Lake Country Emergency Physicians

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

LAKE COUNTRY EMERGENCY PHYSICIANS

Practice address

791 E Summit Ave
Oconomowoc, WI 53066-3844

Phone

(262) 569-0251

Fax

(262) 569-0342

NPI assigned

Nov 17, 2005

Organization subpart

No

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

Authorized official

Name

Timothy Hill, M.D.NPI 1861478430

Title

President

Phone

(262) 569-0251

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 70

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

• Thomas J Dietrich, M.D.

  • Emergency Medicine Physician
  • Milwaukee, WI
  • NPI 1912959446
  Medicare reassignment Care Compare group NPD
• James David Erickson, MD

  • Emergency Medicine Physician
  • Milwaukee, WI
  • NPI 1588612170
  Medicare reassignment Care Compare group NPD
• Steven F Guenther, D.O.

  • Emergency Medicine Physician
  • Delafield, WI
  • NPI 1558628073
  Medicare reassignment Care Compare group NPD
• Stephanie M. O'Dell, NP

  • Family Nurse Practitioner
  • Milwaukee, WI
  • NPI 1366622961
  Medicare reassignment Care Compare group NPD
• David W Sadler, M.D.

  • Emergency Medicine Physician
  • Milwaukee, WI
  • NPI 1568491819
  Medicare reassignment Care Compare group NPD
• Lana L Sanders, MD

  • Emergency Medicine Physician
  • Waupaca, WI
  • NPI 1376505933
  Medicare reassignment Care Compare group NPD
• Daniel Eggeman

  • Emergency Medicine Physician
  • Chicago, IL
  • NPI 1336568450

  WI

  Medicare reassignment Care Compare group NPD
• Alan Michael Abdulla, D.O.

  • Emergency Medicine Physician
  • Waukesha, WI
  • NPI 1508164419
  Medicare reassignment NPD
• Aaron Daniel Andersen

  • Emergency Medicine Physician
  • Madison, WI
  • NPI 1083889406
  Medicare reassignment NPD
• Michael J Berger, M.D.

  • Emergency Medicine Physician
  • Waukesha, WI
  • NPI 1821170333
  Medicare reassignment NPD
• Charles E Cady, MD

  • Emergency Medicine Physician
  • Milwaukee, WI
  • NPI 1831140227
  Medicare reassignment NPD
• Ni Thi Mi Cao, PA-C

  • Physician Assistant
  • Waukesha, WI
  • NPI 1720765191

  Multi-Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1132185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185408000000",
    "number": "1720060585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 INDUSTRIAL LOOP",
            "city": "GREENDALE",
            "state": "WI",
            "postal_code": "531292452",
            "telephone_number": "414-423-4100",
            "fax_number": "414-423-4134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "791 E SUMMIT AVE",
            "city": "OCONOMOWOC",
            "state": "WI",
            "postal_code": "530663844",
            "telephone_number": "262-569-0251",
            "fax_number": "262-569-0342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE COUNTRY EMERGENCY PHYSICIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-17",
        "last_updated": "2007-07-26",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "262-569-0251",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32837000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gerard L. Kupperman, PH.D.
• Lake Area Free Clinic
• Lake Country Birth LLC
• Lake Country Classical Academy, Inc.
• Lake Country Dentistry, L.L.C.
• Lake Country Endoscopy Center, LLC
• Lake Country Pain Treatment
• Lake Country Pediatrics SC
• Lake Country Pharmacy
• Lake Country Private Medical, S.C.

• Emergency Medicine Physician in Oconomowoc, WI
• Providers in Oconomowoc, WI by specialty
• Emergency Medicine Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.