Gary S Lewis (NPI# 1194762765, PAC ID# 6608828157) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1194762765 |
| PAC ID by PECOS | 6608828157 |
| Professional Enrollment ID | I20050214000308 |
| Full Name | Gary S Lewis |
| Organization Legal Name | INDEPENDENT PHYSICIANS OF WISCONSIN LLC |
| Address |
136 N Main St Suite 201 Thiensville WI 53092-1606 |
| Phone Number | 2622423369 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1982 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 3274842034 |
| Number of Group Practice Members | 22 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 520027 | COLUMBIA ST MARYS HOSPITAL OZAUKEE |
| 520136 | WHEATON FRANCISCAN ST JOSEPH |
| Address | Phone | Organization |
|---|---|---|
| 13111 N Port Washington Rd, Mequon, WI 53097-2416 | 2622437300 | INDEPENDENT PHYSICIANS OF WISCONSIN LLC |
| 5434 W Capitol Dr, Suite 3, Milwaukee, WI 53216-2298 | 4142171229 | INDEPENDENT PHYSICIANS OF WISCONSIN LLC |
| 136 N Main St, Suite 201, Thiensville, WI 53092-1606 | 2622423369 | INDEPENDENT PHYSICIANS OF WISCONSIN LLC |
| Organization Legal Name | INDEPENDENT PHYSICIANS OF WISCONSIN LLC |
| Physicians | 22 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vicki Milroy | Nurse Practitioner | Independent Physicians of Wisconsin LLC | 501 Superior Ave, Sheboygan, WI 53081-2855 |
| Maqbool Arshad | Pulmonary Disease | Independent Physicians of Wisconsin LLC | 5800 W Burleigh St, Milwaukee, WI 53210-1516 |
| Kirsten L Oquinn | Family Medicine | Independent Physicians of Wisconsin LLC | W178n9912 Rivercrest Dr, Suite 105, Germantown, WI 53022-4662 |
| Brian R Wolter | Family Medicine | Independent Physicians of Wisconsin LLC | 140 E Water St, Suite 1, West Bend, WI 53095-3415 |
| Chad F Tamez | Family Medicine | Independent Physicians of Wisconsin LLC | W178n9201 Water Tower Pl, Suite 200, Menomonee Falls, WI 53051-8029 |
| Nikki J Allen | Family Medicine | Independent Physicians of Wisconsin LLC | 4580 S Nicholson Ave, Cudahy, WI 53110-1360 |
| Miodrag M Popovich | Diagnostic Radiology | Independent Physicians of Wisconsin LLC | 2501 W Silver Spring Dr, Glendale, WI 53209-4217 |
| Mohammad Q Khan | Internal Medicine | Independent Physicians of Wisconsin LLC | 5434 W Capitol Dr, Suite 3, Milwaukee, WI 53216-2298 |
| Malik S Ali | Internal Medicine | Independent Physicians of Wisconsin LLC | 5434 W Capitol Dr, Suite 3, Milwaukee, WI 53216-2298 |
| Pamela D Powell | Nurse Practitioner | Independent Physicians of Wisconsin LLC | 5434 W Capitol Dr, Suite 3, Milwaukee, WI 53216-2298 |
| Street Address |
136 N MAIN ST SUITE 201 |
| City | THIENSVILLE |
| State | WI |
| Zip | 53092-1606 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Therese A Jaeckle | Nurse Practitioner | 136 N Main St, Suite 304, Thiensville, WI 53092-1606 | |
| Maria P Fenske | Chiropractic | Prohealth Chiropractic Center Sc | 136 N Main St, Suite 202, Thiensville, WI 53092-1606 |
| Alvin R Schwerdtfager | Chiropractic | 136 N Main St, Lindsborg, KS 67456-2227 | |
| James R Shelstad | Chiropractic | Prohealth Chiropractic Center Sc | 136 N Main St, Suite 202, Thiensville, WI 53092-1606 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bruce C Herman | Internal Medicine | 407 N Main St, Thiensville, WI 53092-1212 | |
| Sarah J Krueger | Psychologist, Clinical | 216 N Green Bay Ave, Suite 108, Thiensville, WI 53092-1625 | |
| Sharon K Thurow | Nurse Practitioner | 216 Green Bay Rd, Suite 101, Thiensville, WI 53092-1625 | |
| Lynn M Fitzsimmons | Psychologist, Clinical | 216 Green Bay Rd, Suite 108, Thiensville, WI 53092-1625 | |
| David B Tick | Internal Medicine | 216 Green Bay Rd, Thiensville, WI 53092-1658 | |
| Krista M Dyreson | Family Medicine | Aurora Advanced Healthcare Inc | 6425 W Mequon Rd, Mequon, WI 53092-1855 |
| John J Yang | Family Medicine | Aurora Advanced Healthcare Inc | 6425 W Mequon Rd, Mequon, WI 53092-1855 |
| Andrea R Enters | Nurse Practitioner | Aurora Advanced Healthcare Inc | 6425 W Mequon Rd, Mequon, WI 53092-1855 |
| Britani R Weidman | Nurse Practitioner | Aurora Advanced Healthcare Inc | 6425 W Mequon Rd, Mequon, WI 53092-1855 |
| Anne L Mattson | Family Medicine | Aurora Advanced Healthcare Inc | 6425 W Mequon Rd, Mequon, WI 53092-1855 |
| Find all physicians in zip 53092 | |||
| City | THIENSVILLE |
| Zip Code | 53092 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | THIENSVILLE + 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.