NORTH SHORE CARDIOLOGY SC (NPI# 1770630550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770630550 |
| Entity Type | Organization |
| Organization Name | NORTH SHORE CARDIOLOGY SC |
| Practice Address |
2015 E Newport Ave #600 Milwaukee WI 53211 |
| Practice Telephone | 4149615000 |
| Practice Fax Number | 4149615025 |
| Mailing Telephone | 4149615000 |
| Mailing Fax Number | 4149615025 |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MARK LINUS LEITSCHUH (PRESIDENT) |
| Authorized Official Telephone | 4149615000 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 32851700 | 05 |
| Street Address |
2015 E NEWPORT AVE #600 |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366433815 | Columbia St. Mary's Hospital Milwaukee, Inc | Pharmacy | 2015 E Newport Ave, Ste M121, Milwaukee, WI 53211-2984 | 2005-11-03 |
| 1295967511 | Kim Ann Heim | Nurse Practitioner | 2015 E Newport Ave, Suite 409, Milwaukee, WI 53211-2984 | 2009-08-20 |
| 1497937999 | Kristine M. Dunlap | Psychologist | 2015 E Newport Ave, Suite 409, Milwaukee, WI 53211-2984 | 2007-11-27 |
| 1144417023 | Aurora Advanced Healthcare, Inc. | Durable Medical Equipment & Medical Supplies | 2015 E Newport Ave, Milwaukee, WI 53211-2984 | 2007-09-25 |
| 1144428269 | Craig A. Siverhus, Md Sc | Surgery | 2015 E Newport Ave, Suite 305, Milwaukee, WI 53211-2984 | 2007-07-10 |
| 1487852505 | Joseph P Regan Md Sc | Surgery | 2015 E Newport Ave, Suite305, Milwaukee, WI 53211-2984 | 2007-07-10 |
| 1457558603 | Alexander C Stolarski | Psychologist | 2015 E Newport Ave, Suite 409, Milwaukee, WI 53211-2984 | 2007-06-29 |
| 1255535324 | Milwaukee Urological Sc | Urology | 2015 E Newport Ave, Suite 500, Milwaukee, WI 53211-2984 | 2007-06-13 |
| 1689885303 | James R. Rice | Registered Nurse | 2015 E Newport Ave, Suite 409, Milwaukee, WI 53211-2984 | 2007-05-24 |
| 1013037969 | Robert Stanley Stemberger | Dentist | 2015 E Newport Ave, 405, Milwaukee, WI 53211-2984 | 2007-03-31 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821602335 | Gabriella Caitrin Emanuele | Occupational Therapist | Harborchase of Shorewood, 1111 E Capitol Drive, Shorewood, WI 53211 | 2020-09-02 |
| 1710527783 | Sage Specialty Pharmacy Inc. | Pharmacy | 4001 N. Oakland Ave, Shorewood, WI 53211 | 2020-01-08 |
| 1861043952 | Rosina Bloomingdale Norton | Nurse Practitioner | 1921 E Harford Ave, Milwaukee, WI 53211 | 2019-09-20 |
| 1528556255 | Renee Reckelberg | Specialist/Technologist | 3409 North Downer Avenue, Pavilion, Suite 350, Milwaukee, WI 53211 | 2018-04-27 |
| 1700325602 | Wisconsin Vision, Inc. | Optometrist | 4163 N Oakland Ave, Shorewood, WI 53211 | 2017-02-13 |
| 1750827556 | Daniel Butz M.d., S.c. | Plastic Surgery | 2350 N Lake Dr Ste 304, Milwaukee, WI 53211 | 2017-01-17 |
| 1528517232 | Therese Simonis | Speech-Language Pathologist | 2390 N Lake Drive, Milwaukee, WI 53211 | 2016-09-23 |
| 1982075701 | Katie Michel | Specialist/Technologist | 3409 N. Downer Ave, Milwaukee, WI 53211 | 2015-10-20 |
| 1255776365 | Sarah Elizabeth Brill | Social Worker | 4433 N Oakland Ave Ste D, Shorewood, WI 53211 | 2013-05-02 |
| 1679814537 | Nicole Anne Parulski | Physical Therapist | 2301 North Lake Dr, Milwaukee, WI 53211 | 2013-03-01 |
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| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1235492455 | David James Coulter | Internal Medicine | 2025 W Oklahoma Ave Ste 105, Milwaukee, WI 53215-4455 | 2012-06-21 |
| 1619234937 | Daniel R Harland | Internal Medicine | 2801 W Kinnickinnic River Pkwy Ste 880, Milwaukee, WI 53215-3678 | 2012-04-12 |
| 1184811440 | Barry K Gimbel Md Sc | Internal Medicine | 5150 N Port Wash Su249, Milwaukee, WI 53217-5474 | 2007-10-01 |
| 1306038187 | Janet C-i Tsang | Internal Medicine | 2801 W Kinnickinnic River Pkwy Ste 777, Milwaukee, WI 53215 | 2007-08-15 |
| 1184829475 | Jayant Khitha | Internal Medicine | 2801 W Kinnickinnic River Pkwy Ste 840, Milwaukee, WI 53215-3678 | 2007-06-18 |
| 1699840678 | Alan Daniel | Internal Medicine | 1443 E Goodrich Ln, Milwaukee, WI 53217-2950 | 2006-11-22 |
| 1255423026 | Gerard Thomas Parent | Internal Medicine | 2901 West Kinnickinnic River Parkway, Suite 200, Milwaukee, WI 53215 | 2006-09-29 |
| 1982625885 | Milwaukee Cardiac Care LLC | Internal Medicine | 5434 W Capitol Dr Ste 1, #1, Milwaukee, WI 53216-2298 | 2006-07-23 |
| 1265487201 | James L Schulgit | Internal Medicine | 2901 W Kinnickinnick River Parkway, 105, Milwaukee, WI 53215 | 2006-05-24 |
| 1114992120 | Suhas K Shelgikar | Internal Medicine | 3635 W Oklahoma Ave, Milwaukee, WI 53215-4119 | 2006-02-22 |
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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.