FROEDTERT MEMORIAL LUTHERAN HOSPITAL, INC. (NPI# 1255334173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255334173 |
| Entity Type | Organization |
| Organization Name | FROEDTERT MEMORIAL LUTHERAN HOSPITAL, INC. |
| Other Organization Name | FROEDTERT HOSPITAL |
| Practice Address |
9200 W Wisconsin Ave Milwaukee WI 53226-3522 |
| Mailing Address |
N74 W12501 Leatherwood Ct Woodland Prime 400, Pfs, Attn: T. Lemmermann Menomonee Falls WI 53051-4490 |
| Practice Telephone | 4148053000 |
| Practice Fax Number | 4148057790 |
| Mailing Telephone | 4147770417 |
| Mailing Fax Number | 4147770096 |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2020-03-16 |
| Authorized Official Name | MR. JEFFREY R VAN DE KREEKE (VP FINANCE & TREASURER) |
| Authorized Official Telephone | 4147770968 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 232; 279 | WI | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 404656061 | 05 | |
| WI | UNITED HEALTHCARE | 5000021 | 01 |
| MS | 0095078 | 05 | |
| IN | 100036370A | 05 | |
| NV | E61000134 | 05 | |
| CO | 88601544 | 05 | |
| WI | TOUCHPOINT | 9000355 | 01 |
| MN | 923550700 | 05 | |
| WI | 11000400 | 05 | |
| WI | US DEPT OF LABOR | 137793700 | 01 |
| WI | DEAN HEALTH PLAN | 501166 | 01 |
| NY | 01869896 | 05 | |
| FL | 092365600 | 05 | |
| AK | 121634105 | 05 | |
| OH | 2277487 | 05 | |
| MI | 304656043 | 05 | |
| IA | 0939538 | 05 |
| Other Name | Type Code |
|---|---|
| Froedtert Hospital | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275056723 | Froedtert Memorial Lutheran Hospital, Inc. | Pharmacy | 11430 N Port Washington Rd, Suite 103, Mequon, WI 53092-3454 | 2017-07-17 |
| 1356722045 | Froedtert Memorial Lutheran Hospital, Inc. | Pharmacy | 9200 W Wisconsin Ave, Cfac Pharmacy, Milwaukee, WI 53226-3522 | 2015-06-18 |
| 1841627015 | Froedtert Memorial Lutheran Hospital, Inc. | Pharmacy | 925 N 87th St, Milwaukee, WI 53226-4812 | 2013-10-03 |
| 1457604928 | Froedtert Memorial Lutheran Hospital, Inc. | Pharmacy | W180n8000 Town Hall Rd, Menomonee Falls, WI 53051-4002 | 2012-10-22 |
| 1154597292 | Froedtert Memorial Lutheran Hospital, Inc. | Pharmacy | 9200 W Wisconsin Ave, Ste 200c, Milwaukee, WI 53226-3522 | 2008-05-07 |
| 1861573446 | Froedtert Memorial Lutheran Hospital, Inc. | Pharmacy | 9200 W Wisconsin Ave, Suite 100e, Milwaukee, WI 53226-3522 | 2006-10-18 |
| 1881783777 | Froedtert Memorial Lutheran Hospital, Inc. | Pharmacy | 9200 W Wisconsin Ave, Suite 200w, Milwaukee, WI 53226-3522 | 2006-10-11 |
| 1003819475 | Froedtert Memorial Lutheran Hospital, Inc. | Rehabilitation Unit | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2005-05-31 |
| 1982607354 | Froedtert Memorial Lutheran Hospital, Inc. | Durable Medical Equipment & Medical Supplies | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2005-05-31 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | FROEDTERT MEMORIAL LUTHERAN HOSPITAL, INC. | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 |
| Street Address |
9200 W WISCONSIN AVE |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53226-3522 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013518182 | Shelby Koppinger | Pharmacist | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2020-11-05 |
| 1083215065 | Jennifer Lynn Scheffler | Physician Assistant | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2020-11-05 |
| 1306445952 | Elyan Carolina Ruiz Solano | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2020-10-23 |
| 1972101467 | Sarah Emily Ziem | Nurse Practitioner | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2020-10-15 |
| 1912504242 | Matthew Resop | Nurse Practitioner | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2020-10-09 |
