DR. JONATHAN ELLISON (NPI# 1861655581) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861655581 |
| Entity Type | Individual |
| Full Name | DR. JONATHAN ELLISON |
| Practice Address |
9000 W Wisconsin Ave Milwaukee WI 53226-4874 |
| Practice Telephone | 4142663794 |
| Practice Fax Number | 4142661752 |
| Mailing Telephone | 4142663794 |
| Mailing Fax Number | 4142661752 |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2018-09-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | 4301092616 | MI | Allopathic & Osteopathic Physicians |
| Y | 2088P0231X |
Urology Specialization: Pediatric Urology |
69623 | WI | Allopathic & Osteopathic Physicians |
| N | 2088P0231X |
Urology Specialization: Pediatric Urology |
MD60449464 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 1861655581 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 130 2nd St, Neenah, WI 549562883 | 9209697900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861033136 | Jonathan Ellison | Pharmacist | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2019-10-08 |
| Street Address |
9000 W WISCONSIN AVE |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53226-4874 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568466928 | Deborah Costakos | Ophthalmology | 9000 W Wisconsin Ave, Pediatric Ophthalmology, Milwaukee, WI 53226-4874 | 2005-06-13 |
| 1477154748 | Tara Anne Peloza | Registered Nurse | 9000 W Wisconsin Ave, Milwaukee, WI 53226-4874 | 2020-11-04 |
| 1518567676 | Carolyn Mcnally Scoptur | Nurse Practitioner | 9000 W Wisconsin Ave, Milwaukee, WI 53226-4874 | 2020-10-28 |
| 1053910091 | Casey Wolter | Audiologist | 9000 W Wisconsin Ave, Milwaukee, WI 53226-4874 | 2020-10-21 |
| 1558976001 | Rachel Sawdy | Nurse Practitioner | 9000 W Wisconsin Ave, Milwaukee, WI 53226-4874 | 2020-09-11 |
| 1205441128 | Kathleen Maloney | Nurse Practitioner | 9000 W Wisconsin Ave, Milwaukee, WI 53226-4874 | 2020-09-09 |
| 1992319065 | Mariia Steffeny | Nurse Practitioner | 9000 W Wisconsin Ave, Milwaukee, WI 53226-4874 | 2020-09-04 |
| 1871106575 | Elisabeth Mary Vogt | Clinical Neuropsychologist | 9000 W Wisconsin Ave, Milwaukee, WI 53226-4874 | 2020-08-24 |
| 1912517277 | Theresa Lauer Kapke | Psychologist | 9000 W Wisconsin Ave, Milwaukee, WI 53226-4874 | 2020-08-03 |
| 1003425380 | Khira Ahmed-yahia | Nurse Practitioner | 9000 W Wisconsin Ave, Milwaukee, WI 53226-4874 | 2020-07-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912511155 | Alexander Harlan | Pharmacist | 900 N 92nd St, Milwaukee, WI 53226 | 2020-09-04 |
| 1558985762 | Armghan Haider Ans | Student in an Organized Health Care Education/Training Program | 9200 W. Wisconsin Ave. Froedtert Hospital & Medical Col, Milwaukee, WI 53226 | 2020-06-03 |
| 1669001103 | Kimberly Tyler | Student in an Organized Health Care Education/Training Program | 8701 W Watertown Plank Road, Medical College of Wisconsin Dept of Internal Medicine, Wauwatosa, WI 53226 | 2020-04-06 |
| 1972131993 | Francesca Meloy Devine | Student in an Organized Health Care Education/Training Program | Medical Education Office: Children's Corporate Center, 999 N. 92nd St., Suite 730, Milwaukee, WI 53226 | 2020-03-27 |
| 1285275248 | Sharitta Alford | Technician | 12250 West North Avenue, Apartment 142b, Wauwatosa, WI 53226 | 2019-10-01 |
| 1619528023 | Linda Marie Sabatinelli | Technician | 12107 W. Woodland Ave, Wauwatosa, WI 53226 | 2019-09-26 |
| 1598310195 | Matthew Laviolette | Surgery | Medical College of Wisconsin, 8701 Watertown Plank Rd., Surgical Oncology, Milwaukee, WI 53226 | 2019-08-09 |
| 1962056432 | Lyndsey Marie Bratberg | Physician Assistant | F&mcw Clinical Cancer Center 9200 W. Wisconsin Ave., Milwaukee, WI 53226 | 2019-08-01 |
| 1659832855 | Benjamin David Seadler | Surgery | Mcw, Department of Surgery, 8701 Watertown Plank Road, Milwaukee, WI 53226 | 2019-03-29 |
| 1861953267 | Michael Dryden | Student in an Organized Health Care Education/Training Program | 8701 Watertown Plank Rd., Milwaukee, WI 53226 | 2019-03-27 |
| Find all providers in zip 53226 | ||||
| Taxonomy Code | 2088P0231X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| Specialization | Pediatric Urology |
| Surgeons who can diagnose, treat, and manage children’s urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally provide the following services: the evaluation and management of voiding disorders; vesicoureteral reflux, and urinary tract infections that require surgery; surgical reconstruction of the urinary tract (kidneys, ureters, and bladder) including genital abnormalities, hypospadias, and intersex conditions; surgery for groin conditions in childhood and adolescence (undescended testes, hydrocele/hernia, varicocele). |
| Notes: Source: American Academy of Pediatrics [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457739856 | Matthew R Danzig | Urology | 999 N 92nd St Ste 330, Milwaukee, WI 53226-4875 | 2015-05-18 |
| 1679888911 | Anas Ibrahim Ghousheh | Urology | 999 N 92nd St, Suite C 330, Milwaukee, WI 53226-4875 | 2010-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053591990 | Urology Institute of Waukesha Sc | Urology | 1111 Delafield St Ste 12, Waukesha, WI 53188-3431 | 2007-11-08 |
| 1861052441 | Walid A Farhat | Urology | 600 Highland Ave, Madison, WI 53792-0001 | 2019-06-17 |
| 1689871451 | Rocky Mountain Urology,llc | Urology | 1511 Park Ave, Suite F, Columbus, WI 53925-2401 | 2007-06-27 |
| 1629042247 | Christina Kim | Urology | 600 Highland Ave, Madison, WI 53792-3793 | 2006-02-13 |
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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.