CLEMENT ZABLOCKI VETERAN'S ADMINISTRATION MEDICAL CENTER (NPI# 1881906832) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1881906832 |
Entity Type | Organization |
Organization Name | CLEMENT ZABLOCKI VETERAN'S ADMINISTRATION MEDICAL CENTER |
Practice Address |
5000 W National Ave Milwaukee WI 53295-0001 |
Practice Telephone | 4143842000 |
Practice Fax Number | 4143825293 |
Mailing Telephone | 4143842000 |
Mailing Fax Number | 4143825293 |
Enumeration Date | 2010-07-07 |
Last Update Date | 2010-07-07 |
Authorized Official Name | MS. CHERRY KUNKEL (SCI OUTPATIENT CLINIC RN) |
Authorized Official Telephone | 4143842000 |
Authorized Official Credential | RN , BSN |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QV0200X |
Clinic/Center Specialization: VA |
126285-30 | WI | Ambulatory Health Care Facilities |
Street Address |
5000 W NATIONAL AVE |
City | MILWAUKEE |
State | WI |
Zip Code | 53295-0001 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790787943 | Laura Tobon | Registered Nurse | 5000 W National Ave, Milwaukee, WI 53295-0001 | 2005-06-01 |
1356942445 | John F Rose | Recreation Therapist | 5000 W National Ave, Milwaukee, WI 53295-0001 | 2020-11-04 |
1306447487 | Alan Newell Hoenk | Recreation Therapist | 5000 W National Ave, Milwaukee, WI 53295-0001 | 2020-11-04 |
1659972008 | David Escamilla | Pharmacist | 5000 W National Ave, Milwaukee, WI 53295-0001 | 2020-11-03 |
1720689086 | Inez Elizabeth Pabian | Pharmacist | 5000 W National Ave, Milwaukee, WI 53295-0001 | 2020-11-03 |
1043810302 | Kristine Kulas | Art Therapist | 5000 W National Ave, Milwaukee, WI 53295-0001 | 2020-10-27 |
1336749753 | Marisa Ann Straub | Art Therapist | 5000 W National Ave, Milwaukee, WI 53295-0001 | 2020-10-26 |
1720687221 | Courtney Zeller | Recreation Therapist | 5000 W National Ave, Milwaukee, WI 53295-0001 | 2020-10-26 |
1174122964 | Kari Slawson | Dietitian, Registered | 5000 W National Ave, Milwaukee, WI 53295-0001 | 2020-10-22 |
1245839356 | Makenzie Kojis | Music Therapist | 5000 W National Ave, Milwaukee, WI 53295-0001 | 2020-10-20 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457858573 | Nina Sathasivam-rueckert | Psychologist | Zablocki Va Medical Center 5000 West National Avenue, Milwaukee, WI 53295 | 2018-04-06 |
1306350269 | Nicole Marien Van Horn | Clinical Nurse Specialist | Milwaukee Va Medical Center (zablocki), 5000 W. National Ave, Milwaukee, WI 53295 | 2017-11-29 |
1275829582 | Emily Rose Allred | Registered Nurse | 500 National Ave, Milwaukee, WI 53295 | 2011-06-24 |
1104912666 | Steve Eigen | Social Worker | 5000 W. National, Milwaukee, WI 53295 | 2006-10-04 |
1225121700 | Vicki L Nelson | Social Worker | 5000 W.national Ave, Milwaukee, WI 53295 | 2006-10-02 |
1003908617 | Beth Ayers | Physical Therapist | 5000 W National Ave., Milwaukee, WI 53295 | 2006-09-29 |
1730286295 | Regina Robin Anderson-spann | Social Worker | 5000 W. National Avenue, Milwaukee, WI 53295 | 2006-09-19 |
1891723904 | Allyn J Coleman | Dentist | Clement J. Zablocki Va Medical Center, 5000 W National Avenue, Milwaukee, WI 53295 | 2006-06-29 |
1356347686 | Wendy R. Janssen | Nurse Practitioner | 5000 W. National Ave, Milwaukee, WI 53295 | 2005-06-22 |
1629073507 | Susan Kathlenn Kartes | Nurse Practitioner | 5000 West National Avenue, Milwaukee, WI 53295 | 2005-06-16 |
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Taxonomy Code | 261QV0200X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | VA |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285005504 | Milwaukee Vamc | Clinic/Center | 1818 N Martin Luther King Dr, Milwaukee, WI 53212-3640 | 2015-10-13 |
1942637962 | Milwaukee Va Medical Center | Clinic/Center | 5000 W National Ave, Milwaukee, WI 53295-1206 | 2013-10-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376988402 | Zablocki Va Medical Center | Clinic/Center | 5922 Bluff Ledge Rd, Sturgeon Bay, WI 54235-8148 | 2013-05-02 |
1235320912 | Minneapolis Vamc | Clinic/Center | 10369 State Highway 27, Hayward, WI 54843-9998 | 2007-08-07 |
1881634616 | Tomah Vamc | Clinic/Center | 700 Hale St, Wisconsin Rapids, WI 54495-2787 | 2006-06-08 |
1275573677 | Tomah Vamc | Clinic/Center | 515 S 32nd Ave, Wausau, WI 54401-4074 | 2006-06-07 |
1902853567 | Tomah Vamc | Clinic/Center | 8 Johnson St, Owen, WI 54460-9534 | 2006-05-28 |
1104873298 | Tomah Vamc | Clinic/Center | 4000 State Road 16, La Crosse, WI 54601-1809 | 2006-05-27 |
1144276064 | James A Lovell Federal Health Care Center | Clinic/Center | 8207 22nd Ave, Kenosha, WI 53143-6211 | 2006-05-25 |
1124074810 | Madison Vamc | Clinic/Center | 1141 Black Bridge Rd, Janesville, WI 53545-1092 | 2006-05-25 |
1003861014 | Milwaukee Vamc | Clinic/Center | 2851 University Avenue, Green Bay, WI 54311-0008 | 2006-05-24 |
1417902941 | Minneapolis Vamc | Clinic/Center | 475 Chippewa Mall Drive, Suite 418, Chippewa Falls, WI 54729-5047 | 2006-05-23 |
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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.