MILWAUKEE UROLOGICAL SC (NPI# 1255535324) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255535324 |
| Entity Type | Organization |
| Organization Name | MILWAUKEE UROLOGICAL SC |
| Practice Address |
2015 E Newport Ave Suite 500 Milwaukee WI 53211-2984 |
| Practice Telephone | 4149617323 |
| Practice Fax Number | 4149646445 |
| Mailing Telephone | 4149617323 |
| Mailing Fax Number | 4149646445 |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | LINDA HENDERSON (OFFICE MANAGER) |
| Authorized Official Telephone | 4149617323 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | NPI | 1710975289 | 01 |
| WI | NPI | 1891788113 | 01 |
| WI | 32009700 | 05 | |
| WI | 32675600 | 05 | |
| WI | NPI | 1396732806 | 01 |
| Street Address |
2015 E NEWPORT AVE SUITE 500 |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53211-2984 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366433815 | Columbia St. Mary's Hospital Milwaukee, Inc | Pharmacy | 2015 E Newport Ave, Ste M121, Milwaukee, WI 53211-2984 | 2005-11-03 |
| 1295967511 | Kim Ann Heim | Nurse Practitioner | 2015 E Newport Ave, Suite 409, Milwaukee, WI 53211-2984 | 2009-08-20 |
| 1497937999 | Kristine M. Dunlap | Psychologist | 2015 E Newport Ave, Suite 409, Milwaukee, WI 53211-2984 | 2007-11-27 |
| 1144417023 | Aurora Advanced Healthcare, Inc. | Durable Medical Equipment & Medical Supplies | 2015 E Newport Ave, Milwaukee, WI 53211-2984 | 2007-09-25 |
| 1144428269 | Craig A. Siverhus, Md Sc | Surgery | 2015 E Newport Ave, Suite 305, Milwaukee, WI 53211-2984 | 2007-07-10 |
| 1487852505 | Joseph P Regan Md Sc | Surgery | 2015 E Newport Ave, Suite305, Milwaukee, WI 53211-2984 | 2007-07-10 |
| 1457558603 | Alexander C Stolarski | Psychologist | 2015 E Newport Ave, Suite 409, Milwaukee, WI 53211-2984 | 2007-06-29 |
| 1689885303 | James R. Rice | Registered Nurse | 2015 E Newport Ave, Suite 409, Milwaukee, WI 53211-2984 | 2007-05-24 |
| 1013037969 | Robert Stanley Stemberger | Dentist | 2015 E Newport Ave, 405, Milwaukee, WI 53211-2984 | 2007-03-31 |
| 1619018819 | Midwest Spinal Center | Orthopaedic Surgery | 2015 E Newport Ave, Suite 605, Milwaukee, WI 53211-2949 | 2007-02-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821602335 | Gabriella Caitrin Emanuele | Occupational Therapist | Harborchase of Shorewood, 1111 E Capitol Drive, Shorewood, WI 53211 | 2020-09-02 |
| 1710527783 | Sage Specialty Pharmacy Inc. | Pharmacy | 4001 N. Oakland Ave, Shorewood, WI 53211 | 2020-01-08 |
| 1861043952 | Rosina Bloomingdale Norton | Nurse Practitioner | 1921 E Harford Ave, Milwaukee, WI 53211 | 2019-09-20 |
| 1528556255 | Renee Reckelberg | Specialist/Technologist | 3409 North Downer Avenue, Pavilion, Suite 350, Milwaukee, WI 53211 | 2018-04-27 |
| 1700325602 | Wisconsin Vision, Inc. | Optometrist | 4163 N Oakland Ave, Shorewood, WI 53211 | 2017-02-13 |
| 1750827556 | Daniel Butz M.d., S.c. | Plastic Surgery | 2350 N Lake Dr Ste 304, Milwaukee, WI 53211 | 2017-01-17 |
| 1528517232 | Therese Simonis | Speech-Language Pathologist | 2390 N Lake Drive, Milwaukee, WI 53211 | 2016-09-23 |
| 1982075701 | Katie Michel | Specialist/Technologist | 3409 N. Downer Ave, Milwaukee, WI 53211 | 2015-10-20 |
| 1255776365 | Sarah Elizabeth Brill | Social Worker | 4433 N Oakland Ave Ste D, Shorewood, WI 53211 | 2013-05-02 |
| 1679814537 | Nicole Anne Parulski | Physical Therapist | 2301 North Lake Dr, Milwaukee, WI 53211 | 2013-03-01 |
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| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376793240 | Raymond Harkavy | Urology | 9440 N. Broadmoor Road, Milwaukee, WI 53217-1309 | 2008-09-26 |
| 1356591978 | Randle E Pollard | Urology | 1233 N. Marshall St., #274, Milwaukee, WI 53202 | 2008-09-19 |
| 1295990190 | Charles Leonard Weisenthal | Urology | 1610 N. Prospect Av., 602, Milwaukee, WI 53202 | 2008-07-21 |
| 1508834193 | Charles F Kidd | Urology | 2801 W. Kinnickinnic River Parkway, Suite 370, Milwaukee, WI 53215 | 2006-03-09 |
| 1962400234 | Emmanuel Sison Manuel | Urology | 3201 S 16th St, Ste 1015, Milwaukee, WI 53215-4537 | 2005-07-12 |
| 1164886644 | Jacob Jipp | Urology | 8701 W Watertown Plank Rd, Milwaukee, WI 53226-3548 | 2016-04-11 |
| 1194133272 | Sophie Ramsay | Urology | 9000 W Wisconsin Ave, Pediatric Urology, Milwaukee, WI 53226-4874 | 2014-08-01 |
| 1619381480 | Susan Jarosz | Urology | 9000 W Wisconsin Ave, Milwaukee, WI 53226-4874 | 2014-06-19 |
| 1063839512 | Kelly Ashton Walker | Urology | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2014-03-22 |
| 1447695317 | Graham Luke Machen | Urology | 9200 W Wisconsin Ave, Milwaukee, WI 53226 | 2013-05-06 |
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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.