MILWAUKEE VAMC (NPI# 1609828748) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609828748 |
| Entity Type | Organization |
| Organization Name | MILWAUKEE VAMC |
| Other Organization Name | CLEVELAND VA CBOC |
| Practice Address |
1205 North Ave Cleveland WI 53015-1413 |
| Mailing Address |
Po Box 5127 Madison WI 53705-0127 |
| Practice Telephone | 6088217200 |
| Mailing Telephone | 6088217200 |
| Enumeration Date | 2006-05-17 |
| 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 |
|---|---|
| Cleveland 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 |
| 1326087222 | Milwaukee Vamc | Clinic/Center | 21425 Spring St, Union Grove, WI 53182-9707 | 2006-06-06 |
| 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 |
1205 NORTH AVE |
| City | CLEVELAND |
| State | WI |
| Zip Code | 53015-1413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760807259 | Nathan Nitka | Dietitian, Registered | 1205 North Ave, Cleveland, WI 53015-1413 | 2014-02-20 |
| 1295060275 | Tao Lee | Nurse Practitioner | 1205 North Ave, Cleveland, WI 53015-1413 | 2009-10-08 |
| 1184860124 | Carrie Lynne Oakley | Registered Nurse | 1205 North Ave, Cleveland, WI 53015-1413 | 2008-12-22 |
| 1841496486 | Charlene Mae Baumgartner | Registered Nurse | 1205 North Ave, Cleveland, WI 53015-1413 | 2007-06-21 |
| 1013010024 | Amy Sue Mckenzie | Counselor | 1205 North Ave, Cleveland, WI 53015-1413 | 2006-09-06 |
| 1154337558 | Cleveland Va Cboc | Clinic/Center | 1205 North Ave, Cleveland, WI 53015-1413 | 2006-07-31 |
| 1417961590 | Jamie Lauren Olsen | Dietitian, Registered | 1205 North Ave, Cleveland, WI 53015-1413 | 2006-07-27 |
| 1174537245 | Sue E. Thobaben | Registered Nurse | 1205 North Ave, Cleveland, WI 53015-1413 | 2006-07-27 |
| 1255354064 | Carol Ilma Jacobs | Nurse Practitioner | 1205 North Ave, Cleveland, WI 53015-1413 | 2006-07-25 |
| 1881614683 | Agnes E Deehr | Licensed Practical Nurse | 1205 North Ave, Cleveland, WI 53015-1413 | 2006-07-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942392428 | Gary J Kunz | Nurse Practitioner | 1205 North Avenue, Cleveland, WI 53015 | 2006-09-29 |
| 1437611159 | Tss Equipment Company | Technician, Other | 14302 Pigeon River Rd, Cleveland, WI 53015-1158 | 2019-04-02 |
| 1023275013 | Lakeshore Community Dental Clinic | Clinic/Center | 1290 North Ave, Lakeshore Community Dental Clinic, Cleveland, WI 53015-1412 | 2008-05-19 |
| 1114290384 | Michelle Ann Hemb | Licensed Practical Nurse | 1345 W Washington Ave, Cleveland, WI 53015-1430 | 2012-02-17 |
| 1730653783 | Miranda Jost | Registered Nurse | N9548 Highway 42, Cleveland, WI 53015-1628 | 2019-01-13 |
| Taxonomy Code | 261QV0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | VA |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508267394 | Cleveland Vamc | Clinic/Center | 8901 Superior Avenue, Cleveland, OH 44106-9998 | 2014-09-11 |
| 1962867275 | Cleveland Vamc | Clinic/Center | 7000 Euclid Ave, Suites 102 and 202, Cleveland, OH 44103-4014 | 2015-12-31 |
| 1144611179 | Cleveland Vamc | Clinic/Center | 10701 East Blvd, Cleveland, OH 44106-1702 | 2015-02-12 |
| 1053702084 | Cleveland Vamc | Clinic/Center | 10701 East Blvd, Cleveland, OH 44106-1702 | 2015-02-12 |
| 1457742470 | Cleveland Vamc | Clinic/Center | 10701 East Blvd, Cleveland, OH 44106-1702 | 2015-02-12 |
| 1700277720 | Cleveland Vamc | Clinic/Center | 10701 East Blvd, Cleveland, OH 44106-1702 | 2015-02-12 |
| 1992743934 | Cleveland Vamc | Clinic/Center | 4242 Lorain Ave, Cleveland, OH 44113-3715 | 2006-06-03 |
| 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 |
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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.