Tia C Medley (NPI# 1609182161, PAC ID# 5395927552) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1609182161 |
| PAC ID by PECOS | 5395927552 |
| Professional Enrollment ID | I20110309000172 |
| Full Name | Tia C Medley |
| Organization Legal Name | CHILDREN'S MEDICAL GROUP INC |
| Address |
1350 W N Ave Milwaukee WI 53205-1257 |
| Phone Number | 4149339100 |
| Gender | F |
| Graduation Year | 2010 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 4981509742 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1350 W N Ave, Milwaukee, WI 53205-1257 | 4149339100 | CHILDREN'S MEDICAL GROUP INC |
| 1350 W N Ave, Northside Ymca, Milwaukee, WI 53205-1257 | 4149339100 | CHILDREN'S MEDICAL GROUP INC |
| Organization Legal Name | CHILDREN'S MEDICAL GROUP INC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| W Craig Leach | Pediatric Medicine | Children's Medical Group Inc | 11035 W Forest Home Ave, Hales Corners, WI 53130-2541 |
| Monica E Zore | Nurse Practitioner | Children's Medical Group Inc | 1350 W N Ave, Northside Ymca, Milwaukee, WI 53205-1257 |
| Street Address |
1350 W N AVE |
| City | MILWAUKEE |
| State | WI |
| Zip | 53205-1257 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Monica E Zore | Nurse Practitioner | Children's Medical Group Inc | 1350 W N Ave, Northside Ymca, Milwaukee, WI 53205-1257 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Benigno R Elejalde | General Practice | 1626 W Fond Du Lac Ave, Milwaukee, WI 53205-1228 | |
| Susan Joyce Totzke | Certified Nurse Midwife | Luma Healthcare, Inc | 1626 W Fond Du Lac Ave, Milwaukee, WI 53205-1228 |
| Kristie L. Brooke | Nurse Practitioner | University of Wisconsin System Non Payroll | 1702 W Walnut St, Milwaukee, WI 53205-1616 |
| Jyothi Veeramachaneni | Family Medicine | Progressive Community Health Centers Inc | 1452 N 7th St, Fl 2, Milwaukee, WI 53205-2301 |
| Madelaine T Tully | Family Medicine | Progressive Community Health Centers Inc | 1452 N 7th St, Fl 2, Milwaukee, WI 53205-2301 |
| Lisa Hudson | Nurse Practitioner | Progressive Community Health Centers Inc | 1452 N 7th St, Fl 2, Milwaukee, WI 53205-2301 |
| Laleh Karimi | Obstetrics/gynecology | Progressive Community Health Centers Inc | 1452 N 7th St, Fl 2, Milwaukee, WI 53205-2301 |
| Allison M Kos | Family Medicine | Progressive Community Health Centers Inc | 1452 N 7th St, Fl 2, Milwaukee, WI 53205-2301 |
| Tamyra N Trice | Physician Assistant | Progressive Community Health Centers Inc | 1452 N 7th St, Fl 2, Milwaukee, WI 53205-2301 |
| Christine A Brzakala | Nurse Practitioner | Progressive Community Health Centers Inc | 1452 N 7th St, Fl 2, Milwaukee, WI 53205-2301 |
| Find all physicians in zip 53205 | |||
| City | MILWAUKEE |
| Zip Code | 53205 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | MILWAUKEE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Tia C Medley.
| 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.