FROEDTERT & THE MEDICAL COLLEGE OF WISCONSIN COMMUNITY PHYSICIANS (NPI# 1801373378) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801373378 |
| Entity Type | Organization |
| Organization Name | FROEDTERT & THE MEDICAL COLLEGE OF WISCONSIN COMMUNITY PHYSICIANS |
| Other Organization Name | POTAWATOMI WORKPLACE CLINIC |
| Practice Address |
1721 W Canal St Milwaukee WI 53233 |
| Mailing Address |
W129n7055 Northfield Dr Menomonee Falls WI 53051-0538 |
| Practice Telephone | 4144548480 |
| Mailing Telephone | 2622535102 |
| Enumeration Date | 2018-07-26 |
| Last Update Date | 2018-07-26 |
| Authorized Official Name | RANDALL NEWMAN (VP FINANCE) |
| Authorized Official Telephone | 4147777963 |
| Is Organization Subpart | Y |
| Parent Organization Name | FROEDTERT & THE MEDICAL COLLEGE OF WISCONSIN COMMUNITY PHYSICIAN |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | Suppliers |
| Other Name | Type Code |
|---|---|
| Potawatomi Workplace Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780142992 | Froedtert & The Medical College of Wisconsin Community Physicians | Non-Pharmacy Dispensing Site | 11040 N Range Line Rd, Mequon, WI 53092-4930 | 2019-03-06 |
| 1992284087 | Froedtert & The Medical College of Wisconsin Community Physicians | Non-Pharmacy Dispensing Site | 4859 South 60th Street, Greenfield, WI 53220 | 2018-08-09 |
| 1831482298 | Froedtert & The Medical College of Wisconsin Community Physicians | Durable Medical Equipment & Medical Supplies | W168n11237 Western Avenue, Germantown, WI 53022-3239 | 2011-05-18 |
| 1609214121 | Froedtert & The Medical College of Wisconsin Community Physicians | Durable Medical Equipment & Medical Supplies | 110 Lone Oak Ln, Hartford, WI 53027-2600 | 2013-06-06 |
| 1053759571 | Froedtert & The Medical College of Wisconsin Community Physicians | Durable Medical Equipment & Medical Supplies | 3200 Pleasant Valley Rd, West Bend, WI 53095-9274 | 2013-06-06 |
| 1780021493 | Froedtert & The Medical College of Wisconsin Community Physicians | Durable Medical Equipment & Medical Supplies | 1190 E Paradise Dr, West Bend, WI 53095-5444 | 2013-06-04 |
| 1134413677 | Froedtert & The Medical College of Wisconsin Community Physicians | Durable Medical Equipment & Medical Supplies | W178n9201 Water Tower Pl, Menomonee Falls, WI 53051-8029 | 2011-06-01 |
| Street Address |
1721 W CANAL ST |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53233 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104454750 | Henok Desta Hardilo | Student in an Organized Health Care Education/Training Program | Aurora Sinai Medical Center 945 N 12th Street, Milwaukee, WI 53233 | 2020-03-30 |
| 1821633314 | Ann E Millard | Occupational Therapist | 560 N. 16th Street, Room 214a, Milwaukee, WI 53233 | 2019-11-08 |
| 1306480918 | Teng Kai Ong | Dentist | 1801 West Wisconsin Ave., Milwaukee, WI 53233 | 2019-11-06 |
| 1356800478 | Nebiyu Abera Tilahun | Student in an Organized Health Care Education/Training Program | Aurora Sinai Medical Center, 945 N. 12th Street, Milwaukee, WI 53233 | 2019-03-18 |
| 1548748387 | Emily Claire Goetz | Physical Therapist | 945 N. 12th St. Suite 1100, Milwaukee, WI 53233 | 2018-08-03 |
| 1184170706 | Lauren Troll | Physical Therapist | 925 N 12th Street, Milwaukee, WI 53233 | 2016-09-01 |
| 1942694401 | Iryna Nemesh | Internal Medicine | 1020 N 12th St Fl 2, Milwaukee, WI 53233 | 2015-03-23 |
| 1649676032 | Matina Angelopoulou | Dentist | 1801 West Winsconsin Ave, Milwaukee, WI 53233 | 2014-11-12 |
| 1780007831 | John Ladisa | Technician, Other | 1637 W. Wisconsin Ave, Room 311, Milwaukee, WI 53233 | 2014-01-27 |
| 1629312467 | Meredith Witten | Surgery | 945 N 12th St # 2110, Milwaukee, WI 53233 | 2012-11-17 |
| Find all providers in zip 53233 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477188100 | Froedtert & The Medical College of Wisconsin Community Physicians Inc | Non-Pharmacy Dispensing Site | 635 S 28th St, Milwaukee, WI 53215-1201 | 2020-03-03 |
| 1881869386 | Planned Parenthood of Wisconsin | Non-Pharmacy Dispensing Site | 1748 N Mlk Dr, Milwaukee, WI 53212-3602 | 2008-04-25 |
| 1578738084 | Planned Parenthood of Wi, Inc | Non-Pharmacy Dispensing Site | 801 E Capitol Dr, Milwaukee, WI 53212-1300 | 2008-04-25 |
| 1942474572 | Planned Parenthood of Wisconsin | Non-Pharmacy Dispensing Site | 7630 W Mill Rd, Milwaukee, WI 53218-1142 | 2008-04-15 |
| 1457693723 | Milwaukee Health Services | Non-Pharmacy Dispensing Site | 3707 N Richards St, Milwaukee, WI 53212-1673 | 2013-03-25 |
| 1891039467 | Gwendolyn Jeffro | Non-Pharmacy Dispensing Site | 3707 N Richards St, Milwaukee, WI 53212-1673 | 2012-11-20 |
| 1255692562 | Dr. Cully R. White, Neurosurgery & Spine, Sc | Non-Pharmacy Dispensing Site | 2901 W Kinnickinnic River Pkwy, Suite 201, Milwaukee, WI 53215-3677 | 2012-06-04 |
| 1780859280 | Planned Parenthood of Wisconsin | Non-Pharmacy Dispensing Site | 5380 W Fond Du Lac Ave, Milwaukee, WI 53216-1366 | 2008-04-25 |
| 1407021900 | Planned Parenthood of Wisconsin | Non-Pharmacy Dispensing Site | 302 N Jackson St, Milwaukee, WI 53202-5904 | 2008-04-25 |
| 1831363464 | Planned Parenthood of Wisconsin | Non-Pharmacy Dispensing Site | 1710 S 7th St, Suite 300, Milwaukee, WI 53204-3538 | 2008-04-15 |
| 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.