Active NPI
Carol M Plankenhorn, PA
- Physician Assistant
- Milwaukee, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 1187-023
- Practice address
- 2900 W Oklahoma Ave
Ermed
Milwaukee, WI 53215-4330 - Phone
- (414) 649-7299
- Fax
- (414) 649-6694
- NPI assigned
- May 4, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 1187-023 | WI | Primary |
Addresses
Primary practice location
2900 W Oklahoma Ave
Ermed
Milwaukee, WI 53215-4330
Mailing address
2900 W Oklahoma Ave
Ermed, St. Luke's Medical Center
Milwaukee, WI 53215-4330
Phone (414) 649-7299
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| POO41817 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1187 | WI | MD | Home Health Agency |
| 1187-023 | WI | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Columbia St. Mary's Hospital Milwaukee, Inc | Current | Accepting new patients | |
| American Current Care P.a. | Current | Accepting new patients | |
| American Current Care PA | Current | Accepting new patients | |
| American Current Care PA | Current | Accepting new patients | |
| American Current Care P.a. | Current | Accepting new patients | |
| Columbia St. Mary's Hospital Milwaukee Inc | Current | Accepting new patients | |
| Aurora Medical Group, Inc. | Past | Accepting new patients |
Locations
5080 Spectrum Dr
Ste 1200W
Addison, TX 75001
2455 N 124th St
Brookfield, WI 53005
Phone (262) 782-9326
5900 S Lake Dr
Cudahy, WI 53110
Phone (414) 489-4055
7080 N Port Washington Rd
Glendale, WI 53217
Phone (414) 228-4940
358 Junction Rd
Madison, WI 53717
Phone (608) 829-1888
2323 N Lake Dr
Milwaukee, WI 53211
Phone (414) 291-1000
2900 W Oklahoma Ave
Milwaukee, WI 53215
Phone (414) 385-2590
215 N 35th St
Milwaukee, WI 53208
Phone (414) 931-7600
13111 N Port Washington Rd
Thiensville, WI 53097
Phone (262) 243-7300
801 S 70th St
West Allis, WI 53214
Phone (414) 773-6600
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Concentra Urgent Care
- Urgent Care Clinic/Center
- Racine, WI
- NPI 1477730356
-
dba Ascension Columbia St Mary's Hospital Milwaukee
- Multi-Specialty Clinic/Center
- Milwaukee, WI
- NPI 1023064482
-
dba Concentra Urgent Care
- Urgent Care Clinic/Center
- Milwaukee, WI
- NPI 1548503436
-
dba Ascension Columbia St Mary's Hospital Ozaukee
- Psychiatric Hospital Unit
- Mequon, WI
- NPI 1417600909
-
dba Concentra Urgent Care
- Urgent Care Clinic/Center
- Beaumont, TX
- NPI 1376356568
-
dba Concentra Urgent Care
- Health Service Clinic/Center
- Addison, TX
- NPI 1508044587
-
- Durable Medical Equipment & Medical Supplies
- Union Grove, WI
- NPI 1245440601
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211155200000",
"number": "1316995566",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2900 W OKLAHOMA AVE",
"address_2": "ERMED, ST. LUKE'S MEDICAL CENTER",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532154330",
"telephone_number": "414-649-7299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2900 W OKLAHOMA AVE",
"address_2": "ERMED",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532154330",
"telephone_number": "414-649-7299",
"fax_number": "414-649-6694"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PLANKENHORN",
"first_name": "CAROL",
"middle_name": "M",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-04",
"last_updated": "2008-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WI",
"license": "1187-023",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "POO41817",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Milwaukee, WI
- Pivot Services Inc
- PJS Helping Hands
- Nicholas Plachinski, DO
- Emily Plahna
- Chrisopher J Plambeck, MD
- Planned Parenthood of Wi, Inc
- Planned Parenthood of Wi, Inc.
- Planned Parenthood of Wisconsin (Wisconsin Ave.)
- Planned Parenthood of Wisconsin (Jackson Street)
- Planned Parenthood of Wisconsin (Mitchell Street)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.