Kenneth J Urlakis (NPI# 1265407316, PAC ID# 1153233895) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1265407316 |
PAC ID by PECOS | 1153233895 |
Professional Enrollment ID | I20100205000657 |
Full Name | Kenneth J Urlakis |
Organization Legal Name | FROEDTERT AND THE MEDICAL COLLEGE OF WISCONSIN COMMUNITY PHYSICIANS IN |
Address |
N64w24801 Main St Suite 109 Sussex WI 53089-2652 |
Phone Number | 2625328680 |
Gender | M |
Medical School | MEDICAL COLLEGE OF WISCONSIN |
Graduation Year | 1994 |
Primary Specialty | FAMILY MEDICINE |
Group Practice PAC ID | 3678760063 |
Number of Group Practice Members | 808 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
520103 | COMMUNITY MEMORIAL HOSPITAL |
520177 | FROEDTERT MEMORIAL LUTHERAN HOSPITAL |
520008 | WAUKESHA MEMORIAL HOSPITAL |
520063 | ST JOSEPHS COMMUNITY HOSPITAL WEST BEND |
Address | Phone | Organization |
---|---|---|
N64w24801 Main St, Suite 109, Sussex, WI 53089-2652 | 2625328680 | FROEDTERT AND THE MEDICAL COLLEGE OF WISCONSIN COMMUNITY PHYSICIANS IN |
Organization Legal Name | FROEDTERT AND THE MEDICAL COLLEGE OF WISCONSIN COMMUNITY PHYSICIANS IN |
Physicians | 564 |
Name | Specialty | Organization | Address |
---|---|---|---|
Laith Shaman | Podiatry | Froedtert and The Medical College of Wisconsin Community Physicians In | 7901 S 6th St, Oak Creek, WI 53154-2010 |
Lauren E Wanie | Physician Assistant | Froedtert and The Medical College of Wisconsin Community Physicians In | 16650 W Bluemound Rd, Suite 200, Brookfield, WI 53005-5959 |
Nicholas Samuel Yunez | Family Medicine | Froedtert and The Medical College of Wisconsin Community Physicians In | 7208 N 76th St, Milwaukee, WI 53223-4502 |
Tracy L Farrey | Physical Therapy | Froedtert and The Medical College of Wisconsin Community Physicians In | 1271 N 6th St, Milwaukee, WI 53212-3360 |
Jennifer J Schmidt | Nurse Practitioner | Froedtert and The Medical College of Wisconsin Community Physicians In | 2180 S Main St, West Bend, WI 53095-5754 |
Amanda Hoffman | Nurse Practitioner | Froedtert and The Medical College of Wisconsin Community Physicians In | N51 W24953 Lisbon Rd, Sussex, WI 53089 |
Courtney L Pyant Dan Pullo | Obstetrics/gynecology | Froedtert and The Medical College of Wisconsin Community Physicians In | W129n7055 Northfield Dr, Menomonee Falls, WI 53051-0538 |
Katie Lammi | Nurse Practitioner | Froedtert and The Medical College of Wisconsin Community Physicians In | 10101 W Wisconsin Ave, Wauwatosa, WI 53226-4861 |
Laura Folger | Nurse Practitioner | Froedtert and The Medical College of Wisconsin Community Physicians In | 4455 S 108th St, Greenfield, WI 53228-2504 |
Amanda Louise Ensz | Internal Medicine | Froedtert and The Medical College of Wisconsin Community Physicians In | 840 N 87th St, Milwaukee, WI 53226-3586 |
Street Address |
N64W24801 MAIN ST SUITE 109 |
City | SUSSEX |
State | WI |
Zip | 53089-2652 |
Name | Specialty | Organization | Address |
---|---|---|---|
Caitlin Schueller | Nurse Practitioner | Froedtert and The Medical College of Wisconsin Community Physicians In | N64w24801 Main St, Suite 109, Sussex, WI 53089-2652 |
Peggy A Stickney | Family Medicine | Froedtert and The Medical College of Wisconsin Community Physicians In | N64w24801 Main St, Suite 109, Sussex, WI 53089-2652 |
Cassandra J Daniels | Nurse Practitioner | Froedtert and The Medical College of Wisconsin Community Physicians In | N64w24801 Main St, Suite 109, Sussex, WI 53089-2652 |
Name | Specialty | Organization | Address |
---|---|---|---|
Amanda Hoffman | Nurse Practitioner | Froedtert and The Medical College of Wisconsin Community Physicians In | N51 W24953 Lisbon Rd, Sussex, WI 53089 |
Christine A Wahmhoff | Internal Medicine | Prohealth Care Medical Associates Inc | N57 W24950 N Corporate Cir, Sussex, WI 53089 |
Christopher M Peters | Family Medicine | Prohealth Care Medical Associates Inc | N57 W24950 N Corporate Cir, Sussex, WI 53089 |
Sarita Makhija | Internal Medicine | Prohealth Care Medical Associates Inc | N57 W24950 N Corporate Cir, Sussex, WI 53089 |
Nancy A Boll-price | Nurse Practitioner | Froedtert and The Medical College of Wisconsin Community Physicians In | N51 W24953 Lisbon Rd, Sussex, WI 53089 |
Amanda M Passint | Nurse Practitioner | Froedtert and The Medical College of Wisconsin Community Physicians In | N51 W24953 Lisbon Rd, Sussex, WI 53089 |
Jane L Walloch | Family Medicine | Prohealth Care Medical Associates Inc | N57 W24950 N Corporate Cir, Sussex, WI 53089 |
Sarah A Van Saun | Physician Assistant | Prohealth Care Medical Associates Inc | N57 W24950 N Corporate Cir, Sussex, WI 53089 |
Alicia A Bintz | Nurse Practitioner | Froedtert and The Medical College of Wisconsin Community Physicians In | N51 W24953 Lisbon Rd, Sussex, WI 53089 |
Karen Nelson | Qualified Audiologist | Prohealth Care Medical Associates Inc | N57 W24950 N Corporate Cir, Sussex, WI 53089 |
Find all physicians in zip 53089 |
City | SUSSEX |
Zip Code | 53089 |
Specialty | FAMILY MEDICINE |
City + Specialty | SUSSEX + FAMILY MEDICINE |
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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.