MILWAUKEE VAMC (NPI# 1972561645) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972561645 |
| Entity Type | Organization |
| Organization Name | MILWAUKEE VAMC |
| Other Organization Name | MILWAUKEE VAMC PHARMACY |
| Practice Address |
5000 W National Ave Milwaukee WI 53295-0001 |
| Mailing Address |
Po Box 5127 Madison WI 53705-0127 |
| Practice Telephone | 4143842000 |
| Practice Fax Number | 4143825315 |
| Mailing Telephone | 6088217200 |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2019-08-14 |
| Authorized Official Name | ERIN POTTER (NPI TEAM MEMBER) |
| Authorized Official Telephone | 2023822579 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332100000X | Department of Veterans Affairs (VA) Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | NCPDP# | 5121950 | 01 |
| Other Name | Type Code |
|---|---|
| MILWAUKEE VAMC PHARMACY | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285005504 | Milwaukee Vamc | Clinic/Center | 1818 N Martin Luther King Dr, Milwaukee, WI 53212-3640 | 2015-10-13 |
| 1003861014 | Milwaukee Vamc | Clinic/Center | 2851 University Avenue, Green Bay, WI 54311-0008 | 2006-05-24 |
| 1821490012 | Milwaukee Vamc | Psychologist | 5000 W National Ave, Milwaukee, WI 53295-0001 | 2014-09-19 |
| 1780019380 | Milwaukee Vamc | Department of Veterans Affairs (VA) Pharmacy | 2851 University Avenue, Green Bay, WI 54311-0008 | 2013-09-13 |
| 1669643912 | Milwaukee Vamc | Department of Veterans Affairs (VA) Pharmacy | 10 Tri Park Way, Appleton, WI 54914-1658 | 2008-03-14 |
| 1326087222 | Milwaukee Vamc | Clinic/Center | 21425 Spring St, Union Grove, WI 53182-9707 | 2006-06-06 |
| 1609828748 | Milwaukee Vamc | Clinic/Center | 1205 North Ave, Cleveland, WI 53015-1413 | 2006-05-17 |
| 1518918705 | Milwaukee Vamc | Clinic/Center | 10 Tri Park Way, Appleton, WI 54914-1658 | 2006-05-13 |
| 1073563417 | Milwaukee Vamc | General Acute Care Hospital | 5000 W National Ave, Milwaukee, WI 53295-0001 | 2006-05-10 |
| 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 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 53295 | ||||
| Taxonomy Code | 332100000X |
| Grouping | Suppliers |
| Classification | Department of Veterans Affairs (VA) Pharmacy |
| Department of Veterans Affairs (VA) Pharmacy means any place under VA jurisdiction where drugs are dispensed and Pharmaceutical Care is provided to enrolled Veterans, by licensed pharmacists. The Pharmacy is reviewed by JCAHO, utilizes the VA hospital’s DEA number, and has a designated NCPDP number. VA facility pharmacies include Inpatient (Institutional), Outpatient, Consolidated Mail Outpatient Pharmacies (CMOPs), Research, Addiction Treatment Centers, Long Term Care and Community Based Outpatient Clinics Pharmacies. The VHA Pharmacy Benefits Management - Strategic Healthcare Group has oversight for professional and practice activities of VA Pharmacies. Each pharmacy is under the direct supervision of a U.S. or U.S. territory licensed pharmacist, and has staffing to meet its designated scope of service. |
| Notes: Source: Pharmacy Benefits Management – Strategic Healthcare Group, Veterans Health Administration, Department of Veterans Affairs [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780019380 | Milwaukee Vamc | Department of Veterans Affairs (VA) Pharmacy | 2851 University Avenue, Green Bay, WI 54311-0008 | 2013-09-13 |
| 1669643912 | Milwaukee Vamc | Department of Veterans Affairs (VA) Pharmacy | 10 Tri Park Way, Appleton, WI 54914-1658 | 2008-03-14 |
| 1598713778 | Tomah Vamc | Department of Veterans Affairs (VA) Pharmacy | 500 E Veterans St, Tomah, WI 54660-3105 | 2006-05-04 |
| 1033177787 | Madison Vamc | Department of Veterans Affairs (VA) Pharmacy | 2500 Overlook Ter, Madison, WI 53705-2254 | 2006-05-03 |
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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.