Tesalia R Renteria (NPI# 1750762472, PAC ID# 3375840168) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1750762472 |
| PAC ID by PECOS | 3375840168 |
| Professional Enrollment ID | I20180808001091 |
| Full Name | Tesalia R Renteria |
| Organization Legal Name | AURORA MEDICAL GROUP INC |
| Address |
818 Forest Ln Waterford WI 53185-4585 |
| Phone Number | 2625143700 |
| Gender | F |
| Graduation Year | 2015 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 6709794258 |
| Number of Group Practice Members | 2463 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 520059 | AURORA MEMORIAL HOSPITAL BURLINGTON |
| Address | Phone | Organization |
|---|---|---|
| 818 Forest Ln, Waterford, WI 53185-4585 | 2625143700 | AURORA MEDICAL GROUP INC |
| Organization Legal Name | AURORA MEDICAL GROUP INC |
| Physicians | 2268 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brianna A Smith | Psychologist, Clinical | Aurora Medical Group Inc | 2424 S 90th St, West Allis, WI 53227-2455 |
| Ryan F Brower | Family Medicine | Aurora Medical Group Inc | 201 Townline Rd, Lake Geneva, WI 53147-4612 |
| Jeffrey T Lyvers | Anesthesiology | Aurora Medical Group Inc | 2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 |
| Vanja Z Rissky | Nurse Practitioner | Aurora Medical Group Inc | 2801 W Kinnickinnic River Pkwy, Milwaukee, WI 53215-3669 |
| Kelly J Herbst-frailing | Physical Therapy | Aurora Medical Group Inc | 9000 W Sura Ln, Greenfield, WI 53228-3477 |
| Chinwe D Opara | Nurse Practitioner | Aurora Medical Group Inc | 3023 S 84th St, West Allis, WI 53227-3703 |
| Courtney F Klatt | Nurse Practitioner | Aurora Medical Group Inc | 1902 Mead Ave, Sheboygan, WI 53081-6140 |
| Nandita Batchra | Otolaryngology | Aurora Medical Group Inc | 8400 Washington Ave, Mount Pleasant, WI 53406-3735 |
| Phenu V Zachariah | Endocrinology | Aurora Medical Group Inc | 1151 Warwick Way, Racine, WI 53406-5661 |
| Adam M Stoll | Clinical Social Worker | Aurora Medical Group Inc | 12225 71st St, Kenosha, WI 53142-7320 |
| Street Address |
818 FOREST LN |
| City | WATERFORD |
| State | WI |
| Zip | 53185-4585 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimberley G Van Buren | Nurse Practitioner | Aurora Medical Group Inc | 818 Forest Ln, Waterford, WI 53185-4585 |
| Beth A Weidman | Nurse Practitioner | Aurora Medical Group Inc | 818 Forest Ln, Waterford, WI 53185-4585 |
| Karen A Breit | Nurse Practitioner | Aurora Medical Group Inc | 818 Forest Ln, Waterford, WI 53185-4585 |
| Anwar R Isabell | Family Medicine | Aurora Medical Group Inc | 818 Forest Ln, Waterford, WI 53185-4585 |
| Daniel A Allison | Family Medicine | Aurora Medical Group Inc | 818 Forest Ln, Waterford, WI 53185-4585 |
| Dawn M Garthee | Nurse Practitioner | Aurora Medical Group Inc | 818 Forest Ln, Waterford, WI 53185-4585 |
| Brett D Goettsch | Family Practice | Aurora Medical Group Inc | 818 Forest Ln, Waterford, WI 53185-4585 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Holly Reich | Nurse Practitioner | Cary J Kohlenberg Md Sc | 8208 Racine Ave, Wind Lake, WI 53185-1440 |
| Jenny R Geiger Putra | Chiropractic | 301 E Main St, Waterford, WI 53185-4305 | |
| Gregg E Nielsen | Chiropractic | 505 Aber Dr, Waterford, WI 53185-4401 | |
| Matthew Ferlindes | Physical Therapy | Sports Physical Therapy and Rehab Specialist Sc | 315 N Milwaukee St, Waterford, WI 53185-4432 |
| Kyle F Sampson | Physical Therapy | Sports Physical Therapy and Rehab Specialist Sc | 315 N Milwaukee St, Waterford, WI 53185-4432 |
| Andrea L Parisi | Optometry | 401 N Milwaukee St, Suite 3, Waterford, WI 53185-4493 | |
| Cynthia D Sorenson | Psychologist, Clinical | 1701 Sharp Rd, Waterford, WI 53185-5214 | |
| Mustansir Majeed | Family Medicine | 1701 Sharp Rd, Waterford, WI 53185-5214 | |
| Jamie L Roberts | Clinical Psychologist | Lakeview Care Partners Inc | 1701 Sharp Rd, Waterford, WI 53185-5214 |
| City | WATERFORD |
| Zip Code | 53185 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | WATERFORD + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Tesalia R Renteria.
| 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.