MILWAUKEE VAMC (NPI# 1326087222) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326087222 |
| Entity Type | Organization |
| Organization Name | MILWAUKEE VAMC |
| Other Organization Name | UNION GROVE VA CBOC |
| Practice Address |
21425 Spring St Union Grove WI 53182-9707 |
| Mailing Address |
Po Box 5127 Madison WI 53705-0127 |
| Practice Telephone | 6088217200 |
| Mailing Telephone | 6088217200 |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2014-09-30 |
| Authorized Official Name | ERIN POTTER (NPI TEAM MEMBER) |
| Authorized Official Telephone | 2023822579 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QV0200X |
Clinic/Center Specialization: VA |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Union Grove VA CBOC | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285005504 | Milwaukee Vamc | Clinic/Center | 1818 N Martin Luther King Dr, Milwaukee, WI 53212-3640 | 2015-10-13 |
| 1003861014 | Milwaukee Vamc | Clinic/Center | 2851 University Avenue, Green Bay, WI 54311-0008 | 2006-05-24 |
| 1821490012 | Milwaukee Vamc | Psychologist | 5000 W National Ave, Milwaukee, WI 53295-0001 | 2014-09-19 |
| 1780019380 | Milwaukee Vamc | Department of Veterans Affairs (VA) Pharmacy | 2851 University Avenue, Green Bay, WI 54311-0008 | 2013-09-13 |
| 1669643912 | Milwaukee Vamc | Department of Veterans Affairs (VA) Pharmacy | 10 Tri Park Way, Appleton, WI 54914-1658 | 2008-03-14 |
| 1609828748 | Milwaukee Vamc | Clinic/Center | 1205 North Ave, Cleveland, WI 53015-1413 | 2006-05-17 |
| 1518918705 | Milwaukee Vamc | Clinic/Center | 10 Tri Park Way, Appleton, WI 54914-1658 | 2006-05-13 |
| 1073563417 | Milwaukee Vamc | General Acute Care Hospital | 5000 W National Ave, Milwaukee, WI 53295-0001 | 2006-05-10 |
| 1972561645 | Milwaukee Vamc | Department of Veterans Affairs (VA) Pharmacy | 5000 W National Ave, Milwaukee, WI 53295-0001 | 2006-05-03 |
| Street Address |
21425 SPRING ST |
| City | UNION GROVE |
| State | WI |
| Zip Code | 53182-9707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629055371 | Dina M Twigg | Nurse Practitioner | 21425 Spring St, Union Grove, WI 53182-9707 | 2005-12-23 |
| 1003473240 | Karrylyn K Kais | Speech-Language Pathologist | 21425 Spring St, Union Grove, WI 53182-9707 | 2019-05-23 |
| 1619486776 | Adam Lee Wesner | Social Worker | 21425 Spring St, Union Grove, WI 53182 | 2017-09-21 |
| 1154872497 | Sarah Katherine Kordus | Nurse Practitioner | 21425 Spring St, Union Grove, WI 53182-9707 | 2016-10-21 |
| 1508131855 | Jennifer Lynn Moreno | Social Worker | 21425 Spring St, Union Grove, WI 53182-9707 | 2012-03-20 |
| 1063709749 | Simonida Kokanovic | Family Medicine | 21425 Spring St, Union Grove, WI 53182-9707 | 2011-07-01 |
| 1821380544 | Muhammad Asad Khan | Internal Medicine | 21425 Spring St, Union Grove, WI 53182-9707 | 2011-05-13 |
| 1497056535 | Va Medical Center | Military Hospital | 21425 Spring St, Union Grove, WI 53182-9707 | 2010-11-05 |
| 1275786600 | Lorelei L Volstad | Nurse Practitioner | 21425 Spring St, Union Grove, WI 53182-9707 | 2008-10-29 |
| 1790935914 | Jerry Lee Ceilesh | Dentist | 21425 Spring St, Union Grove, WI 53182-9707 | 2008-09-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770134843 | Cory Harpe | Technician | 23338 18th St., Union Grove, WI 53182 | 2019-09-20 |
| 1477925121 | Michael Joseph Gillen | Psychologist | 21425 Spring Street, Union Grove Va Clinic, Union Grove, WI 53182 | 2015-10-21 |
| 1881738615 | Roxanne Roese | Nurse Practitioner | 21425b Spring Street, Union Grove, WI 53182 | 2007-02-16 |
| 1821192444 | Lynn Ann Fredrickson | Registered Nurse | 15134 Washington Ave, Union Grove, WI 53182 | 2006-09-12 |
| 1912441569 | Amie Koehnlein | Counselor | 1120 Main St, Union Grove, WI 53182 | 2016-12-15 |
| 1417337247 | Laura Brantman-johnson | Registered Nurse | 4320 67th Dr, Union Grove, WI 53182 | 2015-06-06 |
| 1932142197 | Catherine A Russell | Social Worker | Va Clinic, 21425 Spring, Union Grove, WI 53182 | 2006-06-14 |
| 1104928332 | Hospice Advantage, LLC | Hospice Care, Community Based | 951 Main St, Suite 120, Union Grove, WI 53182-1039 | 2006-09-01 |
| 1992759161 | Union Grove Yorkville Fire Rescue | Ambulance | 700 Main St, Union Grove, WI 53182-1048 | 2006-05-20 |
| 1144501099 | Joshua M Rode | Physical Therapy Assistant | 1420 Park Pl Apt 10, 10, Union Grove, WI 53182-1058 | 2011-09-06 |
| Find all providers in zip 53182 | ||||
| Taxonomy Code | 261QV0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | VA |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285005504 | Milwaukee Vamc | Clinic/Center | 1818 N Martin Luther King Dr, Milwaukee, WI 53212-3640 | 2015-10-13 |
| 1376988402 | Zablocki Va Medical Center | Clinic/Center | 5922 Bluff Ledge Rd, Sturgeon Bay, WI 54235-8148 | 2013-05-02 |
| 1235320912 | Minneapolis Vamc | Clinic/Center | 10369 State Highway 27, Hayward, WI 54843-9998 | 2007-08-07 |
| 1881634616 | Tomah Vamc | Clinic/Center | 700 Hale St, Wisconsin Rapids, WI 54495-2787 | 2006-06-08 |
| 1275573677 | Tomah Vamc | Clinic/Center | 515 S 32nd Ave, Wausau, WI 54401-4074 | 2006-06-07 |
| 1902853567 | Tomah Vamc | Clinic/Center | 8 Johnson St, Owen, WI 54460-9534 | 2006-05-28 |
| 1104873298 | Tomah Vamc | Clinic/Center | 4000 State Road 16, La Crosse, WI 54601-1809 | 2006-05-27 |
| 1144276064 | James A Lovell Federal Health Care Center | Clinic/Center | 8207 22nd Ave, Kenosha, WI 53143-6211 | 2006-05-25 |
| 1124074810 | Madison Vamc | Clinic/Center | 1141 Black Bridge Rd, Janesville, WI 53545-1092 | 2006-05-25 |
| 1003861014 | Milwaukee Vamc | Clinic/Center | 2851 University Avenue, Green Bay, WI 54311-0008 | 2006-05-24 |
| Find all providers with the same taxonomy | ||||
| City | UNION GROVE |
| Zip Code | 53182 |
Please comment or provide details below to improve the information on MILWAUKEE VAMC.
| 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.