Eastern Wisconsin Medical Company S.C.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

EASTERN WISCONSIN MEDICAL COMPANY S.C.

Practice address

245 S Executive Dr Ste 350
Brookfield, WI 53005-4214

Phone

(262) 373-1647

Fax

(262) 373-1650

NPI assigned

Dec 11, 2017

Organization subpart

No

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

Authorized official

Name

Nathan Amoruso

Title

Sr VP Revenue

Phone

(847) 593-8460

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stuart M Feldman, D.O.

  • Emergency Medicine Physician
  • Milwaukee, WI
  • NPI 1760434633
  Medicare reassignment NPD
• Wan-Lin Horng, M.D.

  • Surgery Physician
  • Glendale, AZ
  • NPI 1619037405

  WI

  Medicare reassignment NPD
• James F Ginter, PA-C

  • Physician Assistant
  • Milwaukee, WI
  • NPI 1376658328
  Medicare reassignment
• Umang Patel, M.D.

  • Family Medicine Physician
  • Mansfield, TX
  • NPI 1710305735

  Phlebology

  NPD
• Satish V Vayuvegula, M.D.

  • Cardiovascular Disease Physician
  • Carrollton, TX
  • NPI 1477547875

  Phlebology

  NPD (past)

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

{
    "created_epoch": "1512950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683158400000",
    "number": "1831604081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1602",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600651602",
            "telephone_number": "847-593-8460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 S EXECUTIVE DR STE 350",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530054214",
            "telephone_number": "262-373-1647",
            "fax_number": "262-373-1650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN WISCONSIN MEDICAL COMPANY S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-11",
        "last_updated": "2023-05-04",
        "certification_date": "2023-05-04",
        "status": "A",
        "authorized_official_last_name": "AMORUSO",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_title_or_position": "SR VP REVENUE",
        "authorized_official_telephone_number": "847-593-8460"
    },
    "taxonomies": [
        {
            "code": "202K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Phlebology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100074290",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Dyson, PT
• Judy A Eager, PSYD
• Sunu S. Eapen, MD
• Ear, Nose & Throat Treatment Center, LLC
• Eastbrook Dental
• Victoria Eaton, PTA
• Sarah B. Ebenhoe, P.T.
• Kelly Marie Eberhardt, PT
• Kimberly Rose Ebinger, PT
• Kinga E. Ebner, D.C.

• Surgery Physician in Brookfield, WI
• Providers in Brookfield, WI by specialty
• Surgery Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2023; 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.