Allen R Last (NPI# 1205887049, PAC ID# 9638069693) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1205887049 |
| PAC ID by PECOS | 9638069693 |
| Professional Enrollment ID | I20050729000711 |
| Full Name | Allen R Last |
| Organization Legal Name | MOSAIC FAMILY HEALTH INC |
| Address |
229 S Morrison St Appleton WI 54911-5725 |
| Phone Number | 9208322783 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF WISCONSIN MEDICAL SCHOOL |
| Graduation Year | 2000 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 4082925243 |
| Number of Group Practice Members | 15 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 520045 | THEDA CLARK MEDICAL CENTER |
| 520160 | THEDACARE REGIONAL MEDICAL CENTER - APPLETON INC |
| 520009 | ST ELIZABETH HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 229 S Morrison St, Appleton, WI 54911-5725 | 9208322783 | MOSAIC FAMILY HEALTH INC |
| Organization Legal Name | MOSAIC FAMILY HEALTH INC |
| Physicians | 13 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alice M Boshoven | Family Medicine | Mosaic Family Health Inc | 229 S Morrison St, Appleton, WI 54911-5725 |
| John W Beasley | Family Medicine | Mosaic Family Health Inc | 229 S Morrison St, Appleton, WI 54911-5725 |
| Paul H Russo | Family Medicine | Mosaic Family Health Inc | 229 S Morrison St, Appleton, WI 54911-5725 |
| Konstantin A Mikheyev | Family Medicine | Mosaic Family Health Inc | 229 S Morrison St, Appleton, WI 54911-5725 |
| Paul D Smith | Family Medicine | Mosaic Family Health Inc | 229 S Morrison St, Appleton, WI 54911-5725 |
| Deborah L Schultz | Family Medicine | Mosaic Family Health Inc | 229 S Morrison St, Appleton, WI 54911-5725 |
| Suzanne L Dupont | Nurse Practitioner | Mosaic Family Health Inc | 229 S Morrison St, Appleton, WI 54911-5725 |
| Lee M Vogel | Family Medicine | Mosaic Family Health Inc | 229 S Morrison St, Appleton, WI 54911-5725 |
| Megan M Everson | Family Medicine | Mosaic Family Health Inc | 229 S Morrison St, Appleton, WI 54911-5725 |
| Kathryn M Jacobe | Family Medicine | Mosaic Family Health Inc | 229 S Morrison St, Appleton, WI 54911-5725 |
| Street Address |
229 S MORRISON ST |
| City | APPLETON |
| State | WI |
| Zip | 54911-5725 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alice M Boshoven | Family Medicine | Mosaic Family Health Inc | 229 S Morrison St, Appleton, WI 54911-5725 |
| John W Beasley | Family Medicine | Mosaic Family Health Inc | 229 S Morrison St, Appleton, WI 54911-5725 |
| Paul H Russo | Family Medicine | Mosaic Family Health Inc | 229 S Morrison St, Appleton, WI 54911-5725 |
| Konstantin A Mikheyev | Family Medicine | Mosaic Family Health Inc | 229 S Morrison St, Appleton, WI 54911-5725 |
| Paul D Smith | Family Medicine | Mosaic Family Health Inc | 229 S Morrison St, Appleton, WI 54911-5725 |
| Deborah L Schultz | Family Medicine | Mosaic Family Health Inc | 229 S Morrison St, Appleton, WI 54911-5725 |
| Suzanne L Dupont | Nurse Practitioner | Mosaic Family Health Inc | 229 S Morrison St, Appleton, WI 54911-5725 |
| Lee M Vogel | Family Medicine | Mosaic Family Health Inc | 229 S Morrison St, Appleton, WI 54911-5725 |
| Megan M Everson | Family Medicine | Mosaic Family Health Inc | 229 S Morrison St, Appleton, WI 54911-5725 |
| Kathryn M Jacobe | Family Medicine | Mosaic Family Health Inc | 229 S Morrison St, Appleton, WI 54911-5725 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cynthia F Susedik | Emergency Medicine | Ascension Medical Group-fox Valley Wisconsin, Inc | 3329 N Richard St, Appleton, WI 54911-1063 |
| Kenneth A Geller | Cardiovascular Disease (cardiology) | Ascension Medical Group-fox Valley Wisconsin, Inc | 3329 N Richmond St, Appleton, WI 54911-1063 |
| Christopher W Wagener | Obstetrics/gynecology | Ascension Medical Group-fox Valley Wisconsin, Inc | 3329 N Richard St, Appleton, WI 54911-1063 |
| Lance A Grammont | Family Medicine | Ascension Medical Group-fox Valley Wisconsin, Inc | 3329 N Richard St, Appleton, WI 54911-1063 |
| Nicole Gutman | Nurse Practitioner | Ascension Medical Group-fox Valley Wisconsin, Inc | 3329 N Richard St, Appleton, WI 54911-1063 |
| Charles M Miller | Family Medicine | Ascension Medical Group-fox Valley Wisconsin, Inc | 3329 N Richard St, Appleton, WI 54911-1063 |
| Gunmeet K Kaleka | Family Medicine | Ascension Medical Group-fox Valley Wisconsin, Inc | 3329 N Richard St, Appleton, WI 54911-1063 |
| Kathryn M Meyer | Obstetrics/gynecology | Ascension Medical Group-fox Valley Wisconsin, Inc | 3329 N Richard St, Appleton, WI 54911-1063 |
| John T Siebers | Nurse Practitioner | Ascension Medical Group-fox Valley Wisconsin, Inc | 3329 N Richard St, Appleton, WI 54911-1063 |
| Wesley R Meyer | Optometry | Ascension Medical Group-fox Valley Wisconsin, Inc | 3329 N Richard St, Appleton, WI 54911-1063 |
| Find all physicians in zip 54911 | |||
| City | APPLETON |
| Zip Code | 54911 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | APPLETON + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Allen R Last.
| 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.