Jamie L Fort (NPI# 1568589083, PAC ID# 3375711542) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1568589083 |
| PAC ID by PECOS | 3375711542 |
| Professional Enrollment ID | I20110714000713 |
| Full Name | Jamie L Fort |
| Organization Legal Name | MIDWEST RADIOLOGY PA |
| Address |
10000 W Bluemound Rd Wauwatosa WI 53226-4321 |
| Phone Number | 4144563000 |
| Gender | M |
| Medical School | UNIVERSITY OF MINNESOTA MEDICAL SCHOOL |
| Graduation Year | 2006 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 4486568482 |
| Number of Group Practice Members | 184 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 521345 | WESTFIELDS HOSPITAL AND CLINIC |
| 521308 | AMERY HOSPITAL & CLINIC |
| 240066 | LAKEVIEW MEMORIAL HOSPITAL |
| 521347 | WESTERN WISCONSIN HEALTH |
| 521318 | LADD MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 225 Scholl Ct, Amery, WI 54001-1292 | 7052688000 | MIDWEST RADIOLOGY PA |
| 265 Griffin St E, Amery, WI 54001-1439 | 6512922000 | MIDWEST RADIOLOGY PA |
| 730 10th Ave, Baldwin, WI 54002-9416 | 7156843311 | MIDWEST RADIOLOGY PA |
| 405 Stageline Rd, Hudson, WI 54016-7848 | 7155316000 | MIDWEST RADIOLOGY PA |
| 12375 Lindstrom Ln, Lindstrom, MN 55045-9551 | 6514002240 | ST. CROIX REGIONAL MEDICAL CENTER |
| 2945 Hazelwood St, Suite 110, Maplewood, MN 55109-1157 | 6512922000 | MAPLEWOOD IMAGING CENTER, LLC |
| 535 Hospital Rd, New Richmond, WI 54017-1449 | 7152432600 | MIDWEST RADIOLOGY PA |
| 2600 65th Ave, Osceola, WI 54020-4370 | 7152942111 | MIDWEST RADIOLOGY PA |
| 1629 E Division St, River Falls, WI 54022-1571 | 7154256155 | MIDWEST RADIOLOGY PA |
| 1629 E Division St, River Falls, WI 54022-1571 | 7153076000 | ALLINA HEALTH SYSTEM |
| 250 Thompson St, Saint Paul, MN 55102-2370 | 6512922000 | ST PAUL RADIOLOGY OUTPATIENT IMAGING LLC |
| 250 Thompson St, Saint Paul, MN 55102-2370 | 6512976504 | MIDWEST RADIOLOGY PA |
| 235 E State St, St Croix Falls, WI 54024-4117 | 7154833221 | ST. CROIX REGIONAL MEDICAL CENTER |
| 166 4th St E, St Paul, MN 55101-1421 | 6512922000 | ALTRU HEALTH SYSTEM |
| 166 E 4th St, Suite 100, St Paul, MN 55101-1421 | 6512922000 | PEMBINA COUNTY MEMORIAL HOSPITAL ASSOCIATION |
| 333 Smith Ave N, St Paul, MN 55102-2344 | 6516359173 | ALLINA HEALTH SYSTEM |
| 550 Martin W Ave, Turtle Lake, WI 54889-9069 | 7159864101 | MIDWEST RADIOLOGY PA |
| 10000 W Bluemound Rd, Wauwatosa, WI 53226-4321 | 4144563000 | MIDWEST RADIOLOGY PA |
| Organization Legal Name | MIDWEST RADIOLOGY PA |
| Physicians | 57 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lucas B Ludeman | Diagnostic Radiology | Midwest Radiology Pa | 10000 W Bluemound Rd, Wauwatosa, WI 53226-4321 |
| Cherie S Nienow | Nurse Practitioner | Midwest Radiology Pa | 250 Thompson St, Saint Paul, MN 55102-2370 |
| Azhar T Ali | Diagnostic Radiology | Midwest Radiology Pa | 927 Churchhill St W, Stillwater, MN 55082-6605 |
| Jorge A Leon | Diagnostic Radiology | Midwest Radiology Pa | 225 Scholl Ct, Amery, WI 54001-1292 |
| John P Knoedler | Diagnostic Radiology | Midwest Radiology Pa | 225 Scholl Ct, Amery, WI 54001-1292 |
| Kristin A Lieberman | Diagnostic Radiology | Midwest Radiology Pa | 225 Scholl Ct, Amery, WI 54001-1292 |
| Tiffany June Mellang | Physician Assistant | Midwest Radiology Pa | 333 Smith Ave N, Saint Paul, MN 55102-2344 |
| Andrew S Hartigan | Diagnostic Radiology | Midwest Radiology Pa | 225 Scholl Ct, Amery, WI 54001-1292 |
| Keith H Wittenberg | Diagnostic Radiology | Midwest Radiology Pa | 225 Scholl Ct, Amery, WI 54001-1292 |
| Leif E Jensen | Diagnostic Radiology | Midwest Radiology Pa | 225 Scholl Ct, Amery, WI 54001-1292 |
| Street Address |
10000 W BLUEMOUND RD |
| City | WAUWATOSA |
| State | WI |
| Zip | 53226-4321 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lucas B Ludeman | Diagnostic Radiology | Midwest Radiology Pa | 10000 W Bluemound Rd, Wauwatosa, WI 53226-4321 |
| Michael J Grogan | Diagnostic Radiology | Midwest Radiology Pa | 10000 W Bluemound Rd, Wauwatosa, WI 53226-4321 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bernadette A Demuri | Psychiatry | Associated Mental Health Consultants Inc | 2600 N Mayfair, Suite 305, Wauwatosa, WI 53226-1303 |
| Kristi L Reynolds | Clinical Social Worker | County of Walworth | 2600 N Mayfair Rd, Suite 305, Wauwatosa, WI 53226-1303 |
| Mariellen Fischer | Psychologist, Clinical | Associated Mental Health Consultants Inc | 2600 N Mayfair, Suite 305, Wauwatosa, WI 53226-1303 |
| Sarah J Ford | Clinical Social Worker | Associated Mental Health Consultants Inc | 2600 N Mayfair, Suite 305, Wauwatosa, WI 53226-1303 |
| Nicole E Heinrich | Clinical Social Worker | County of Walworth | 2600 N Mayfair Rd, Suite 305, Wauwatosa, WI 53226-1303 |
| Ilya Melina Ray | Nurse Practitioner | County of Walworth | 2600 N Mayfair Rd, Suite 305, Wauwatosa, WI 53226-1303 |
| Jennifer K Cicero | Clinical Social Worker | Associated Mental Health Consultants Inc | 2600 N Mayfair, Suite 305, Wauwatosa, WI 53226-1303 |
| Barbara J Reinke | Psychologist, Clinical | Associated Mental Health Consultants Inc | 2600 N Mayfair, Suite 305, Wauwatosa, WI 53226-1303 |
| Mark O Pease | Nurse Practitioner | County of Walworth | 2600 N Mayfair Rd, Suite 305, Wauwatosa, WI 53226-1303 |
| Laura C Liguori | Psychologist, Clinical | Associated Mental Health Consultants Inc | 2600 N Mayfair, Suite 305, Wauwatosa, WI 53226-1303 |
| Find all physicians in zip 53226 | |||
| City | WAUWATOSA |
| Zip Code | 53226 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | WAUWATOSA + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Jamie L Fort.
| 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.