FREDDIE J. MERTZIG (NPI# 1922523836) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1922523836 |
Entity Type | Individual |
Full Name | FREDDIE J. MERTZIG |
Credential | APNP |
Practice Address |
3237 S 16th St Milwaukee WI 53215-4526 |
Mailing Address |
1224 N Prospect Ave Apt 7s Milwaukee WI 53202-3001 |
Practice Telephone | 2626475000 |
Enumeration Date | 2017-08-11 |
Last Update Date | 2017-09-25 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | 7889-33 | WI | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
7889-33 | WI | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
3237 S 16TH ST |
City | MILWAUKEE |
State | WI |
Zip Code | 53215-4526 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336135375 | Don Suk Lee | Internal Medicine | 3237 S 16th St, Milwaukee, WI 53215-4526 | 2005-09-26 |
1235730672 | Laura Marie Steele | Dietitian, Registered | 3237 S 16th St, Milwaukee, WI 53215-4526 | 2020-11-03 |
1912527318 | Benjamin Modrell | Pharmacist | 3237 S 16th St, Milwaukee, WI 53215-4526 | 2020-04-26 |
1316571896 | Jonathan D Krueger | Pharmacist | 3237 S 16th St, Milwaukee, WI 53215-4526 | 2020-02-24 |
1316508617 | Anna Kathryn Baker | Physician Assistant | 3237 S 16th St, Milwaukee, WI 53215-4526 | 2019-06-26 |
1740766971 | Diana Jean Maier | Health Educator | 3237 S 16th St, Milwaukee, WI 53215-4526 | 2018-07-11 |
1669973632 | Brian T Prost | Nurse Anesthetist, Certified Registered | 3237 S 16th St, Milwaukee, WI 53215-4526 | 2018-02-26 |
1053827410 | Alisa Orel | Dietitian, Registered | 3237 S 16th St, Milwaukee, WI 53215-4526 | 2017-12-21 |
1467816561 | Girma Tesfaye Beyene | Internal Medicine | 3237 S 16th St, Milwaukee, WI 53215-4526 | 2016-04-05 |
1366826760 | Edom Kidane | Hospitalist | 3237 S 16th St, Milwaukee, WI 53215 | 2015-07-15 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841829918 | Joshua Michael Brooks | Student in an Organized Health Care Education/Training Program | Aurora St. Lukes Medical Center 2901 W Oklahoma Ave, Milwaukee, WI 53215 | 2020-04-02 |
1053967091 | Kristina Strupp | Clinical Nurse Specialist | 2900 W. Oaklahoma Avenue, Milwaukee, WI 53215 | 2019-08-15 |
1427510296 | Madelyn Pickle | Student in an Organized Health Care Education/Training Program | 2801 W. Kinnickinnic Rd Ste 250, Milwaukee, WI 53215 | 2019-04-02 |
1932601838 | Elizabeth D Morawski | Nurse Practitioner | 2801 Kinnickinnic Parkway, Suite 630, Milwaukee, WI 53215 | 2018-03-06 |
1457872673 | Canzata Kimberly Dent | Counselor | 2727 W. Cleveland Suite 204, Milwaukee, WI 53215 | 2017-06-28 |
1538689955 | Christian Pena | Durable Medical Equipment & Medical Supplies | 2800 W Forest Home Ave, Suite 100, Milwaukee, WI 53215 | 2017-06-27 |
1386178804 | Dane A Olsen | Family Medicine | 801 W Kinnickinnic River Pkwy., Suite 250, Milwaukee, WI 53215 | 2017-04-12 |
1811443492 | Thomas Diamond | Physical Therapist | 2901 Kinnickinnic Parkway, Milwaukee, WI 53215 | 2016-09-01 |
1487055133 | Sam Khalili | Otolaryngology | 2801 W Kinnickinnic River Pkwy # 680, Milwaukee, WI 53215 | 2014-09-12 |
1992105621 | Nicole R Hall | Nurse Practitioner | 2901 S Kinnickinnic Ave, Milwaukee, WI 53215 | 2014-08-29 |
Find all providers in zip 53215 |
Taxonomy Code | 363LG0600X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Gerontology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629073507 | Susan Kathlenn Kartes | Nurse Practitioner | 5000 West National Avenue, Milwaukee, WI 53295 | 2005-06-16 |
1407394786 | Laura A Bochenczak | Nurse Practitioner | 9200 W Wisconsin Ave, Milwaukee, WI 53226 | 2017-02-07 |
1477907913 | Maureen Rose Nixon | Nurse Practitioner | 1233 N Mayfair Rd, Suite 100, Milwaukee, WI 53226-3255 | 2016-04-21 |
1083000160 | Kyungsook Yoon | Nurse Practitioner | 7733 W Burleigh St, Milwaukee, WI 53222-5003 | 2015-04-15 |
1649668559 | Lyah Holmes | Nurse Practitioner | 2555 N Martin Luther King Dr, 2555 N Martin Luther King Dr, Milwaukee, WI 53212-2709 | 2014-12-30 |
1952703944 | Brooke Shaikh | Nurse Practitioner | 5000 W Chambers St, Milwaukee, WI 53210-1650 | 2014-09-22 |
1255579108 | Heidi A Sykora | Nurse Practitioner | 2020 W Wells St, Milwaukee, WI 53233-2720 | 2009-01-30 |
1174777031 | Sharon B Maguire | Nurse Practitioner | 3220 W Vliet St, Milwaukee, WI 53208-2453 | 2008-11-05 |
1467645002 | Mary Elizabeth Mueller | Nurse Practitioner | 10701 W Research Dr, Milwaukee, WI 53226-3452 | 2007-08-27 |
1831240936 | Heather Rae Zutz | Nurse Practitioner | 10701 W Research Dr, Milwaukee, WI 53226-3452 | 2007-01-15 |
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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.