MAZEN SEDDICK (NPI# 1710431200) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1710431200 |
Entity Type | Individual |
Full Name | MAZEN SEDDICK |
Credential | RPH |
Practice Address |
3727 W Wisconsin Ave Milwaukee WI 53208-3182 |
Practice Telephone | 4149310000 |
Practice Fax Number | 4149310001 |
Mailing Telephone | 4149310000 |
Mailing Fax Number | 4149310001 |
Enumeration Date | 2016-08-12 |
Last Update Date | 2016-08-17 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 183500000X | Pharmacist | 18343-40 | WI | Pharmacy Service Providers |
Street Address |
3727 W WISCONSIN AVE |
City | MILWAUKEE |
State | WI |
Zip Code | 53208-3182 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720043300 | Ann Marie Amaya | Advanced Practice Midwife | 3727 W Wisconsin Ave, Milwaukee, WI 53208-3182 | 2006-04-18 |
1497352728 | Sarah Emmerich | Nurse Practitioner | 3727 W Wisconsin Ave, Milwaukee, WI 53208-3182 | 2020-10-09 |
1477169837 | Ashley Marlena Taylor | Family Medicine | 3727 W Wisconsin Ave, Milwaukee, WI 53208-3182 | 2020-09-21 |
1376185819 | Courtney Lamm | Nurse Practitioner | 3727 W Wisconsin Ave, Milwaukee, WI 53208-3182 | 2019-10-16 |
1033764675 | Alex Amanda Foley | Midwife | 3727 W Wisconsin Ave, Milwaukee, WI 53208-3182 | 2019-08-08 |
1720568553 | Mara E Schuh | Nurse Practitioner | 3727 W Wisconsin Ave, Milwaukee, WI 53208-3182 | 2018-08-21 |
1477039022 | Fatma M Saad | Pharmacist | 3727 W Wisconsin Ave, Milwaukee, WI 53208-3182 | 2018-07-17 |
1063949600 | Kelley Ann Beltran | Nurse Practitioner | 3727 W Wisconsin Ave, Milwaukee, WI 53208-3182 | 2017-05-14 |
1184075160 | Natalie R Kerber | Nurse Practitioner | 3727 W Wisconsin Ave, Milwaukee, WI 53208-3182 | 2016-06-30 |
1649690942 | Lileta Wint | Nurse Practitioner | 3727 W Wisconsin Ave, Milwaukee, WI 53208-3182 | 2014-04-24 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831662535 | Mary Ehrgood | Marriage & Family Therapist | Aurora Family Service, 3200 W Highland Blvd, Milwaukee, WI 53208 | 2019-01-04 |
1265976989 | Redeeming Hearts Home Care Agency, LLC | Home Health | 3223 W Lloyd St, Milwaukee, WI 53208 | 2016-12-14 |
1205379500 | Benjamin Michael Bleck-owens | Counselor | 5508 W. Vliet Street, Milwaukee, WI 53208 | 2016-11-18 |
1730552662 | John Bosnjak | Pharmacist | 3727 W. Wisconsin Ave., Milwaukee, WI 53208 | 2015-10-30 |
1588074991 | Quad/med, LLC | Clinic/Center | 1301 West Canal Street, Milwaukee, WI 53208 | 2014-05-07 |
1629407226 | Dhanya Jayadevan Nair | Marriage & Family Therapist | 3200 W. Highland Blvd., Milwaukee, WI 53208 | 2013-11-04 |
1619215704 | Nurturing Concepts LLC | In Home Supportive Care | 5722 W North Ave, Milwaukee, WI 53208 | 2013-01-23 |
1831447986 | Amy Schuldt | Registered Nurse | 3727 W. Wisconsin Aveune, Milwaukee, WI 53208 | 2012-08-21 |
1144588922 | Grassroots Empowerment Project Inc | Community Health Worker | 3732 W Wisconsin Ave, Milwaukee, WI 53208 | 2012-04-30 |
1245468180 | Elizabeth Adams | Registered Nurse | 1917 N 34 Th St, Milwaukee, WI 53208 | 2009-06-30 |
Find all providers in zip 53208 |
Taxonomy Code | 183500000X |
Grouping | Pharmacy Service Providers |
Classification | Pharmacist |
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104425784 | Seang Foo | Pharmacist | 875 E Wisconsin Ave # Ms 2870, Milwaukee, WI 53202-5404 | 2020-10-23 |
1790383420 | Lisa Goetzinger | Pharmacist | 8100 N 124th St, Milwaukee, WI 53224-3800 | 2020-10-14 |
1205440203 | Teresa Lee Luebbering | Pharmacist | 5185 S 9th St # 1, Milwaukee, WI 53221-3627 | 2020-09-07 |
1912511155 | Alexander Harlan | Pharmacist | 900 N 92nd St, Milwaukee, WI 53226 | 2020-09-04 |
1649889767 | Sarah Sugden | Pharmacist | 1726 N 1st St Apt 103, Milwaukee, WI 53212-3907 | 2020-07-24 |
1639796808 | Devin Noelle Valpatic | Pharmacist | 2900 W Oklahoma Ave # 1001, Milwaukee, WI 53215-4330 | 2020-07-02 |
1588289813 | Ahmed Gamal Abou Mohamed | Pharmacist | 11011 W North Ave Apt 255, Milwaukee, WI 53226-2267 | 2020-06-12 |
1801415500 | Elena Maloletko | Pharmacist | 2611 N Stowell Ave Apt E, Milwaukee, WI 53211-4222 | 2020-04-13 |
1649807801 | Stacy Anne Doyle | Pharmacist | 875 E Wisconsin Ave # Ms -2870, Milwaukee, WI 53202-5404 | 2020-03-26 |
1679108997 | Andrew Budzynski | Pharmacist | 2500 W Layton Ave Ste 150, Milwaukee, WI 53221-5421 | 2020-03-06 |
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.