U.S. HEALTHWORKS MEDICAL GROUP OF WISCONSIN, SC (NPI# 1841740487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841740487 |
| Entity Type | Organization |
| Organization Name | U.S. HEALTHWORKS MEDICAL GROUP OF WISCONSIN, SC |
| Practice Address |
875 W Layton Ave Milwaukee WI 53221-2426 |
| Mailing Address |
25124 Springfield Ct Suite 200 Valencia CA 91355-1085 |
| Practice Telephone | 4144893800 |
| Practice Fax Number | 4144893811 |
| Mailing Telephone | 6616782600 |
| Enumeration Date | 2016-10-06 |
| Last Update Date | 2016-10-06 |
| Authorized Official Name | JOSEPH T MALLAS (SECRETARY) |
| Authorized Official Telephone | 6616782600 |
| Is Organization Subpart | Y |
| Parent Organization Name | U.S. HEALTHWORKS MEDICAL GROUP OF WISCONSIN, SC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities | ||
| Y | 2083P0500X |
Preventive Medicine Specialization: Preventive Medicine/Occupational Environmental Medicine |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295285831 | U.S. Healthworks Medical Group of Wisconsin, Sc | Clinic/Center | 16505 W National Ave, New Berlin, WI 53151-5513 | 2016-10-06 |
| 1578013116 | U.S. Healthworks Medical Group of Wisconsin, Sc | Clinic/Center | 11414 W Park Pl, Suite 100, Milwaukee, WI 53224-3500 | 2016-10-06 |
| 1740730381 | U.S. Healthworks Medical Group of Wisconsin, Sc | Clinic/Center | 5040 W Ashland Way, Franklin, WI 53132-8177 | 2016-10-06 |
| Street Address |
875 W LAYTON AVE |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53221-2426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679615280 | Andrew Seter | Specialist | 875 W Layton Ave, Milwaukee, WI 53221-2426 | 2007-02-12 |
| 1306349949 | American Currenct Care P.a. | Clinic/Center | 875 W Layton Ave, Milwaukee, WI 53221-2426 | 2018-03-09 |
| 1710480363 | Occupational Health Centers of The Southwest Pa | Clinic/Center | 875 W Layton Ave, Milwaukee, WI 53221-2426 | 2018-03-09 |
| 1972902328 | Marie Wavrunek | Physical Therapist | 875 W Layton Ave, Milwaukee, WI 53221-2426 | 2014-08-21 |
| 1932413317 | Abdiel Jose Gaud Irizarry | Physician Assistant | 875 W Layton Ave, Milwaukee, WI 53221-2426 | 2010-07-28 |
| 1972839330 | Chad Tolbert | Physical Therapist | 875 W Layton Ave, Milwaukee, WI 53221-2426 | 2009-10-20 |
| 1376879734 | Scott A Glowacki | Physical Therapy Assistant | 875 W Layton Ave, Milwaukee, WI 53221-2426 | 2009-10-20 |
| 1013114560 | John M Serrano | Physician Assistant | 875 W Layton Ave, Milwaukee, WI 53221-2426 | 2007-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487205944 | Hayat Pharmacy 20 LLC | Pharmacy | 805 W. Layton Ave., Suite B, Milwaukee, WI 53221 | 2019-09-26 |
| 1962053421 | Hayat Pharmacy 19 LLC | Pharmacy | 805 W. Layton Ave. Suite A, Milwaukee, WI 53221 | 2019-09-26 |
| 1407343965 | Informe Healthcare LLC | Counselor | 2741 W Layton Ave., Suite 106, Milwaukee, WI 53221 | 2018-04-19 |
| 1447781992 | Itamar Yaakov Gnatt | Emergency Medicine | 2900 W Oklahoma Ave, St Lukes Medical Center, Milwaukee, WI 53221 | 2017-03-27 |
| 1194277160 | Suzanne Derosier | Licensed Practical Nurse | 3910 W Bridge, Greenfield, WI 53221 | 2016-10-26 |
| 1265988117 | Obi Home Care | Clinic/Center | 4439 S 20th St, Milwaukee, WI 53221 | 2016-08-31 |
| 1427430602 | Zezenya Health Care S.c. | Pain Medicine | 5114 S 27th St # 763, Milwaukee, WI 53221 | 2015-06-24 |
| 1851771091 | Feisal J Salahadyn | Counselor | 4800 South 10th Street, Milwaukee, WI 53221 | 2015-06-03 |
| 1114312386 | Holistic Home Health Care Incorporated | Adult Companion | 3422 West Howard Ave, Greenfield, WI 53221 | 2015-04-03 |
| 1841698834 | Srt Prosthetics & Orthotics LLC | Prosthetic/Orthotic Supplier | 5220 S 27th St., Milwaukee, WI 53221 | 2014-12-08 |
| Find all providers in zip 53221 | ||||
| Taxonomy Code | 2083P0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Preventive Medicine/Occupational Environmental Medicine |
| A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811001464 | Leslie F. Martin | Preventive Medicine | 1155 N Mayfair Rd, Milwaukee, WI 53226-3421 | 2006-08-19 |
| 1154434181 | Jane M. Kotchen | Preventive Medicine | 8701 W Watertown Plank Rd, Department of Population Health Clinic, Milwaukee, WI 53226-3548 | 2006-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093226144 | Healthstat Onsite Clinic Hsm Sheboygan | Preventive Medicine | 2216 S 24th St, Sheboygan, WI 53081-5548 | 2017-10-17 |
| 1467982751 | Healthstat Onsite Clinic Elmbrook School District | Preventive Medicine | 17000 W North Ave Ste 100e, Brookfield, WI 53005-4454 | 2017-06-19 |
| 1700315033 | Healthstat Onsite Clinic City of Racine | Preventive Medicine | 2333 Northwestern Ave Ste 114, Racine, WI 53404-2520 | 2017-06-09 |
| 1790224780 | Healthstat Onsite Clinic-alm Consolidated | Preventive Medicine | 920 10th Ave N Ste Wellness, Onalaska, WI 54650-2166 | 2017-02-23 |
| 1558805689 | Healthstat Onsite Clinic Alm Holdings | Preventive Medicine | 920 10th Ave N, Onalaska, WI 54650-2166 | 2016-12-08 |
| 1619411733 | Healthstat Onsite Clinic Jj Keller Appleton | Preventive Medicine | 5 Innovation Ct, Appleton, WI 54914-1742 | 2016-12-08 |
| 1851717698 | Carl Zenz | Preventive Medicine | S75w20937 Field Dr, Muskego, WI 53150-8934 | 2014-03-17 |
| 1083640502 | Constantine Dumas | Preventive Medicine | 2009 S Memorial Dr, Appleton, WI 54915-1222 | 2006-06-25 |
| 1710950266 | Jean Deuster | Preventive Medicine | 20611 Watertown Rd Ste J, Waukesha, WI 53186-1871 | 2006-02-07 |
| 1497726392 | Joseph Michael Zompa | Preventive Medicine | 3000 N Grandview Blvd, W-685, Waukesha, WI 53188-1615 | 2006-01-30 |
| Find all providers with the same taxonomy | ||||
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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.