Louise M Omdahl (NPI# 1760720833, PAC ID# 0345495495) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1760720833 |
| PAC ID by PECOS | 0345495495 |
| Professional Enrollment ID | I20130221000496 |
| Full Name | Louise M Omdahl |
| Organization Legal Name | ASCENSION MEDICAL GROUP SOUTHEAST WISCONSIN INC |
| Address |
1120 Main St Union Grove WI 53182-1328 |
| Phone Number | 2628784424 |
| Gender | F |
| Graduation Year | 2012 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 8628980943 |
| Number of Group Practice Members | 586 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 520096 | WHEATON FRANCISCAN HEALTHCARE ALL SAINTS |
| Address | Phone | Organization |
|---|---|---|
| 1120 Main St, Union Grove, WI 53182-1328 | 2628784424 | ASCENSION MEDICAL GROUP SOUTHEAST WISCONSIN INC |
| Organization Legal Name | ASCENSION MEDICAL GROUP SOUTHEAST WISCONSIN INC |
| Physicians | 462 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Neal James Campbell Ii | Family Medicine | Ascension Medical Group Southeast Wisconsin Inc | 3610 Michelle Witmer Memorial Dr, New Berlin, WI 53151-5292 |
| David James Coulter | Cardiovascular Disease (cardiology) | Ascension Medical Group Southeast Wisconsin Inc | 2025 W Oklahoma Ave, Suite 105, Milwaukee, WI 53215-4455 |
| Danielle L Laczniak | Nurse Practitioner | Ascension Medical Group Southeast Wisconsin Inc | 3070 N 51st St, Suite 601, Milwaukee, WI 53210-1663 |
| Lisa Marie Leblanc | Nurse Practitioner | Ascension Medical Group Southeast Wisconsin Inc | 3040 N 117th St, Suite 200, Wauwatosa, WI 53222-4129 |
| Jorja K Mueller | Nurse Practitioner | Ascension Medical Group Southeast Wisconsin Inc | 7400 W Rawson Ave, Suite G40, Franklin, WI 53132-8114 |
| Breana C Cummens | Family Medicine | Ascension Medical Group Southeast Wisconsin Inc | 4600 W Loomis Rd, Greenfield, WI 53220-4858 |
| Katie L Leiteritz | Nurse Practitioner | Ascension Medical Group Southeast Wisconsin Inc | 8020 S Howell Ave, Oak Creek, WI 53154-2930 |
| Brian Zafonte | Hand Surgery | Ascension Medical Group Southeast Wisconsin Inc | 3811 Spring St, Suite 102, Mount Pleasant, WI 53405-1667 |
| Irina Ciubotaru | Endocrinology | Ascension Medical Group Southeast Wisconsin Inc | 3805 Spring St, Suite 310, Mount Pleasant, WI 53405-1600 |
| Carlos R Galvao Sobrinho | Nephrology | Ascension Medical Group Southeast Wisconsin Inc | 3805 B Spring St, Suite 260, Mount Pleasant, WI 53405-1643 |
| Street Address |
1120 MAIN ST |
| City | UNION GROVE |
| State | WI |
| Zip | 53182-1328 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer L Stroh | Optometry | Robert F. Dibble | 1120 Main St, Willimantic, CT 06226-2014 |
| Laurie Beth Potratz | Family Medicine | Ascension Medical Group Southeast Wisconsin Inc | 1120 Main St, Union Grove, WI 53182-1328 |
| Lisa M Simonds | Family Medicine | Ascension Medical Group Southeast Wisconsin Inc | 1120 Main St, Union Grove, WI 53182-1328 |
| Robert F Dibble | Ophthalmology | Robert F. Dibble | 1120 Main St, Willimantic, CT 06226-2014 |
| Timothy W Allen | Family Practice | Wheaton Franciscan Medical Group, Inc. | 1120 Main St, Union Grove, WI 53182-1328 |
| Jodene E Strommen | Nurse Practitioner | Wheaton Franciscan Medical Group | 1120 Main St, Union Grove, WI 53182-1328 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ann M Lange | Podiatry | Preferred Podiatry Group PC | 1390 8th Ave, Union Grove, WI 53182-1063 |
| Andrew J Connolly | Physical Therapy | Dpt Holdings LLC | 951 Main St, Suite 120, Union Grove, WI 53182-1074 |
| Anthony R Matoska | Physical Therapy | Sports Physical Therapy and Rehab Specialist Sc | 1201 Main St, Union Grove, WI 53182-1303 |
| Allison A Kosinski | Physical Therapy | Sports Physical Therapy and Rehab Specialist Sc | 1201 Main St, Union Grove, WI 53182-1303 |
| Andrew A Nicholas | Physical Therapy | Sports Physical Therapy and Rehab Specialist Sc | 1201 Main St, Union Grove, WI 53182-1303 |
| William T Hendrick | Chiropractic | Melby Chiropractic Clinic, S.c. | 1208 Main St, Union Grove, WI 53182-1304 |
| William I Melby | Chiropractic | Melby Chiropractic Clinic, S.c. | 1208 Main St, Union Grove, WI 53182-1304 |
| Amy E Swift Johnson | Family Medicine | Aurora Medical Group Inc | 4320 67th Dr, Union Grove, WI 53182-9338 |
| Simonida Kokanovic | Family Medicine | State of Wisconsin | 21425 Spring St, Union Grove, WI 53182-9707 |
| Rana Tabassum | Internal Medicine | State of Wisconsin | 21425 Spring St, Union Grove, WI 53182-9707 |
| Find all physicians in zip 53182 | |||
| City | UNION GROVE |
| Zip Code | 53182 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | UNION GROVE + NURSE PRACTITIONER |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.