FROEDTERT & THE MEDICAL COLLEGE OF WISCONSIN COMMUNITY PHYSICIANS


Address: W168n11237 Western Avenue, Germantown, WI 53022-3239
Phone: 2622535060

FROEDTERT & THE MEDICAL COLLEGE OF WISCONSIN COMMUNITY PHYSICIANS (NPI# 1831482298) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1831482298
Entity Type Organization
Organization Name FROEDTERT & THE MEDICAL COLLEGE OF WISCONSIN COMMUNITY PHYSICIANS
Other Organization Name FROEDTERT PHYSICIAN PARTNERS, INC.
Practice Address W168n11237 Western Avenue
Germantown
WI 53022-3239
Mailing Address 200 Woodland Prime Ste 300
W126 N7338 Flint Drive
Menomonee Falls
WI 53051-4476
Practice Telephone 2622535060
Practice Fax Number 2625329513
Mailing Telephone 4147777967
Enumeration Date 2011-05-18
Last Update Date 2014-08-27
Authorized Official Name CATHERINE MODE EASTHAM (GENERAL COUNSEL)
Authorized Official Telephone 4148052994
Is Organization Subpart Y
Parent Organization Name FROEDTERT PHYSICIAN PARTNERS, INC.

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 332B00000X Durable Medical Equipment & Medical Supplies Suppliers
Y 261QM1300X Clinic/Center
Specialization: Multi-Specialty
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Froedtert Physician Partners, Inc. Former Legal Business Name - Organization

Other Provider IDs and Locations

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
1801373378 Froedtert & The Medical College of Wisconsin Community Physicians Non-Pharmacy Dispensing Site 1721 W Canal St, Milwaukee, WI 53233 2018-07-26
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

Office Location

Street Address W168N11237 WESTERN AVENUE
City GERMANTOWN
State WI
Zip Code 53022-3239

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1831669407 Margaret Jo Mulder Chiropractor W164 N11269 Squire Drive Suite B, Germantown, WI 53022 2018-11-27
1316441579 Community Home Care Services Home Health N112 W16298 Mequon Rd, 127, Germantown, WI 53022 2018-03-22
1811426224 Wi-care LLC In Home Supportive Care W175n11163 Stonewood Drive Ste 220, Germantown, WI 53022 2017-06-08
1134675358 Kojo Bempong Anesthesiologist Assistant Ahcmg Anesthesiology, 4025 North 92nd Street, Wauwatosa, WI 53022 2016-08-28
1336501915 Ashley Russell Occupational Therapist W175 N11117 Stonewood Drive, Suite 100, Germantown, WI 53022 2016-03-23
1134535735 Erin Therese Grueneberg Nurse Practitioner W153 N9990 Neptune Drive, Germantown, WI 53022 2014-07-03
1306286836 Kyle W Mcmahon Occupational Therapist W175 N1117 Stonewood Drive, Suite 100, Germantown, Wi, WI 53022 2013-06-28
1326354713 Brittany Skogg Physical Therapist W175 W11117 Stonewood Dr., Suite 100, Germantown, WI 53022 2010-08-24
1669635066 Joseph D Deguzman Dds Ms Sc Clinic/Center W172 N9723 Division Road, Suite A, Germantown, WI 53022 2008-07-07
1457513988 Rustin A. West Dentist W172 N9723 Division Road Suite A, Germantown, WI 53022 2008-06-26
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Taxonomy Information

Taxonomy Code 261QM1300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Multi-Specialty

Taxonomy Definition

Definition to come...

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1710447008 Afjv Inc Clinic/Center 2801 W Kinnickinnic River Pkwy Ste 470, Milwaukee, WI 53215-5211 2019-03-22
1881182889 Allure Medical of Wisconsin Pllc Clinic/Center 1930 W Bluemound Rd Ste 340, Waukesha, WI 53186 2018-04-25
1811412091 H2o:health Hydration Oasis Clinic/Center 17110 W Greenfield Ave Ste 6, Brookfield, WI 53005-6899 2017-08-08
1003336884 3d Brows and Wellness LLC Clinic/Center 801 Hoffman Rd Ste 106, Green Bay, WI 54301-1462 2017-06-22
1437529120 Quad/med, LLC Clinic/Center W227 N6103 Sussex Rd, Sussex, WI 53089 2015-10-07
1891106092 Wisconsin Wellness Clinic Clinic/Center 280 Regency Ct, Suite 100, Brookfield, WI 53045-6165 2014-05-11
1437317708 Ascension Medical Group-fox Valley Wisconsin, Inc Clinic/Center 1160 Service Rd, Kiel, WI 53042 2008-05-23
1679731954 Ascension Medical Group-fox Valley Wisconsin, Inc Clinic/Center 1128 E Parkway Ave, Oshkosh, WI 54901 2008-05-23
1669639142 Ascension Medical Group-fox Valley Wisconsin, Inc Clinic/Center N9642 County Rd N, Appleton, WI 54915 2008-05-21
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Competitor

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City GERMANTOWN
Zip Code 53022

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Dataset Information

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.

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