John A Jerisha (NPI# 1053389288, PAC ID# 5991602369) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1053389288 |
| PAC ID by PECOS | 5991602369 |
| Professional Enrollment ID | I20031215000386 |
| Full Name | John A Jerisha |
| Organization Legal Name | FORT HEALTHCARE INC |
| Address |
512 Wilcox St Fort Atkinson WI 53538-1254 |
| Phone Number | 9205637366 |
| Gender | M |
| Credential | MD |
| Medical School | NORTHWESTERN UNIVERSITY MEDICAL SCHOOL |
| Graduation Year | 1976 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 0840189718 |
| Number of Group Practice Members | 107 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 520089 | MERITER HOSPITAL |
| 520071 | FORT MEMORIAL HOSPITAL |
| 520109 | MILE BLUFF MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2418 Brewery Rd, Cross Plains, WI 53528-9470 | 6087983344 | UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC |
| 815 S Main St, De Forest, WI 53532-1480 | 6088464787 | GROUP HEALTH COOPERATIVE OF SOUTH CENTRAL WISCONSIN |
| 3051 Cahill Main, Fitchburg, WI 53711-7109 | 6086617200 | GROUP HEALTH COOPERATIVE OF SOUTH CENTRAL WISCONSIN |
| 3051 Cahill Main, Fitchburg, WI 53711-7109 | UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC | |
| 5543 E Cheryl Pkwy, Fitchburg, WI 53711-5376 | 6082745300 | UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC |
| 512 Wilcox St, Fort Atkinson, WI 53538-1254 | 9205637366 | FORT HEALTHCARE INC |
| 512 Wilcox St Su, Suite 1, Fort Atkinson, WI 53538-1254 | 9205637366 | FORT HEALTHCARE INC |
| 601 Handeyside Ln, Fort Atkinson, WI 53538-1273 | 9205635544 | UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC |
| 611 E Sherman Ave, Fort Atkinson, WI 53538-1960 | 9205685000 | FORT HEALTHCARE INC |
| 611 Sherman Ave E, Fort Atkinson, WI 53538-1960 | 9205685470 | FORT HEALTHCARE INC |
| 1 S Park St, Madison, WI 53715-1375 | 6082872000 | UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC |
| 1102 S Park, Floors 2 and 4, Madison, WI 53715-1714 | 6082875899 | UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC |
| 1102 S Park St, Madison, WI 53715-1714 | 6082872770 | UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC |
| 1705 Hoffman St, Madison, WI 53704-2510 | 6084413501 | GROUP HEALTH COOPERATIVE OF SOUTH CENTRAL WISCONSIN |
| 20 S Park St, Madison, WI 53715-1348 | 6082872076 | UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC |
| 202 S Park St, Madison, WI 53715-1507 | 6082872050 | UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC |
| 2402 Winnebago St, Madison, WI 53704-5341 | UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC | |
| 3209 Dryden Dr, Madison, WI 53704-3015 | UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC | |
| 5249 E Terrace Dr, Madison, WI 53718-8339 | 6082229777 | GROUP HEALTH COOPERATIVE OF SOUTH CENTRAL WISCONSIN |
| 5618 Odana Rd, Madison, WI 53719-1208 | 6082741100 | UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC |
| 600 Highland Ave, Madison, WI 53792-0001 | 6082636400 | UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC |
| 675 W Washington Ave, Madison, WI 53703-2637 | 6082579700 | GROUP HEALTH COOPERATIVE OF SOUTH CENTRAL WISCONSIN |
| 7102 Mineral Point Rd, Madison, WI 53717-1706 | 6088287603 | UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC |
| 8202 Excelsior Dr, Madison, WI 53717-1906 | 6088311766 | GROUP HEALTH COOPERATIVE OF SOUTH CENTRAL WISCONSIN |
| 1040 Division St, Mauston, WI 53948-1931 | 6088477355 | UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC |
| 1050 Division St, Mauston, WI 53948-1931 | 6088476161 | UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC |
