Great Lakes Radiation Oncology,

Primary specialty

Medical Oncology PhysicianTaxonomy code 207RX0202X

Legal business name

GREAT LAKES RADIATION ONCOLOGY,

Practice address

19333 W North Ave
Brookfield, WI 53045-4132

Phone

(414) 447-2221

Fax

(262) 641-6880

NPI assigned

May 16, 2006

Organization subpart

No

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

Authorized official

Name

David M Sherman, MD

Title

President

Phone

(414) 447-2221

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

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

• Stuart E Blacher, MD

  • Radiation Oncology Physician
  • Brookfield, WI
  • NPI 1154375988
  NPD (past)
• Steffen P White, M:D.

  • Anesthesiology Physician
  • Oshkosh, WI
  • NPI 1609850627
  NPD (past)
• Andrew Satinsky, MD

  • Therapeutic Radiology Physician
  • Clinton, MD
  • NPI 1619920477
  NPD (past)

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861444291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19333 W NORTH AVE",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530454132",
            "telephone_number": "414-447-2221",
            "fax_number": "262-641-6880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19333 W NORTH AVE",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530454132",
            "telephone_number": "414-447-2221",
            "fax_number": "262-641-6880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT LAKES RADIATION ONCOLOGY,",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHERMAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "414-447-2221",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Medical Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "21281300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eva Graham
• Jessica L Grams, DDS
• Natalie Grandahl, MOT
• Elliot Grant
• Jacob Gravenkamp
• Great Midwest Medical, Inc.
• Great Midwest Pain Specialists, S.C.
• Greater Milwaukee Plastic Surgeons SC
• Debra Greeley, SLP
• Sarah Green, PSYD, LMFT

• Medical Oncology Physician in Brookfield, WI
• Providers in Brookfield, WI by specialty
• Medical Oncology Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.