Froedtert &the Medical College of Wisconsin Community Physicians, Inc.
Organization
Active NPI
Durable Medical Equipment & Medical Supplies · West Bend, WI
NPI 1053759571 · NPPES record last updated May 31, 2024
Key facts
- NPI
- 1053759571
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- Legal business name
- FROEDTERT &THE MEDICAL COLLEGE OF WISCONSIN COMMUNITY PHYSICIANS, INC.
- Practice address
- 3200 Pleasant Valley Rd
West Bend, WI 53095-9274
- Phone
- (262) 334-3451
- Fax
- (262) 836-2436
- NPI assigned
- Jun 6, 2013
- Organization subpart
- No
Authorized official
- Name
- Amir Abbas Ghaferi, MD
- Title
- President & Ceo
- Phone
- (734) 660-4939
Other NPIs with the same Medicare PAC ID 13
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
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Froedtert &the Medical College of Wisconsin Community Physicians Inc Durable Medical Equipment & Medical Supplies · West Bend, WI · NPI 1225476740
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Froedtert &the Medical College of Wisconsin Community Physicians Inc Durable Medical Equipment & Medical Supplies · Oak Creek, WI · NPI 1649700980
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Froedtert &the Medical College of Wisconsin Community Physicians Inc Durable Medical Equipment & Medical Supplies · Menomonee Falls, WI · NPI 1811340383
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Froedtert &the Medical College of Wisconsin Community Physicians, Inc. Durable Medical Equipment & Medical Supplies · Menomonee Falls, WI · NPI 1063830479
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Froedtert &the Medical College of Wisconsin Community Physicians, Inc. Durable Medical Equipment & Medical Supplies · Brookfield, WI · NPI 1154874352
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Froedtert &the Medical College of Wisconsin Community Physicians, Inc. Durable Medical Equipment & Medical Supplies · Wauwatosa, WI · NPI 1154947224
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Froedtert &the Medical College of Wisconsin Community Physicians, Inc. Durable Medical Equipment & Medical Supplies · Menomonee Falls, WI · NPI 1205273919
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Froedtert &the Medical College of Wisconsin Community Physicians, Inc. Durable Medical Equipment & Medical Supplies · Greenfield, WI · NPI 1477971018
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Froedtert &the Medical College of Wisconsin Community Physicians, Inc. Durable Medical Equipment & Medical Supplies · Hartford, WI · NPI 1609214121
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Froedtert &the Medical College of Wisconsin Community Physicians, Inc. Durable Medical Equipment & Medical Supplies · Milwaukee, WI · NPI 1639608177
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Froedtert &the Medical College of Wisconsin Community Physicians, Inc. Durable Medical Equipment & Medical Supplies · New Berlin, WI · NPI 1730635657
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Froedtert &the Medical College of Wisconsin Community Physicians, Inc. Durable Medical Equipment & Medical Supplies · Mequon, WI · NPI 1912437252
Corporate family (same tax ID) 18
Organizations that report the same tax identification number in the National Provider Directory.
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Froedtert & Medical College of Wi Community Physicians Non-Pharmacy Dispensing Site · West Bend, WI · NPI 1720604044
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Froedtert &the Medical College of Wisconsin Community Physicians Inc Durable Medical Equipment & Medical Supplies · West Bend, WI · NPI 1225476740
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Froedtert &the Medical College of Wisconsin Community Physicians Inc Durable Medical Equipment & Medical Supplies · Oak Creek, WI · NPI 1649700980
-
Froedtert &the Medical College of Wisconsin Community Physicians Inc Durable Medical Equipment & Medical Supplies · Menomonee Falls, WI · NPI 1811340383
-
Froedtert &the Medical College of Wisconsin Community Physicians, Inc. Durable Medical Equipment & Medical Supplies · Menomonee Falls, WI · NPI 1063830479
-
Froedtert &the Medical College of Wisconsin Community Physicians, Inc. Durable Medical Equipment & Medical Supplies · Brookfield, WI · NPI 1154874352
-
Froedtert &the Medical College of Wisconsin Community Physicians, Inc. Durable Medical Equipment & Medical Supplies · Wauwatosa, WI · NPI 1154947224
-
Froedtert &the Medical College of Wisconsin Community Physicians, Inc. Durable Medical Equipment & Medical Supplies · Menomonee Falls, WI · NPI 1205273919
-
Froedtert &the Medical College of Wisconsin Community Physicians, Inc. Durable Medical Equipment & Medical Supplies · Greenfield, WI · NPI 1477971018
-
Froedtert &the Medical College of Wisconsin Community Physicians, Inc. Durable Medical Equipment & Medical Supplies · Hartford, WI · NPI 1609214121
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Froedtert &the Medical College of Wisconsin Community Physicians, Inc. Durable Medical Equipment & Medical Supplies · Milwaukee, WI · NPI 1639608177
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Froedtert &the Medical College of Wisconsin Community Physicians, Inc. Durable Medical Equipment & Medical Supplies · New Berlin, WI · NPI 1730635657
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Froedtert &the Medical College of Wisconsin Community Physicians, Inc. Durable Medical Equipment & Medical Supplies · Mequon, WI · NPI 1912437252
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
Practitioners 1,265
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
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Carissa Aboubakare, WHNP-BC
Women's Health Nurse Practitioner · New Berlin, WI · NPI 1497206916
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Manish H Acharya, M.D.
