John J Pickeral Iii (NPI# 1457384430, PAC ID# 9436110467) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PATHOLOGY.
| Nation Provider ID (NPI) | 1457384430 |
| PAC ID by PECOS | 9436110467 |
| Professional Enrollment ID | I20041022000984 |
| Full Name | John J Pickeral Iii |
| Organization Legal Name | GREAT LAKES PATHOLOGISTS SC |
| Address |
36500 Aurora Dr Summit WI 53066-4899 |
| Phone Number | 2624345000 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE |
| Graduation Year | 1993 |
| Primary Specialty | PATHOLOGY |
| Group Practice PAC ID | 7315850682 |
| Number of Group Practice Members | 53 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 520059 | AURORA MEMORIAL HOSPITAL BURLINGTON |
| 520138 | AURORA ST LUKES MEDICAL CENTER |
| 520139 | WEST ALLIS MEMORIAL HOSPITAL |
| 520193 | AURORA BAYCARE MEDICAL CENTER |
| 520008 | WAUKESHA MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 252 Mchenry St, Burlington, WI 53105-1828 | 2627676125 | GREAT LAKES PATHOLOGISTS SC |
| 2629 N 7th St, Aurora Sheboygan Memorial Medical C, Sheboygan, WI 53083-4932 | 9204515699 | GREAT LAKES PATHOLOGISTS SC |
| 36500 Aurora Dr, Summit, WI 53066-4899 | 2624345000 | GREAT LAKES PATHOLOGISTS SC |
| 8901 W Lincoln Ave, West Allis Memorial Hospital, West Allis, WI 53227-2409 | 4143287950 | GREAT LAKES PATHOLOGISTS SC |
| Organization Legal Name | GREAT LAKES PATHOLOGISTS SC |
| Physicians | 55 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shanon R Lacy | Pathology | Great Lakes Pathologists Sc | 2629 N 7th St, Aurora Sheboygan Memorial Medical C, Sheboygan, WI 53083-4932 |
| Ross A Worthington | Pathology | Great Lakes Pathologists Sc | 975 Port Washington Rd, Aurora Medical Center Grafton, Grafton, WI 53024-9201 |
| Matthew L Snyder | Pathology | Great Lakes Pathologists Sc | 975 Port Washington Rd, Aurora Medical Center Grafton, Grafton, WI 53024-9201 |
| Amanda L Wilson | Pathology | Great Lakes Pathologists Sc | 2629 N 7th St, Aurora Sheboygan Memorial Medical C, Sheboygan, WI 53083-4932 |
| Elizabeth Mae Fowler | Pathology | Great Lakes Pathologists Sc | 8901 W Lincoln Ave, West Allis Memorial Hospital, West Allis, WI 53227-2409 |
| Amanda L Meindl | Pathology | Great Lakes Pathologists Sc | 8901 W Lincoln Ave, West Allis Memorial Hospital, West Allis, WI 53227-2409 |
| Margaret M Anderson | Pathology | Great Lakes Pathologists Sc | 975 Port Washington Rd, Aurora Medical Center Grafton, Grafton, WI 53024-9201 |
| Sherri J Mann | Pathology | Great Lakes Pathologists Sc | 8901 W Lincoln Ave, West Allis Memorial Hospital, West Allis, WI 53227-2409 |
| Karin L Gerdisch | Pathology | Great Lakes Pathologists Sc | 8901 W Lincoln Ave, West Allis Memorial Hospital, West Allis, WI 53227-2409 |
| Virginia L Wallace | Pathology | Great Lakes Pathologists Sc | 1032 E Sumner St, Aurora Medical Center Hartford, Hartford, WI 53027-1608 |
| Street Address |
36500 AURORA DR |
| City | SUMMIT |
| State | WI |
| Zip | 53066-4899 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kevin L Eggleston | Hospitalist | Aurora Medical Group Inc | 36500 Aurora Dr, Summit, WI 53066-4899 |
| Rebecca M Striet | Undersea and Hyperbaric Medicine | Aurora Medical Group Inc | 36500 Aurora Dr, Summit, WI 53066-4899 |
| Shreema M Sawlani | Anesthesiology | Aurora Medical Group Inc | 36500 Aurora Dr, Summit, WI 53066-4899 |
| Jena Cruciani | Nurse Practitioner | Aurora Medical Group Inc | 36500 Aurora Dr, Summit, WI 53066-4899 |
| Jeanne M Valicenti | Dermatology | Aurora Medical Group Inc | 36500 Aurora Dr, Summit, WI 53066-4899 |
| Elisabeth C Biggs | Physician Assistant | Aurora Medical Group Inc | 36500 Aurora Dr, Summit, WI 53066-4899 |
| Amy R Ford | Physical Medicine and Rehabilitation | Aurora Medical Group Inc | 36500 Aurora Dr, Summit, WI 53066-4899 |
| Ellen L Ziaja | Radiation Oncology | Radiation Oncology Associates Ltd | 36500 Aurora Dr, Summit, WI 53066-4899 |
| Jeffrey A Smith | Emergency Medicine | Aurora Medical Group Inc | 36500 Aurora Dr, Summit, WI 53066-4899 |
| Sean M Moe | Physician Assistant | Aurora Medical Group Inc | 36500 Aurora Dr, Summit, WI 53066-4899 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lara R Kalush | Nurse Practitioner | Prohealth Care Medical Associates Inc | 1185 Corporate Dr, Suite 350, Oconomowoc, WI 53066 |
| Donna M Voigt | Nurse Practitioner | Prohealth Care Medical Associates Inc | 1185 Corporate Dr, Suite 350, Oconomowoc, WI 53066 |
| Anne K Wick | Nurse Practitioner | Prohealth Care Medical Associates Inc | 1185 Corporate Dr, Suite 350, Oconomowoc, WI 53066 |
| David D Schlomer | Internal Medicine | Prohealth Care Medical Associates Inc | 1185 Corporate Dr, Suite 350, Oconomowoc, WI 53066 |
| Bobbiejo Paul | Nurse Practitioner | Prohealth Care Medical Associates Inc | 1185 Corporate Dr, Suite 350, Oconomowoc, WI 53066 |
| Bradley Steven Schuster | Optometry | Oconomowoc Vision Clinic, LLC | 1674 Old School House Rd, Suite 101, Oconomowoc, WI 53066-1399 |
| David M Bjork | Optometry | Oconomowoc Vision Clinic, LLC | 1674 Old School House Rd, Suite 101, Oconomowoc, WI 53066-1399 |
| Nathan James Omick | Chiropractic | Michael R Traub D.c. Ltd | N58 W39799 Hwy 16, Oconomowoc, WI 53066-2185 |
| Michael Ray Traub | Chiropractic | Michael R Traub D.c. Ltd | N58 W39799 Hwy 16, Oconomowoc, WI 53066-2185 |
| Karen Ihry Gould | Chiropractic | Michael R Traub D.c. Ltd | N58 W39799 Hwy 16, Oconomowoc, WI 53066-2185 |
| Find all physicians in zip 53066 | |||
| City | SUMMIT |
| Zip Code | 53066 |
| Specialty | PATHOLOGY |
| City + Specialty | SUMMIT + PATHOLOGY |
Please comment or provide details below to improve the information on John J Pickeral Iii.
| 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.