DR. LEE RADKE (NPI# 1356395370) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356395370 |
| Entity Type | Individual |
| Full Name | DR. LEE RADKE |
| Credential | DDS |
| Practice Address |
840 N 87th St Oral and Maxillofacial Street Milwaukee WI 53226-3586 |
| Practice Telephone | 4148055760 |
| Practice Fax Number | 4142599115 |
| Mailing Telephone | 4148055760 |
| Mailing Fax Number | 4142599115 |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2013-04-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
3913 | WI | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HUMANA | 002000130Q | 01 | |
| WI | 1356395370 | 05 |
| Street Address |
840 N 87TH ST ORAL AND MAXILLOFACIAL STREET |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53226-3586 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508851213 | Froedtert Surgery Center, LLC | Clinic/Center | 840 N 87th St, Milwaukee, WI 53226-3586 | 2005-09-19 |
| 1124665021 | Kristen Lynn Bunnell | Pharmacist | 840 N 87th St, Milwaukee, WI 53226-3586 | 2019-12-10 |
| 1467832782 | Bret Waligora | Dentist | 840 N 87th St, Oral and Maxillofacial Surgery, Milwaukee, WI 53226-3586 | 2015-06-02 |
| 1801297973 | Donna Christine Ertz | Nurse Practitioner | 840 N 87th St, Milwaukee, WI 53226-3586 | 2014-09-09 |
| 1891105524 | Jordan Coleman Baker | Student in an Organized Health Care Education/Training Program | 840 N 87th St, Milwaukee, WI 53226-3586 | 2014-05-02 |
| 1457614463 | Kate Elizabeth Spoltman | Anesthesiologist Assistant | 840 N 87th St, Froedtert Surgery Center, Milwaukee, WI 53226 | 2012-06-25 |
| 1144529322 | Kyle David Smith | Dentist | 840 N 87th St, Milwaukee, WI 53226-3586 | 2011-03-27 |
| 1457586943 | Lance Anthony Guyer | Student in an Organized Health Care Education/Training Program | 840 N 87th St, Milwaukee, WI 53226-3586 | 2009-05-27 |
| 1659575314 | Jill Merrill | Dentist | 840 N 87th St, Milwaukee, WI 53226-3586 | 2007-06-14 |
| 1235205741 | Jane Chinhee Oh | Dentist | 840 N 87th St, Sargeant Health Center, Milwaukee, WI 53226-3586 | 2006-11-27 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 53226 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952717753 | Judson Charles Smith | Dentist | 2323 N Mayfair Rd Ste 102, Milwaukee, WI 53226 | 2014-07-01 |
| 1750443347 | Wayne Edward Witte | Dentist | 224 N 76 St, Milwaukee, WI 53213-3554 | 2006-12-14 |
| 1558454272 | Thomas Walter Radmer | Dentist | 1801 West Wisconsin Av, Suite 106, Milwaukee, WI 53201 | 2006-10-02 |
| 1033120431 | John W Schoonenberg | Dentist | 1801 W. Wisconsin Ave, Milwaukee, WI 53201-1881 | 2006-08-10 |
| 1518935246 | Philip L Hawkins | Dentist | 2323 N Mayfair Rd, Ste 102, Milwaukee, WI 53226-1506 | 2006-03-09 |
| 1538136106 | David J Gingrass | Dentist | 2323 North Mayfair Rd, Suite 102, Milwaukee, WI 53226-1506 | 2006-03-02 |
| 1700267408 | Alejandro Arango | Dentist | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2015-06-18 |
| 1023406139 | Omar Hussain | Dentist | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2014-12-26 |
| 1144529322 | Kyle David Smith | Dentist | 840 N 87th St, Milwaukee, WI 53226-3586 | 2011-03-27 |
| 1508028820 | Carolyn C Brookes | Dentist | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2008-06-27 |
| 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.