Madelyn C Sieraski, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

32517 Issued in WI

Practice address

Prohealth Care Medical Centers-South
2130 Big Bend Road
Waukesha, WI 53189

Phone

(262) 928-7555

Fax

(262) 513-7575

NPI assigned

Feb 10, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Prohealth Medical Group Inc

  • Family Medicine Physician
  • Waukesha, WI
  • NPI 1790720613
  NPD (past)

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

{
    "created_epoch": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236902400000",
    "number": "1902879737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "WAUKESHA HEALTH CARE INC.",
            "address_2": "N17 W24100 RIVERWOOD DRIVE SUITE 250",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531881177",
            "telephone_number": "262-928-4100",
            "fax_number": "262-928-5835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PROHEALTH CARE MEDICAL CENTERS-SOUTH",
            "address_2": "2130 BIG BEND ROAD",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "53189",
            "telephone_number": "262-928-7555",
            "fax_number": "262-513-7575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIERASKI",
        "first_name": "MADELYN",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-10",
        "last_updated": "2009-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "32517",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31755700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Carl Short, MSW,LCSW
• Evalyn Kate Shulfer, SAC-IT
• Benjamin Sidesky
• Sarfraz Singh Sidhu, M.D.
• Tammy Sieglaff, OTR
• Sara Sievert, APSW, SAC-IT
• Payton Jayde Sigafus
• Amrita Sikka, M.D.
• Silver Creek Chiropractic, LLC
• Robert A Simcock, MSW

• Family Medicine Physician in Waukesha, WI
• Providers in Waukesha, WI by specialty
• Family Medicine Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2009; 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.