ANDJELKA POTKONJAK (NPI# 1669012027) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669012027 |
| Entity Type | Individual |
| Full Name | ANDJELKA POTKONJAK |
| Practice Address |
9200 W Wisconsin Ave Milwaukee WI 53226-3522 |
| Practice Telephone | 4148053000 |
| Mailing Telephone | 4149556900 |
| Mailing Fax Number | 4149556204 |
| Enumeration Date | 2020-01-13 |
| Last Update Date | 2020-01-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 242T00000X | Perfusionist | 224 | WI | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
9200 W WISCONSIN AVE |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53226-3522 |
| 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 |
| 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 | 242T00000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Perfusionist |
| A perfusionist operates extracorporeal circulation and autotransfusion equipment during any medical situation where it is necessary to support or temporarily replace the patient’s circulatory or respiratory function. The perfusionist is knowledgeable concerning the variety of equipment available to perform extracorporeal circulation functions and is responsible, in consultation with the physician, for selecting the appropriate equipment and techniques to be used. |
| Notes: Source: Health Professions Career and Education Directory, American Medical Association [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578198461 | Brett Wagner | Perfusionist | 8701 W Watertown Plank Rd Fl Hub5, Milwaukee, WI 53226-3548 | 2020-03-11 |
| 1194350991 | Warren Anderson | Perfusionist | 8701 W Watertown Plank Rd, Milwaukee, WI 53226-3548 | 2020-03-12 |
| 1871132993 | Flavio Cavallari | Perfusionist | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2020-01-06 |
| 1467921809 | Marguerite Wellstein | Perfusionist | 8701 W Watertown Plank Rd, Milwaukee, WI 53226-3548 | 2018-11-15 |
| 1730680596 | Nicholas Larue | Perfusionist | 8701 W Watertown Plank Rd, Milwaukee, WI 53226-3548 | 2018-02-26 |
| 1912391277 | Katelyn Elizabeth Herrmann | Perfusionist | 8701 W Watertown Plank Rd, Milwaukee, WI 53226-3548 | 2015-03-25 |
| 1932506987 | Jennifer Rossmann | Perfusionist | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2014-11-19 |
| 1699187658 | Michael Bergemann | Perfusionist | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2014-05-27 |
| 1871919571 | Christopher Brabant | Perfusionist | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2014-03-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245843135 | Joseph Michael Check | Perfusionist | W276n587 Arrowhead Trl, Waukesha, WI 53188-1909 | 2020-08-28 |
| 1649591843 | Tiffany K Holloway | Perfusionist | 7602 Callon Ave, Weston, WI 54476-3213 | 2010-06-22 |
| 1205472651 | Brian Jacob Temperley | Perfusionist | 2500 Overlook Ter, Madison, WI 53705-2254 | 2019-11-20 |
| 1013444629 | Nicholas Starkey | Perfusionist | 9200 W. Wisconsin Avenue, Mcw - Division of Cardiothoracic Surgery, Wauwautosa, WI 53226 | 2017-05-12 |
| 1982137253 | Benjamin Buckoski | Perfusionist | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 | 2017-04-04 |
| 1043600034 | Brittany Lee Hei | Perfusionist | 600 Highland Ave, Mail Code 3212, Madison, WI 53792-0001 | 2015-01-28 |
| 1750771754 | Ria Lynn Swift | Perfusionist | 600 Highland Ave, Madison, WI 53792-0001 | 2015-01-28 |
| 1487837993 | Thomas Grulkowski | Perfusionist | 10150 W National Ave, Suite 190, West Allis, WI 53227-2145 | 2007-12-07 |
| 1417130923 | Holly Ann Estill | Perfusionist | 10150 W National Ave, Suite 190, West Allis, WI 53227-2145 | 2007-12-07 |
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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.