Adam James Blanchard (NPI# 1104262484, PAC ID# 0941592315) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1104262484 |
| PAC ID by PECOS | 0941592315 |
| Professional Enrollment ID | I20180611000610 |
| Full Name | Adam James Blanchard |
| Organization Legal Name | UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC |
| Address |
1620 Mehta Ln Fort Atkinson WI 53538-9178 |
| Phone Number | 9205635544 |
| Gender | M |
| Medical School | TULANE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2013 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 6608785464 |
| Number of Group Practice Members | 1845 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 520098 | UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY |
| Address | Phone | Organization |
|---|---|---|
| 1620 Mehta Ln, Fort Atkinson, WI 53538-9178 | 9205635544 | UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC |
| 202 S Park St, Madison, WI 53715-1507 | 6082872050 | UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC |
| Organization Legal Name | UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC |
| Physicians | 1953 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica Ann Nowak | Nurse Practitioner | University of Wisconsin Medical Foundation Inc | 202 S Park St, Madison, WI 53715-1507 |
| Ronak Mehta | Family Medicine | University of Wisconsin Medical Foundation Inc | 4590 County Rd N, Cottage Grove, WI 53527-9208 |
| Kimberly E Daniel | Gastroenterology | University of Wisconsin Medical Foundation Inc | 750 University Row, Madison, WI 53705-1311 |
| James D Thompson | Otolaryngology | University of Wisconsin Medical Foundation Inc | 600 Highland Ave, Madison, WI 53792-0001 |
| Katherine A Mccreary | Family Medicine | University of Wisconsin Medical Foundation Inc | 5543 E Cheryl Pkwy, Fitchburg, WI 53711-5376 |
| Emily J Staudt | Physician Assistant | University of Wisconsin Medical Foundation Inc | 4131 Meridian Dr, Windsor, WI 53598-9699 |
| Muhammad S Karim | Nephrology | University of Wisconsin Medical Foundation Inc | 4600 American Pkwy, Suite 108, Madison, WI 53718-8337 |
| Gillian I Silberzahn | Nurse Practitioner | University of Wisconsin Medical Foundation Inc | 5115 N Biltmore Ln, Madison, WI 53718-2161 |
| Sara E Odonnell | Nurse Practitioner | University of Wisconsin Medical Foundation Inc | 5618 Odana Rd, Madison, WI 53719-1208 |
| Laura J. Kopplin | Ophthalmology | University of Wisconsin Medical Foundation Inc | 2880 University Ave, Madison, WI 53705-3644 |
| Street Address |
1620 MEHTA LN |
| City | FORT ATKINSON |
| State | WI |
| Zip | 53538-9178 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth S Burnside Rollins | Diagnostic Radiology | University of Wisconsin Medical Foundation Inc | 1620 Mehta Ln, Fort Atkinson, WI 53538-9178 |
| Sarah A Hughes | Nurse Practitioner | University of Wisconsin Medical Foundation Inc | 1620 Mehta Ln, Fort Atkinson, WI 53538-9178 |
| Scott J Brantmeier | Family Medicine | University of Wisconsin Medical Foundation Inc | 1620 Mehta Ln, Fort Atkinson, WI 53538-9178 |
| Greg E Kissel | Family Medicine | University of Wisconsin Medical Foundation Inc | 1620 Mehta Ln, Fort Atkinson, WI 53538-9178 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Donald L Williams | Pediatric Medicine | Fort Healthcare Inc | 500 Mcmillen St, Fort Atkinson, WI 53538-1233 |
| Stanley J Fudala | Psychiatry | Fort Healthcare Inc | 500 Mcmillen St, Fort Atkinson, WI 53538-1233 |
| William J Cannon | Internal Medicine | Fort Healthcare Inc | 500 Mcmillen St, Fort Atkinson, WI 53538-1233 |
| Thomas R Ruffalo | Physician Assistant | Fort Healthcare, Inc | 512 Wilcox St Su, Fort Atkinson, WI 53538-1254 |
| Tyler Marshall Prout | Diagnostic Radiology | Fort Healthcare Inc | 512 Wilcox St, Fort Atkinson, WI 53538-1254 |
| Carolyn A Haerr | Diagnostic Radiology | Fort Healthcare Inc | 512 Wilcox St, Fort Atkinson, WI 53538-1254 |
| Billie G Kontny | General Surgery | Fort Healthcare Inc | 512 Wilcox St, Fort Atkinson, WI 53538-1254 |
| John A Jerisha | Diagnostic Radiology | Fort Healthcare Inc | 512 Wilcox St, Fort Atkinson, WI 53538-1254 |
| Deborah L Roe | Nurse Practitioner | Fort Healthcare Inc | 512 Wilcox St, Fort Atkinson, WI 53538-1254 |
| Kathleen M Baus | Diagnostic Radiology | Fort Healthcare Inc | 512 Wilcox St, Fort Atkinson, WI 53538-1254 |
| Find all physicians in zip 53538 | |||
| City | FORT ATKINSON |
| Zip Code | 53538 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | FORT ATKINSON + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Adam James Blanchard.
| 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.