Emergency Medicine Physician · Milwaukee, WI · NPI 1437129715
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Megan Emilia Ackerman, PT, DPT, SCS, ATC
Physical Therapist · Waukesha, WI · NPI 1245790104
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Naveen Kumar Addagatla, M.D
Neurology Physician · Milwaukee, WI · NPI 1366718231
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Jennifer Oluyemisi Adeghate, MD, PHD
Retina Specialist (Ophthalmology) Physician · Milwaukee, WI · NPI 1437655891
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Marina Affi Koprowski, M.D.
Surgery Physician · Milwaukee, WI · NPI 1275065575
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Alexei Vasilievich Agapitov, M.D.
Cardiovascular Disease Physician · Madison, WI · NPI 1841201514
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Mohit Agarwal, MD
Diagnostic Radiology Physician · Milwaukee, WI · NPI 1265864169
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Anshu Aggarwal Family Medicine Physician · Milwaukee, WI · NPI 1528599693
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Baseer Ul-Anwar Ahmad, MD
Ophthalmology Physician · Milwaukee, WI · NPI 1114160918
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Michael Ainbinder, MD
Family Medicine Physician · Mequon, WI · NPI 1710565395
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Muhammad T Akbar, M.D.
Pulmonary Disease Physician · Milwaukee, WI · NPI 1093767899
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Yoshiaki Akiya, M.D.
Family Medicine Physician · Milwaukee, WI · NPI 1245386614
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Muhammed R Al-Fawakhiri, MD
Internal Medicine Physician · Grafton, WI · NPI 1942276613
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Maysoon Al-Hihi, MD
Diagnostic Radiology Physician · Milwaukee, WI · NPI 1093741399
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Vickie Lynn Alba, OTR CHT
Hand Occupational Therapist · Waukesha, WI · NPI 1396900973
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Matthew Albinger, DO
Family Medicine Physician · Wauwatosa, WI · NPI 1649920307
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Daniela Aleman, MD
Family Medicine Physician · West Bend, WI · NPI 1134656374
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Alaaeldin Y Alhessi, MD
Internal Medicine Physician · Milwaukee, WI · NPI 1689265621
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Saad S Ali, M.D.
Diagnostic Radiology Physician · Milwaukee, WI · NPI 1467617662
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Jennifer B Alizadeh, PT
Physical Therapist · Fond Du Lac, WI · NPI 1942562152
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Michelle Marie Allbaugh, APNP
Critical Care Medicine Nurse Practitioner · Menomonee Falls, WI · NPI 1457014607
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Jessica M Alles, FNP
Family Nurse Practitioner · Kenosha, WI · NPI 1265052393
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Daniel A Allison, MD
Family Medicine Physician · Menomonee Falls, WI · NPI 1518109735
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Janelle Catherine Allsage, AU.D.
Audiologist · West Bend, WI · NPI 1669728531
View all 1,265
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|
| O20131025001068 |
WI |
DME Supplier - Multi-Specialty - Physician |
3678760063 |
Practice locations: West Bend, WI |
National Provider Directory
- Tax ID family
- Froedtert Med Coll of Wi (19 organizations share this tax ID)
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|
| Durable Medical Equipment & Medical Supplies |
332B00000X |
|
|
Yes |
Addresses
Primary practice location
3200 Pleasant Valley Rd
West Bend, WI 53095-9274
Mailing address
N74W12501 Leatherwood CT Ste 103
Menomonee Falls, WI 53051-4490
Other identifiers
| Identifier | Type | State | Issuer |
|---|
| 6521570008 | Other | | MEDICARE DME CONTRACTOR |
Other names
- Froedtert Physician Partners, Inc. Former legal business name