METROPOLITAN UROLOGY GROUP, SC (NPI# 1336201110) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336201110 |
| Entity Type | Organization |
| Organization Name | METROPOLITAN UROLOGY GROUP, SC |
| Practice Address |
2600 N Mayfair Rd Suite 580 Milwaukee WI 53226-1309 |
| Practice Telephone | 4147322715 |
| Practice Fax Number | 4144763242 |
| Mailing Telephone | 4147322715 |
| Mailing Fax Number | 4144763242 |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2011-04-21 |
| Authorized Official Name | MISS AMANDA K HOUSER (OFFICE MANAGER) |
| Authorized Official Telephone | 4147322715 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
| Street Address |
2600 N MAYFAIR RD SUITE 580 |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53226-1309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093710741 | Frederick H Reeser | Ophthalmology | 2600 N Mayfair Rd, Ste 901, Milwaukee, WI 53226-1307 | 2005-06-18 |
| 1770023970 | Tarah Randazzo | Counselor | 2600 N Mayfair Rd, Suite 650, Milwaukee, WI 53226-1309 | 2017-03-07 |
| 1083971725 | Forefront Dermatology, S.c. | Dermatology | 2600 N Mayfair Rd, Mayfair North Tower, Suite 810, Milwaukee, WI 53226 | 2012-04-19 |
| 1538308689 | Erin Mcginty | Counselor | 2600 N Mayfair Rd, Suite 650, Milwaukee, WI 53226-1309 | 2009-02-12 |
| 1770748303 | Erik Alexander | Dermatology | 2600 N Mayfair Rd, Suite 810, Milwaukee, WI 53226-1309 | 2008-07-23 |
| 1366634685 | Terry Carr | Social Worker | 2600 N Mayfair Rd, Suite 850, Milwaukee, WI 53226-1309 | 2007-08-10 |
| 1174748628 | Parkland Clinic-muni H Patel Md Sc | Clinic/Center | 2600 N Mayfair Rd, Ste 850, Milwaukee, WI 53226-1309 | 2007-04-17 |
| 1558482364 | Drs. Massaro & Kalenak S C | Ophthalmology | 2600 N Mayfair Rd, Milwaukee, WI 53226-1309 | 2007-04-02 |
| 1114044435 | Retina & Vitreous Consultants of Wi, Ltd. | Ophthalmology | 2600 N Mayfair Rd, Suite 901, Milwaukee, WI 53226-1309 | 2007-03-23 |
| 1598811135 | Cynthia S Bujanovich | Registered Nurse | 2600 N Mayfair Rd, Suite 901, Milwaukee, WI 53226-1309 | 2007-01-26 |
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| 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 |
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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.