Pulmonary & Critical Care Associates S C

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

PULMONARY & CRITICAL CARE ASSOCIATES S C

Practice address

5900 S Lake Dr
Cudahy, WI 53110-3171

Phone

(414) 744-4000

Fax

(414) 489-4022

NPI assigned

Sep 1, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Angela Theresa Walter

Title

Office Manager

Phone

(414) 744-4000

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kristina L Diehn

  • Gerontology Nurse Practitioner
  • Franklin, WI
  • NPI 1013305200
  Medicare reassignment Care Compare group NPD
• Arturo Eduardo Eyzaguirre, MD

  • Pulmonary Disease Physician
  • Cudahy, WI
  • NPI 1114029196
  Medicare reassignment Care Compare group NPD
• Amanda Fischer, NP

  • Acute Care Nurse Practitioner
  • Cudahy, WI
  • NPI 1295008399
  Medicare reassignment Care Compare group NPD
• Jaclynn Ann Lien-Skubal, APNP

  • Family Nurse Practitioner
  • Cudahy, WI
  • NPI 1710237078
  Medicare reassignment Care Compare group NPD
• Paul Aldo Lisi, D.O.

  • Pulmonary Disease Physician
  • Cudahy, WI
  • NPI 1194943399
  Medicare reassignment Care Compare group NPD
• Mathew George Mathai, M.D.

  • Pulmonary Disease Physician
  • Cudahy, WI
  • NPI 1104854363
  Medicare reassignment Care Compare group NPD
• Florin Stuleanu, M.D.

  • Pulmonary Disease Physician
  • Cudahy, WI
  • NPI 1316958705
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739491200000",
    "number": "1104938331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 S LAKE DR LOWR LEVEL",
            "city": "CUDAHY",
            "state": "WI",
            "postal_code": "531103171",
            "telephone_number": "414-744-4000",
            "fax_number": "414-489-4022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 S LAKE DR",
            "city": "CUDAHY",
            "state": "WI",
            "postal_code": "531103171",
            "telephone_number": "414-744-4000",
            "fax_number": "414-489-4022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PULMONARY & CRITICAL CARE ASSOCIATES S C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-01",
        "last_updated": "2025-02-14",
        "certification_date": "2025-02-14",
        "status": "A",
        "authorized_official_last_name": "WALTER",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "THERESA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "414-744-4000"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victor Petrovs, R.PH.
• Lena G Podolsky, NP
• Ami Prag, MD
• Promise Personal Care LLC
• Tracy A Proulx, FNP-BC
• Mary Elisabeth Qiblawi, R.D., C.D.
• Rachel Quentin, PHARMD
• Nanak Singh Rai, MD
• Sacha Ramirez, M.D.
• Dexter R Rebancos, MD

• Medical Specialty Clinic/Center in Cudahy, WI
• Providers in Cudahy, WI by specialty
• Medical Specialty Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.