Thomas Jack Mankiewicz (NPI# 1730186511, PAC ID# 9133123920) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1730186511 |
| PAC ID by PECOS | 9133123920 |
| Professional Enrollment ID | I20061107000199 |
| Full Name | Thomas Jack Mankiewicz |
| Organization Legal Name | WHEATON FRANCISCAN MEDICAL GROUP, INC. |
| Address |
3610 Michelle Witmer Memorial Dr New Berlin WI 53151-5292 |
| Phone Number | 2627851366 |
| Gender | M |
| Credential | MD |
| Medical School | MEDICAL COLLEGE OF WISCONSIN |
| Graduation Year | 1978 |
| Primary Specialty | FAMILY PRACTICE |
| Group Practice PAC ID | 8628980943 |
| Number of Group Practice Members | 551 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 520136 | WHEATON FRANCISCAN ST JOSEPH |
| 520008 | WAUKESHA MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 3610 Michelle Witmer Memorial Dr, New Berlin, WI 53151-5292 | 2627851366 | WHEATON FRANCISCAN MEDICAL GROUP, INC. |
| Organization Legal Name | WHEATON FRANCISCAN MEDICAL GROUP, INC. |
| Physicians | 39 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rose Mary Dodd | Nurse Practitioner | Wheaton Franciscan Medical Group, Inc. | 2025 W Oklahoma Ave Su, Suite 102, Milwaukee, WI 53215-4455 |
| Daniel R Robillard | Physician Assistant | Wheaton Franciscan Medical Group, Inc. | 3238 S 16th St, Milwaukee, WI 53215-4535 |
| John S Blackwood | General Surgery | Wheaton Franciscan Medical Group, Inc. | 17000 W N Ave Su, 104w, Brookfield, WI 53005 |
| Janice M Gaeth | Audiologist | Wheaton Franciscan Medical Group, Inc. | 3801 Spring St, Racine, WI 53405-1667 |
| Anne E Stoltenberg | Nurse Practitioner | Wheaton Franciscan Medical Group, Inc. | 3821 Spring St, Racine, WI 53405-1667 |
| Trupti Akella | Hospitalist | Wheaton Franciscan Medical Group, Inc. | 3237 S 16th St, Milwaukee, WI 53215-4526 |
| James Won | Neurology | Wheaton Franciscan Medical Group, Inc. | 3805 B Spring St, Suite 320, Racine, WI 53405-1644 |
| Harry J Lewis | Clinical Social Worker | Wheaton Franciscan Medical Group, Inc. | 5000 W Chambers St, Milwaukee, WI 53210-1650 |
| Josie M Rukamp | Nurse Practitioner | Wheaton Franciscan Medical Group, Inc. | 17000 W N Ave Su, 104w, Brookfield, WI 53005 |
| Corey P Carr | Psychiatry | Wheaton Franciscan Medical Group, Inc. | 13950 W Capitol Dr, Brookfield, WI 53005-2441 |
| Street Address |
3610 MICHELLE WITMER MEMORIAL DR |
| City | NEW BERLIN |
| State | WI |
| Zip | 53151-5292 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Neal James Campbell Ii | Family Medicine | Ascension Medical Group Southeast Wisconsin Inc | 3610 Michelle Witmer Memorial Dr, New Berlin, WI 53151-5292 |
| Jacqueline J Bergner | Nurse Practitioner | Ascension Medical Group Southeast Wisconsin Inc | 3610 Michelle Witmer Memorial Dr, New Berlin, WI 53151-5292 |
| Leif E Esbensen | Family Medicine | Ascension Medical Group Southeast Wisconsin Inc | 3610 Michelle Witmer Memorial Dr, New Berlin, WI 53151-5292 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeffry R Dauk | Chiropractic | 16873 W Greenfield Ave, New Berlin, WI 53151-1362 | |
| Evan L Norum | Chiropractic | 17047 W Greenfield Ave, New Berlin, WI 53151-1364 | |
| Jason M Schilder | Chiropractic | 16645 W Greenfield Ave, Suite D, New Berlin, WI 53151-1424 | |
| Emily Johanna Johnson | Chiropractic | 16645 W Greenfield Ave, Suite D, New Berlin, WI 53151-1546 | |
| Larisa Hutchins | Psychologist, Clinical | Wellqor Psychological Services of Wisconsin, S.c. | 2898 S Moorland Rd, New Berlin, WI 53151-3744 |
| Nicole M Jonas | Optometry | Jeffrey L Morer Od PC | 13755 W Fieldpoint Dr, New Berlin, WI 53151-3979 |
| Scott A Simkowski | Chiropractic | 12414 W National Ave, New Berlin, WI 53151-4054 | |
| Ryan E Nutter | Physician Assistant | Aspen Orthopedic and Rehabilation Specalist | 12555 W National Ave, Suite 100, New Berlin, WI 53151-4061 |
| Steve I Chang | Internal Medicine | 12555 W National Ave, Suite 200, New Berlin, WI 53151-4061 | |
| Roger V Torres | Internal Medicine | 12555 W National Ave, Suite 201, New Berlin, WI 53151-4061 | |
| Find all physicians in zip 53151 | |||
| City | NEW BERLIN |
| Zip Code | 53151 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | NEW BERLIN + FAMILY PRACTICE |
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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.