LAURA L RADKE (NPI# 1265516645) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265516645 |
| Entity Type | Individual |
| Full Name | LAURA L RADKE |
| Credential | MD |
| Practice Address |
N14w23900 Stone Ridge Dr Prohealth Care Medical Associates Waukesha WI 53188-1135 |
| Practice Telephone | 2625748000 |
| Mailing Telephone | 2625748000 |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2012-01-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 31373 | WI | Allopathic & Osteopathic Physicians |
| Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
31373 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 31870200 | 05 |
| Street Address |
N14W23900 STONE RIDGE DR PROHEALTH CARE MEDICAL ASSOCIATES |
| City | WAUKESHA |
| State | WI |
| Zip Code | 53188-1135 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992704159 | Health Center Pharmacy of Menomonee Falls | Pharmacy | N14w23900 Stone Ridge Dr, Waukesha, WI 53188-1135 | 2005-07-19 |
| 1902985013 | Jamey Jill Jick | Internal Medicine | N14w23900 Stone Ridge Dr, Prohealth Care Medical Associates, Waukesha, WI 53188-1135 | 2006-11-02 |
| 1144271925 | Amandeep S Gill | Internal Medicine | N14w23900 Stone Ridge Dr, Prohealth Care Medical Associates Inc., Waukesha, WI 53188-1135 | 2006-05-15 |
| 1346206562 | Amy Weaver | Optometrist | N14w23900 Stone Ridge Dr, Prohealth Care Medical Associates, Waukesha, WI 53188-1135 | 2006-04-25 |
| 1437115847 | Diane Keyes | Nurse Practitioner | N14w23900 Stone Ridge Dr, Waukesha, WI 53188-1135 | 2006-04-25 |
| 1508828328 | Catherine Bril | Physician Assistant | N14w23900 Stone Ridge Dr, Prohealth Care Medical Associates Inc, Waukesha, WI 53188-1135 | 2006-04-05 |
| 1710947064 | Jean Bagin | Nurse Practitioner | N14w23900 Stone Ridge Dr, Prohealth Care Medical Associates Inc., Waukesha, WI 53188-1135 | 2006-03-23 |
| 1881661445 | Tracy R. Coulter | Podiatrist | N14w23900 Stone Ridge Dr, Prohealth Care Medical Associates Inc., Waukesha, WI 53188-1135 | 2006-03-02 |
| 1851367072 | Jennifer Vipond | Pediatrics | N14w23900 Stone Ridge Dr, Prohealth Care Medical Associates Inc., Waukesha, WI 53188-1135 | 2006-02-27 |
| 1578538617 | Joseph Tzougros | Pediatrics | N14w23900 Stone Ridge Dr, Prohealth Care Medical Associates Inc., Waukesha, WI 53188-1135 | 2006-02-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336787126 | Nicole Lee Berg-johnson | Nurse Practitioner | 820 Crestwood Dr., Waukesha, WI 53188 | 2019-12-12 |
| 1013475706 | Rachel Mueller | Occupational Therapist | 29667 Summit Ave, S11, Waukesha, WI 53188 | 2019-03-12 |
| 1861962649 | Emily Elizabeth Seefeld | Occupational Therapy Assistant | 29667 Summit Ave S11, Waukesha, WI 53188 | 2018-12-05 |
| 1003393307 | Ashley Susan Callahan | Dental Hygienist | 711 W. Moreland Blvd., Suite 204, Waukesha, WI 53188 | 2018-07-19 |
| 1245741321 | Melissa Weir | Case Manager/Care Coordinator | 514 Riverview Avenue, Waukesha, WI 53188 | 2017-10-17 |
| 1093233629 | Patricia Marie Sombrio | Dental Hygienist | 711 Moreland Blvd 204, Waukesha, WI 53188 | 2017-09-04 |
| 1134660244 | Bdg of Wisconsin, Inc. | Behavioral Analyst | N19w2309 Riverwood Drive, Suite 350 Pmb 314, Waukesha, WI 53188 | 2017-03-09 |
| 1255888731 | Lynne Sarah Alva | Dental Hygienist | 711 Moreland Blvd, Suite 204, Waukesha, WI 53188 | 2016-09-01 |
| 1881069730 | Michelle Koch | Occupational Therapist | 29667 Summit Ave. S11, Waukesha, WI 53188 | 2015-12-03 |
| 1952711012 | Rhonda Schroeder | Dental Hygienist | W286 N991 Shepherds Way, Waukesha, WI 53188 | 2014-04-29 |
| Find all providers in zip 53188 | ||||
| Taxonomy Code | 207RI0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Infectious Disease |
| An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
| 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 |
|---|---|---|---|---|
| 1326466186 | Jeremiah Stromich | Internal Medicine | N16w24131 Riverwood Dr, Waukesha, WI 53188-1106 | 2014-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417318635 | Shalom Medical Inc | Internal Medicine | 977 Green Ridge Dr, De Pere, WI 54115-7656 | 2016-03-15 |
| 1689060188 | Loren Nunley | Internal Medicine | 8701 W Watertown Plank Rd # Huba8143, Milwaukee, WI 53226-3548 | 2015-04-10 |
| 1740420173 | Jeffrey Malden Jones | Internal Medicine | 5738 Richmond Dr, Fitchburg, WI 53719-1606 | 2009-02-25 |
| 1912144692 | Gerald J Dorff, Md | Internal Medicine | W358s2796 Highway 67, Dousman, WI 53118-9665 | 2009-01-16 |
| 1851434492 | Thomas H Dee | Internal Medicine | 3500 Oak Hill Ct, Brookfield, WI 53005-2115 | 2007-02-14 |
| 1568508307 | Matthew George Erickson | Internal Medicine | 2701 University Ave, Suite 414, Madison, WI 53705-3700 | 2007-01-29 |
| 1417039124 | Muhammad Asif Iqbal | Internal Medicine | 13880 W Prairie Ln, New Berlin, WI 53151-7509 | 2006-10-20 |
| 1144261827 | Mark Andrew Beilke | Internal Medicine | 4110 S. Lake Drive, Unit 47, St. Francis, WI 53235 | 2006-06-10 |
| 1871533265 | Ravindra Karmarkar, Md, Sc | Internal Medicine | 11625 N Riverland Rd, Mequon, WI 53092-2736 | 2006-06-07 |
| 1356380372 | Ravindra Shrinivas Karmarkar | Internal Medicine | 1700 E Juniper Way, Hartland, WI 53029-8669 | 2006-06-05 |
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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.