Dorothy J Mallory
WILDWOOD FAMILY CLINIC SC


Address: 4901 Cottage Grove Rd, Madison, WI 53716-1392
Phone: 6082211501

Dorothy J Mallory (NPI# 1831139039, PAC ID# 7618979725) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1831139039
PAC ID by PECOS 7618979725
Professional Enrollment ID I20070202000099
Full Name Dorothy J Mallory
Organization Legal Name WILDWOOD FAMILY CLINIC SC
Address 4901 Cottage Grove Rd
Madison
WI 53716-1392
Phone Number 6082211501
Gender F
Credential MD
Medical School MEDICAL COLLEGE OF GEORGIA
Graduation Year 2005
Primary Specialty FAMILY MEDICINE
Secondary Specialties EMERGENCY MEDICINE
Group Practice PAC ID 9537137484
Number of Group Practice Members 16
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
520083 SSM HEALTH ST MARY'S HOSPITAL - MADISON

Other Locations

Address Phone Organization
4901 Cottage Grove Rd, Madison, WI 53716-1392 6082211501 WILDWOOD FAMILY CLINIC SC

Organization Information

Organization Legal Name WILDWOOD FAMILY CLINIC SC
Physicians 20

Physicians with the same organization

Name Specialty Organization Address
Kristina K Nilsson Clinical Social Worker Wildwood Family Clinic Sc 4901 Cottage Grove Rd, Madison, WI 53716-1392
Katie Dunbar Family Medicine Wildwood Family Clinic Sc 4901 Cottage Grove Rd, Madison, WI 53716-1392
Kathleen A Knipfer Physician Assistant Wildwood Family Clinic Sc 4901 Cottage Grove Rd, Madison, WI 53716-1392
Christina D Hook Family Medicine Wildwood Family Clinic Sc 4901 Cottage Grove Rd, Madison, WI 53716-1392
Lynda Siewert Family Medicine Wildwood Family Clinic Sc 4901 Cottage Grove Rd, Madison, WI 53716-1392
Karen Lentfer Family Medicine Wildwood Family Clinic Sc 4901 Cottage Grove Rd, Madison, WI 53716-1392
Bryan J Webster Family Medicine Wildwood Family Clinic Sc 4901 Cottage Grove Rd, Madison, WI 53716-1392
Andrew B Schmitt Family Medicine Wildwood Family Clinic Sc 4901 Cottage Grove Rd, Madison, WI 53716-1392
Susan R Kees Johnson Physician Assistant Wildwood Family Clinic Sc 4901 Cottage Grove Rd, Madison, WI 53716-1392
Sarah E Lowery Family Medicine Wildwood Family Clinic Sc 4901 Cottage Grove Rd, Madison, WI 53716-1392

Office Location

Street Address 4901 COTTAGE GROVE RD
City MADISON
State WI
Zip 53716-1392

Physicians in the same location

Name Specialty Organization Address
Kristina K Nilsson Clinical Social Worker Wildwood Family Clinic Sc 4901 Cottage Grove Rd, Madison, WI 53716-1392
Katie Dunbar Family Medicine Wildwood Family Clinic Sc 4901 Cottage Grove Rd, Madison, WI 53716-1392
Kathleen A Knipfer Physician Assistant Wildwood Family Clinic Sc 4901 Cottage Grove Rd, Madison, WI 53716-1392
Christina D Hook Family Medicine Wildwood Family Clinic Sc 4901 Cottage Grove Rd, Madison, WI 53716-1392
Lynda Siewert Family Medicine Wildwood Family Clinic Sc 4901 Cottage Grove Rd, Madison, WI 53716-1392
Karen Lentfer Family Medicine Wildwood Family Clinic Sc 4901 Cottage Grove Rd, Madison, WI 53716-1392
Bryan J Webster Family Medicine Wildwood Family Clinic Sc 4901 Cottage Grove Rd, Madison, WI 53716-1392
Andrew B Schmitt Family Medicine Wildwood Family Clinic Sc 4901 Cottage Grove Rd, Madison, WI 53716-1392
Susan R Kees Johnson Physician Assistant Wildwood Family Clinic Sc 4901 Cottage Grove Rd, Madison, WI 53716-1392
Sarah E Lowery Family Medicine Wildwood Family Clinic Sc 4901 Cottage Grove Rd, Madison, WI 53716-1392
Find all physicians in the same address

Physicians in the same zip code

Name Specialty Organization Address
Kenneth G Bowers Iii Chiropractic 509 Cottage Grove Rd, Suite A, Madison, WI 53716-1180
Paul Joseph Plesh Chiropractic 4644 Cottage Grove Rd, Madison, WI 53716-1302
Anthony James Sturm Family Medicine Wildwood Family Clinic Sc 4901 Cottage Grove Rd, Madison, WI 53716-1392
Alexandra Ilkevitch Physical Medicine and Rehabilitation Wildwood Family Clinic Sc 4901 Cottage Grove Rd, Madison, WI 53716-1392
Therese E Schroeder Physician Assistant Wildwood Family Clinic Sc 4901 Cottage Grove Rd, Madison, WI 53716-1392
Steven P Siewert Family Medicine Wildwood Family Clinic Sc 4901 Cottage Grove Rd, Madison, WI 53716-1392
Leila R Midelfort Family Medicine Wildwood Family Clinic Sc 4901 Cottage Grove Rd, Madison, WI 53716-1392
Ruth A Berkholtz Clinical Social Worker Wildwood Family Clinic Sc 4901 Cottage Grove Rd, Madison, WI 53716-1392
Patricia E Crinkley Physician Assistant Wildwood Family Clinic Sc 4901 Cottage Grove Rd, Madison, WI 53716-1392
Gaspar Giorgi Family Practice Wildwood Family Clinic Sc 4901 Cottage Grove Rd, Madison, WI 53716-1392
Find all physicians in zip 53716

Competitor

Search similar physicians

City MADISON
Zip Code 53716
Specialty FAMILY MEDICINE
City + Specialty MADISON + FAMILY MEDICINE

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Dataset Information

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.

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