| 1050 E Broadway, Monona, WI 53716-4023 | 6082228779 | UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC |
| 600 N 8th St, Mount Horeb, WI 53572-1870 | UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC | |
| 137 S Main St, Oregon, WI 53575-1534 | 6088355588 | UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC |
| 333 E 2nd St, Richland Center, WI 53581-1914 | 6086476321 | RICHLAND HOSPITAL |
| 1001 Nygaard St, Stoughton, WI 53589-5495 | 6088772660 | UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC |
| 2651 Windsor St, Sun Prairie, WI 53590-9825 | 6088372206 | UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC |
| 100 N Nine Mound Rd, Verona, WI 53593-1032 | UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC | |
| 4131 Meridian Dr, Windsor, WI 53598-9699 | 6088463741 | UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC |
| Organization Legal Name | FORT HEALTHCARE INC |
| Physicians | 105 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Aaron J. Beck | Family Medicine | Fort Healthcare Inc | 1504 Madison Ave, Fort Atkinson, WI 53538-3100 |
| Megan E Albertson | Diagnostic Radiology | Fort Healthcare Inc | 611 E Sherman Ave, Fort Atkinson, WI 53538-1960 |
| Fawn L Bingham | Nurse Practitioner | Fort Healthcare Inc | 1461 W Main St, Whitewater, WI 53190-1568 |
| Rachel F Lee | Nurse Practitioner | Fort Healthcare Inc | 840 W Racine St, Jefferson, WI 53549-1053 |
| Elizabeth H Lynk | Obstetrics/gynecology | Fort Healthcare Inc | 650 Mcmillen St, Fort Atkinson, WI 53538-1275 |
| Kristin M Schultz | Nurse Practitioner | Fort Healthcare Inc | 200 E Tyranena Park Rd, Lake Mills, WI 53551-9678 |
| Brent Paul Yaeggi | Podiatry | Fort Healthcare Inc | 400 Doctors Ct, Johnson Creek, WI 53038-9567 |
| Cheryl J Roets | Psychologist, Clinical | Fort Healthcare Inc | 1520 Madison Ave, Fort Atkinson, WI 53538-3100 |
| Donald L Williams | Pediatric Medicine | Fort Healthcare Inc | 500 Mcmillen St, Fort Atkinson, WI 53538-1233 |
| Tyler Marshall Prout | Diagnostic Radiology | Fort Healthcare Inc | 512 Wilcox St, Fort Atkinson, WI 53538-1254 |
| Street Address |
512 WILCOX ST |
| City | FORT ATKINSON |
| State | WI |
| Zip | 53538-1254 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| 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 |
| 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 |
| Lynn S Broderick | Diagnostic Radiology | Fort Healthcare Inc | 512 Wilcox St, Fort Atkinson, WI 53538-1254 |
| Sandhya V Shah | Internal Medicine | Fort Healthcare Inc | 512 Wilcox St, Fort Atkinson, WI 53538-1254 |
| Robert J Glinert | Dermatology | Fort Healthcare Inc | 512 Wilcox St, Fort Atkinson, WI 53538-1254 |
| Brian K Markhardt | Diagnostic Radiology | Fort Healthcare Inc | 512 Wilcox St, Fort Atkinson, WI 53538-1254 |
| Cheryl A Kinney | Qualified Audiologist | Fort Healthcare Inc | 512 Wilcox St, Fort Atkinson, WI 53538-1254 |
| Find all physicians in the same address | |||
| 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 |
| Susan K Ipsen | Nurse Practitioner | Fort Healthcare Inc | 512 Wilcox St, Fort Atkinson, WI 53538-1254 |
| Samuel S Charles | Diagnostic Radiology | Fort Healthcare Inc | 512 Wilcox St, Fort Atkinson, WI 53538-1254 |
| Christine A Chuppa | Obstetrics/gynecology | Fort Healthcare Inc | 512 Wilcox St, Fort Atkinson, WI 53538-1254 |
| Emily H Lewis | Diagnostic Radiology | Fort Healthcare Inc | 512 Wilcox St, Fort Atkinson, WI 53538-1254 |
| Elizabeth L Teigen | Diagnostic Radiology | Fort Healthcare Inc | 512 Wilcox St, Fort Atkinson, WI 53538-1254 |
| Robert K Bour | 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 |
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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.