LUBSEY MEDICAL CLINIC INC (NPI# 1316336795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316336795 |
| Entity Type | Organization |
| Organization Name | LUBSEY MEDICAL CLINIC INC |
| Other Organization Name | LUBSEY MEDICAL CENTER |
| Practice Address |
5300 W Villard Ave Milwaukee WI 53218-4345 |
| Mailing Address |
Po Box 639 Thiensville WI 53092-0639 |
| Practice Telephone | 4144386666 |
| Practice Fax Number | 4144386667 |
| Mailing Telephone | 4142479005 |
| Mailing Fax Number | 4142479004 |
| Enumeration Date | 2015-01-22 |
| Last Update Date | 2015-03-06 |
| Authorized Official Name | MS. ERIKA SIMONE LUBSEY (PRESIDENT/OWNER) |
| Authorized Official Telephone | 4144386666 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 174400000X | Specialist | 61393 | WI | Other Service Providers |
| Y | 174400000X | Specialist | 24166 | WI | Other Service Providers |
| Other Name | Type Code |
|---|---|
| Lubsey Medical Center | Doing Business As Name - Organization |
| Street Address |
5300 W VILLARD AVE |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53218-4345 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962418236 | Champalal Gupta | Internal Medicine | 5300 W Villard Ave, Milwaukee, WI 53218-4345 | 2006-07-31 |
| 1124576939 | Audra L Hale | Nurse Practitioner | 5300 W Villard Ave, Milwaukee, WI 53218-4345 | 2016-09-21 |
| 1316320724 | Timothy Patrick Kalmer | Nurse Practitioner | 5300 W Villard Ave, Milwaukee, WI 53218-4345 | 2015-07-02 |
| 1013289164 | Maureen Tsogbe | Nurse Practitioner | 5300 W Villard Ave, Milwaukee, WI 53218-4345 | 2012-02-06 |
| 1306174255 | Erika Lubsey | Obstetrics & Gynecology | 5300 W Villard Ave, Milwaukee, WI 53218-4345 | 2009-12-03 |
| 1740423441 | Anatoliy Velikodanov | Registered Nurse | 5300 W Villard Ave, Milwaukee, WI 53218-4345 | 2009-04-09 |
| 1366683419 | Anuja M Sheth | Internal Medicine | 5300 W Villard Ave, Milwaukee, WI 53218-4345 | 2009-03-19 |
| 1528234085 | Kimula A Wilson | Registered Nurse | 5300 W Villard Ave, Milwaukee, WI 53218-4345 | 2008-05-05 |
| 1831286129 | Barbara Szopinski | Nurse Practitioner | 5300 W Villard Ave, Milwaukee, WI 53218-4345 | 2006-10-06 |
| 1962501593 | V G Lubsey, Md, Sc | Internal Medicine | 5300 W Villard Ave, Milwaukee, WI 53218-4345 | 2006-09-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417571050 | Kaak Living | Clinic/Center | 5938 N 76th Street, Milwaukee, WI 53218 | 2020-05-29 |
| 1306495064 | Jeanette Bearden | Technician | 4477 N 57 St., Milwaukee, WI 53218 | 2019-09-05 |
| 1770074080 | Sunvale Homes LLC | Home Health | 4714 N 58th St, Milwaukee, WI 53218 | 2018-05-22 |
| 1447740006 | Quantum Care LLC | Home Health | 6424 W Fondulac Avenue, Unit 1, Milwaukee, WI 53218 | 2018-05-18 |
| 1811413008 | Ewura Asie Amonoo | Case Manager/Care Coordinator | 5153 W. Silver Spring, Milwaukee, WI 53218 | 2017-08-18 |
| 1649706714 | Life Tree Pharmacy LLC | Pharmacy | 8329-5 W Appleton Ave, Milwaukee, WI 53218 | 2017-05-10 |
| 1720524341 | Nastassia S Jackson | Counselor | 6830 W Villard Ave Ste 190, Milwaukee, WI 53218 | 2017-01-07 |
| 1801330493 | Mary Beth Cafaro | Social Worker | 5555 N. 51st Blvd, Milwaukee, WI 53218 | 2016-12-15 |
| 1669823613 | Lasonya Carol Wilson | Licensed Practical Nurse | 5830 N 75th St, Milwaukee, WI 53218 | 2016-06-30 |
| 1225302243 | Drew Douglas Cannon | Social Worker | 5555 N 51st Street, Milwaukee, WI 53218 | 2012-03-08 |
| Find all providers in zip 53218 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982161048 | Natalia Roman | Specialist | 725 W Lapham Blvd Apt 17, Milwaukee, WI 53204-3447 | 2019-02-25 |
| 1598231524 | Shanel Marie Jordan | Specialist | 4827 N 76th St, Milwaukee, WI 53218-3826 | 2018-10-17 |
| 1598143455 | Donisha Nesbitt | Specialist | 4717 N 38th St, Milwaukee, WI 53209-5949 | 2015-05-12 |
| 1851625735 | Kenneth Raskin Md Sc | Specialist | 115 S 84th St, Suite 175, Milwaukee, WI 53214-1472 | 2009-09-25 |
| 1518195726 | Gina Marie Williams | Specialist | Jewish Home and Care Center:therapy Department, 1414 N Prospect Ave, Milwaukee, WI 53202-3018 | 2009-06-25 |
| 1982856670 | Jeannette E Brasseur | Specialist | 4158 N Stowell Ave, Milwaukee, WI 53211-1744 | 2008-10-14 |
| 1437306172 | Gerald R. Zupnik | Specialist | 8689 N Seneca Rd, Milwaukee, WI 53217-2331 | 2008-08-25 |
| 1316114317 | Leslie M Cannestra | Specialist | 7823 W Verona Ct, Milwaukee, WI 53219-3861 | 2008-05-09 |
| 1538335138 | Linda Jean Gaalaas | Specialist | 2715 N Summit Ave, Milwaukee, WI 53211-3855 | 2008-05-02 |
| 1710157078 | Isaac Melguizo-gavilanes | Specialist | 2801 W Kinnickinnic River Pkwy Ste 925, Milwaukee, WI 53215-3689 | 2008-03-03 |
| 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.