milwaukee, WI 53212 | 2018-12-21 |
| 1093285140 | Megan Marie Volp | Advanced Practice Midwife | 2555 N Doctor M.l.k. Jr Dr, Milwaukee, WI 53212 | 2018-12-03 |
| Find all providers in zip 53212 | ||||
| Taxonomy Code | 1835P2201X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Ambulatory Care |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in the provision of integrated, accessible health care services by pharmacists and is accountable for addressing medication needs, developing sustained partnerships with patients, and practicing in the context of family and community. |
| Notes: Source: Board of Pharmacy Specialties, www.bpsweb.org [7/1/2015: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407407448 | Connor Hayes | Pharmacist | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2019-09-20 |
| 1114575180 | Michelle Marie Te Ronde Manny | Pharmacist | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2019-09-03 |
| 1275180317 | Sarah E Wheeler | Pharmacist | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2019-08-22 |
| 1982258646 | Michelle Papala | Pharmacist | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2019-07-30 |
| 1659924041 | Kathryn Lee Frowein | Pharmacist | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2019-07-24 |
| 1386297588 | Lauren Caruso | Pharmacist | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2019-07-17 |
| 1982260097 | Hailey Elizabeth Keeser | Pharmacist | 820 N Plankinton Ave, Milwaukee, WI 53203-1802 | 2019-05-14 |
| 1972063337 | Amanda Rose Stefl | Pharmacist | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2019-03-21 |
| 1295290492 | Blaire White | Pharmacist | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2019-02-01 |
| 1902394570 | Michael Dentice | Pharmacist | 11111 W Burleigh St, Milwaukee, WI 53222-3211 | 2018-04-28 |
| 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.