| 1043817877 | Jacqueline Jordan Morgan | Nurse Practitioner | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2020-10-05 |
| 1134726227 | Joseph Beiler | Registered Nurse | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2020-10-02 |
| 1316553845 | Nathan Duncan | Pharmacist | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2020-09-21 |
| 1043826035 | Emily Mell | Physician Assistant | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2020-09-16 |
| 1700490521 | Chelsea Marie Nettesheim | Nurse Practitioner | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2020-08-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912511155 | Alexander Harlan | Pharmacist | 900 N 92nd St, Milwaukee, WI 53226 | 2020-09-04 |
| 1558985762 | Armghan Haider Ans | Student in an Organized Health Care Education/Training Program | 9200 W. Wisconsin Ave. Froedtert Hospital & Medical Col, Milwaukee, WI 53226 | 2020-06-03 |
| 1669001103 | Kimberly Tyler | Student in an Organized Health Care Education/Training Program | 8701 W Watertown Plank Road, Medical College of Wisconsin Dept of Internal Medicine, Wauwatosa, WI 53226 | 2020-04-06 |
| 1972131993 | Francesca Meloy Devine | Student in an Organized Health Care Education/Training Program | Medical Education Office: Children's Corporate Center, 999 N. 92nd St., Suite 730, Milwaukee, WI 53226 | 2020-03-27 |
| 1285275248 | Sharitta Alford | Technician | 12250 West North Avenue, Apartment 142b, Wauwatosa, WI 53226 | 2019-10-01 |
| 1619528023 | Linda Marie Sabatinelli | Technician | 12107 W. Woodland Ave, Wauwatosa, WI 53226 | 2019-09-26 |
| 1598310195 | Matthew Laviolette | Surgery | Medical College of Wisconsin, 8701 Watertown Plank Rd., Surgical Oncology, Milwaukee, WI 53226 | 2019-08-09 |
| 1962056432 | Lyndsey Marie Bratberg | Physician Assistant | F&mcw Clinical Cancer Center 9200 W. Wisconsin Ave., Milwaukee, WI 53226 | 2019-08-01 |
| 1659832855 | Benjamin David Seadler | Surgery | Mcw, Department of Surgery, 8701 Watertown Plank Road, Milwaukee, WI 53226 | 2019-03-29 |
| 1861953267 | Michael Dryden | Student in an Organized Health Care Education/Training Program | 8701 Watertown Plank Rd., Milwaukee, WI 53226 | 2019-03-27 |
| Find all providers in zip 53226 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255938510 | Ascension Wisconsin Emerus Menomonee Falls, LLC | General Acute Care Hospital | 4935 S 76th St Ste 100, Milwaukee, WI 53220-4305 | 2020-10-08 |
| 1346605177 | Wheaton Alert-milwaukee | General Acute Care Hospital | 4300 W Brown Deer Rd Fl 2, Milwaukee, WI 53223-2410 | 2015-12-21 |
| 1851828685 | Zablocki Va Medical Center | General Acute Care Hospital | 5000 W National Ave, Milwaukee, WI 53295-0001 | 2017-05-11 |
| 1295280220 | Aurora Health Care Metro Inc | General Acute Care Hospital | 945 N 12th St, Milwaukee, WI 53233-1305 | 2016-08-19 |
| 1811362577 | Defense Finance & Actg Serv. | General Acute Care Hospital | 5000 W National Ave, Milwaukee, WI 53295-0001 | 2015-12-07 |
| 1235527771 | Zablocki Va Medical Center | General Acute Care Hospital | 5000 W National Ave, Milwaukee, WI 53295-0002 | 2015-01-07 |
| 1932514890 | Vha Milwaukee | General Acute Care Hospital | 5000 W National Ave, Milwaukee, WI 53295-0001 | 2014-06-30 |
| 1639513302 | Aurora St. Luke's Medical Center | General Acute Care Hospital | 2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 | 2013-04-24 |
| 1720339914 | Clement J Zablocki Va Medical Center | General Acute Care Hospital | 5000 W National Ave, Milwaukee, WI 53295-0001 | 2012-09-27 |
| 1003167354 | Department of Veterans Affairs Clement J. Zablocki Medical Center | General Acute Care Hospital | 5000 W National Ave, Milwaukee, WI 53295-1000 | 2012-09-26 |
| 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.