MILWAUKEE GI SPECIALISTS SC (NPI# 1639515000) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639515000 |
| Entity Type | Organization |
| Organization Name | MILWAUKEE GI SPECIALISTS SC |
| Practice Address |
1033 N Mayfair Rd Suite 101 Wauwatosa WI 53226-3442 |
| Mailing Address |
2801 W Kinnickinnic River Pkwy Ste 1080 Milwaukee WI 53215-3689 |
| Practice Telephone | 4144540600 |
| Practice Fax Number | 4143852980 |
| Mailing Telephone | 4149086615 |
| Mailing Fax Number | 4143852980 |
| Enumeration Date | 2013-05-13 |
| Last Update Date | 2020-10-25 |
| Authorized Official Name | BOB KWECH (ADMINISTRATOR) |
| Authorized Official Telephone | 4149086507 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
Allopathic & Osteopathic Physicians |
| Street Address |
1033 N MAYFAIR RD SUITE 101 |
| City | WAUWATOSA |
| State | WI |
| Zip Code | 53226-3442 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043287717 | Robert Michael Molloy | Internal Medicine | 1033 N Mayfair Rd, Suite 101, Wauwatosa, WI 53226-3442 | 2006-03-02 |
| 1629513577 | Jennifer Ann Eggert | Counselor | 1033 N Mayfair Rd, Suite 305, Wauwatosa, WI 53226-3442 | 2017-01-02 |
| 1619350824 | Heather Chernetski | Counselor | 1033 N Mayfair Rd, Suite 305, Wauwatosa, WI 53226-3442 | 2015-07-07 |
| 1962880856 | Meagan Grosskreutz | Counselor | 1033 N Mayfair Rd, Suite 305, Wauwatosa, WI 53226-3442 | 2015-05-11 |
| 1518368299 | Lauryn Firkus | Nurse Practitioner | 1033 N Mayfair Rd, Suite # 101, Wauwatosa, WI 53226-3442 | 2014-09-12 |
| 1225439136 | Elizabeth Bakos | Counselor | 1033 N Mayfair Rd, Suite305, Wauwatosa, WI 53226-3442 | 2014-09-10 |
| 1780952986 | Sarah Ann Honeyager | Physician Assistant | 1033 N Mayfair Rd, Suite 101, Wauwatosa, WI 53226-3442 | 2011-12-02 |
| 1821315789 | Karissa Kesselhon | Counselor | 1033 N Mayfair Rd, Suite 305, Wauwatosa, WI 53226-3442 | 2010-04-30 |
| 1689813545 | St Nicholas Health Institute Sc | Chiropractor | 1033 N Mayfair Rd, Suite 303, Wauwatosa, WI 53226-3442 | 2009-02-16 |
| 1578723557 | Kathleen J Vanthiel | Nurse Practitioner | 1033 N Mayfair Rd, Suite 101, Wauwatosa, WI 53226-3442 | 2008-06-12 |
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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 | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043287717 | Robert Michael Molloy | Internal Medicine | 1033 N Mayfair Rd, Suite 101, Wauwatosa, WI 53226-3442 | 2006-03-02 |
| 1477583573 | David B Chua, Md, Sc | Internal Medicine | 2600 N Mayfair Rd, Suite 670, Wauwatosa, WI 53226-1309 | 2006-07-04 |
| 1225005689 | James A. Cunningham | Internal Medicine | 1033 N Mayfair Rd, Suite 101, Wauwatosa, WI 53226-3442 | 2006-03-03 |
| 1023085487 | David A. Carron | Internal Medicine | 1033 N Mayfair Rd, Suite 101, Wauwatosa, WI 53226-3442 | 2006-03-03 |
| 1578530937 | Steven J. Lipscomb | Internal Medicine | 1033 N Mayfair Rd, Suite 101, Wauwatosa, WI 53226-3442 | 2006-03-03 |
| 1639146301 | Helen H. Lantz | Internal Medicine | 1033 N Mayfair Rd, Suite 101, Wauwatosa, WI 53226-3442 | 2006-03-02 |
| 1447227129 | Rajesh Santharam | Internal Medicine | 1033 N Mayfair Rd, Suite 101, Wauwatosa, WI 53226-3442 | 2006-03-02 |
| 1134191877 | Mary Catherine Gerleman | Internal Medicine | 2300 N Mayfair Rd, Suite 725, Wauwatosa, WI 53226-1505 | 2006-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265872998 | Eugene Kligman | Internal Medicine | 13133 N Port Washington Rd Ste G16, Mequon, WI 53097-2423 | 2013-06-26 |
| 1770929226 | Paul Michael Estrada | Internal Medicine | 437 N Frances St, Madison, WI 53703-2013 | 2013-05-10 |
| 1174851273 | Victor Ciofoaia | Internal Medicine | 700 West Ave South, La Crosse, WI 54601 | 2009-12-01 |
| 1255594537 | Freddy Caldera Jr. | Internal Medicine | 1685 Highland Avenue, 4256 Mfcb, Madison, WI 53705 | 2008-07-07 |
| 1457552689 | Erica Ann Samuel | Internal Medicine | 2424 S 90th St Ste 410, West Allis, WI 53227-2455 | 2007-05-28 |
| 1629157425 | Charles Cromwell | Internal Medicine | 2311 N Prospect, Milwaukee, WI 53211 | 2006-11-03 |
| 1992805832 | Suhasini Turlapati | Internal Medicine | 820 E Grant Street, Appleton, WI 54911 | 2006-09-22 |
| 1679676936 | Holy Family Memorial Inc | Internal Medicine | 800 Lakefront Way, Two Rivers, WI 54241-3301 | 2006-09-05 |
| 1639287436 | Kevin A Lang | Internal Medicine | M207 Marsh Ln, Marshfield, WI 54449-9293 | 2006-08-29 |
| 1063423515 | Joel M Carlson | Internal Medicine | 420 Dewey Street, Wisconsin Rapids, WI 54495-0005 | 2006-08-10 |
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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.