Judson Charles Smith (NPI# 1952717753, PAC ID# 7810210861) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORAL SURGERY.
| Nation Provider ID (NPI) | 1952717753 |
| PAC ID by PECOS | 7810210861 |
| Professional Enrollment ID | I20180809004188 |
| Full Name | Judson Charles Smith |
| Organization Legal Name | MILWAUKEE ORAL SURGERY AND IMPLANTS, LTD |
| Address |
10521 N Port Washington Rd Suite 150 Mequon WI 53092-5561 |
| Phone Number | 2622410398 |
| Gender | M |
| Medical School | MARQUETTE UNIVERSITY SCHOOL OF DENTISTRY |
| Graduation Year | 2014 |
| Primary Specialty | ORAL SURGERY |
| Group Practice PAC ID | 7618946419 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 10521 N Port Washington Rd, Suite 150, Mequon, WI 53092-5561 | 2622410398 | MILWAUKEE ORAL SURGERY AND IMPLANTS, LTD |
| 2323 N Mayfair Rd, Suite 102, Milwaukee, WI 53226-1506 | 4142571161 | MILWAUKEE ORAL SURGERY AND IMPLANTS, LTD |
| Organization Legal Name | MILWAUKEE ORAL SURGERY AND IMPLANTS, LTD |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brock David Radich | Oral Surgery | Milwaukee Oral Surgery and Implants, Ltd | 10521 N Port Washington Rd, Suite 150, Mequon, WI 53092-5561 |
| Philip L Hawkins | Oral Surgery | Milwaukee Oral Surgery and Implants, Ltd | 200 W Silver Spring Dr, Suite 285, Glendale, WI 53217-5058 |
| David J Gingrass | Oral Surgery | Milwaukee Oral Surgery and Implants, Ltd | 2323 N Mayfair Rd, Suite 102, Milwaukee, WI 53226-1506 |
| John W Miller | Oral Surgery | Milwaukee Oral Surgery and Implants, Ltd | 2323 N Mayfair Rd, Suite 102, Milwaukee, WI 53226-1506 |
| John Triggs | Oral Surgery | Milwaukee Oral Surgery and Implants, Ltd | 2323 N Mayfair Rd, Suite 102, Milwaukee, WI 53226-1506 |
| Street Address |
10521 N PORT WASHINGTON RD SUITE 150 |
| City | MEQUON |
| State | WI |
| Zip | 53092-5561 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eric L Strande | Chiropractic | Mequon Chiropractic Office Sc | 10521 N Port Washington Rd, S130, Mequon, WI 53092-5561 |
| Sherri A Augustine | Chiropractic | Mequon Chiropractic Office Sc | 10521 N Port Washington Rd, S130, Mequon, WI 53092-5561 |
| Brock David Radich | Oral Surgery | Milwaukee Oral Surgery and Implants, Ltd | 10521 N Port Washington Rd, Suite 150, Mequon, WI 53092-5561 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bruce C Herman | Internal Medicine | 407 N Main St, Thiensville, WI 53092-1212 | |
| Therese A Jaeckle | Nurse Practitioner | 136 N Main St, Suite 304, Thiensville, WI 53092-1606 | |
| Gary S Lewis | Family Medicine | Independent Physicians of Wisconsin LLC | 136 N Main St, Suite 201, Thiensville, WI 53092-1606 |
| Maria P Fenske | Chiropractic | Prohealth Chiropractic Center Sc | 136 N Main St, Suite 202, Thiensville, WI 53092-1606 |
| James R Shelstad | Chiropractic | Prohealth Chiropractic Center Sc | 136 N Main St, Suite 202, Thiensville, WI 53092-1606 |
| 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 |
| Find all physicians in zip 53092 | |||
| City | MEQUON |
| Zip Code | 53092 |
| Specialty | ORAL SURGERY |
| City + Specialty | MEQUON + ORAL SURGERY |
Please comment or provide details below to improve the information on Judson Charles Smith.
| 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.