COLLEEN MARIE GLEASON


Address: 9200 W Wisconsin Ave, Milwaukee, WI 53226
Phone: 4148053666

COLLEEN MARIE GLEASON (NPI# 1518450915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1518450915
Entity Type Individual
Full Name COLLEEN MARIE GLEASON
Credential PA-C
Practice Address 9200 W Wisconsin Ave
Milwaukee
WI 53226
Mailing Address 9200 W Wisconsin Ave
Milwaukee
WI 53226-3522
Practice Telephone 4148053666
Mailing Telephone 4148056850
Mailing Fax Number 4148056851
Enumeration Date 2018-06-11
Last Update Date 2018-06-20
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
4367-23 WI Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
WI 1518450915 05

Other Providers COLLEEN GLEASON

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1467066795 Colleen Marie Gleason Nurse Practitioner 2522 S Arlington Mill Dr Apt D, Arlington, VA 22206-4033 2020-09-03
1922318211 Colleen Marie Gleason Developmental Therapist 402 Jamestown Rd, Farmville, VA 23901-3909 2010-10-20
1215921333 Colleen M Gleason Nurse Practitioner 5319 W Hillsdale Ave, Visalia, CA 93291-5118 2005-09-02

Office Location

Street Address 9200 W WISCONSIN AVE
City MILWAUKEE
State WI
Zip Code 53226

Providers in the same location

NPI Name Taxonomy Address Enumeration
1255334173 Froedtert Memorial Lutheran Hospital, Inc. General Acute Care Hospital 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 2005-05-24
1013518182 Shelby Koppinger Pharmacist 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 2020-11-05
1083215065 Jennifer Lynn Scheffler Physician Assistant 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 2020-11-05
1306445952 Elyan Carolina Ruiz Solano Thoracic Surgery (Cardiothoracic Vascular Surgery) 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 2020-10-23
1972101467 Sarah Emily Ziem Nurse Practitioner 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 2020-10-15
1912504242 Matthew Resop Nurse Practitioner 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 2020-10-09
1043817877 Jacqueline Jordan Morgan Nurse Practitioner 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 2020-10-05
1134726227 Joseph Beiler Registered Nurse 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 2020-10-02
1316553845 Nathan Duncan Pharmacist 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 2020-09-21
1043826035 Emily Mell Physician Assistant 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 2020-09-16
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Providers in the same zip code

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 Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1093348542 Christopher Sean Lanctin Physician Assistant 557 N 17th St Apt 310, Milwaukee, WI 53233-2128 2020-02-12
1962056432 Lyndsey Marie Bratberg Physician Assistant F&mcw Clinical Cancer Center 9200 W. Wisconsin Ave., Milwaukee, WI 53226 2019-08-01
1194956417 Jessica Dawn Hagen Physician Assistant 5330 W. Villard Avenue, Milwaukee, WI 53218 2009-08-04
1245335868 Mary Laan Physician Assistant 8901 N. 76th Street, Milwaukee, WI 53223 2006-09-14
1326081316 Therese Ann Johnson Physician Assistant 3267 S 16th Street, Ems Office, Milwaukee, WI 53215 2006-06-14
1386686905 Irum Ziauddin Physician Assistant 3201 S 16th St Ste 2015, Milwaukee, WI 53215-4532 2006-06-11
1528054897 Nicole Meyer Papermaster Physician Assistant 342 N Water St Ste 600, Milwaukee, WI 53202-5715 2005-09-22
1285232793 Trina Kessel Physician Assistant 5000 W National Ave, Milwaukee, WI 53295-0001 2020-10-16
1124641113 Emily Rose Johnson Physician Assistant 8701 W Watertown Plank Rd, Milwaukee, WI 53226-3548 2020-05-25
1487273561 Savannah Mathe Physician Assistant 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 2020-04-09
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Competitor

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City MILWAUKEE
Zip Code 53226

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Dataset Information

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.

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