FROEDTERT SURGERY CENTER, LLC (NPI# 1508851213) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508851213 |
| Entity Type | Organization |
| Organization Name | FROEDTERT SURGERY CENTER, LLC |
| Practice Address |
840 N 87th St Milwaukee WI 53226-3586 |
| Mailing Address |
1700 W Paradise Dr West Bend WI 53095-9795 |
| Practice Telephone | 4148059500 |
| Practice Fax Number | 4148059501 |
| Mailing Telephone | 2623343451 |
| Mailing Fax Number | 2623062964 |
| Enumeration Date | 2005-09-19 |
| Last Update Date | 2020-06-19 |
| Authorized Official Name | MICHELE CHERNEY (CEO) |
| Authorized Official Telephone | 2623066243 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
2014993545 | WI | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 41914400 | 05 |
| Street Address |
840 N 87TH ST |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53226-3586 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1376631234 | Anne W Miller | Dentist | 840 N 87th St, Ste 2169, Milwaukee, WI 53226-3586 | 2006-10-10 |
| 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 | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558807131 | Midwest Nephrology Associates, Sc | Clinic/Center | 7797 W Appleton Avenue, Milwaukee, WI 53222 | 2017-01-06 |
| 1154795649 | Affiliated Surgery Center Inc | Clinic/Center | 4113 N. Port Washington Rd, Milwaukee, WI 53212 | 2015-11-20 |
| 1720413073 | Jacob L Golding | Clinic/Center | 7300 N Beach Dr, Milwaukee, WI 53217-3661 | 2013-09-05 |
| 1346372240 | United Medical Center, LLC | Clinic/Center | 9120 W Capitol Dr, Milwaukee, WI 53222-1622 | 2007-03-09 |
| 1457306888 | Pmtc Surgery Center, Inc | Clinic/Center | 8901 N 76th St, Milwaukee, WI 53223-1901 | 2006-05-24 |
| 1750358453 | Center for Digestive Health Ltd | Clinic/Center | 2801 W Kinnickinnic River Pkwy Ste 1030, Milwaukee, WI 53215-3669 | 2006-03-02 |
| 1104811918 | North Shore Surgical Center A Wi | Clinic/Center | 7007 N Range Line Rd, Milwaukee, WI 53209-2620 | 2005-09-19 |
| 1730586561 | Midwest Foot & Ankle Surgical Center | Clinic/Center | 3915 W Capitol Dr, Milwaukee, WI 53216-2528 | 2014-11-21 |
| 1871847319 | Wisconsin Laser and Surgery Center LLC | Clinic/Center | 10200 W Innovation Dr, Ste 700, Milwaukee, WI 53226-4825 | 2012-11-06 |
| 1043579741 | Pain Centers of Wisconsin - Wauwatosa, LLC | Clinic/Center | 959 N Mayfair Rd, Milwaukee, WI 53226-3465 | 2012-05-15 |
| 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.