| Children's Specialty Group, Inc. | |
|
9000 W Wisconsin Ave Milwaukee WI 53226-4874 | |
| (414) 266-2000 | |
| (414) 266-6338 |
| Full Name | Children's Specialty Group, Inc. |
|---|---|
| Speciality | Pediatrics |
| Location | 9000 W Wisconsin Ave, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Marc Cadieux (CORPORATE VP & CFO) |
| Authorized Official Contact | 4142666226 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Children's Specialty Group, Inc. P.o. Box 1997 Ms 900 - Rosalie O'meara Milwaukee WI 53201-1997 Ph: (414) 266-6223 | Children's Specialty Group, Inc. 9000 W Wisconsin Ave Milwaukee WI 53226-4874 Ph: (414) 266-2000 |
| NPI Number | 1942970405 |
|---|---|
| Provider Enumeration Date | 09/16/2021 |
| Last Update Date | 11/17/2023 |
| Medicare PECOS PAC ID | 2567813447 |
|---|---|
| Medicare Enrollment ID | O20240104002075 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942970405 | NPI | - | NPPES |
| Provider Name | Jeanne E Conner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841242443 PECOS PAC ID: 6103729579 Enrollment ID: I20040202000177 |
| Provider Name | David S Marks |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1164460010 PECOS PAC ID: 3274421854 Enrollment ID: I20040305000650 |
| Provider Name | Lynn A D Andrea |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073565982 PECOS PAC ID: 7911975156 Enrollment ID: I20040924000156 |
| Provider Name | Nancy A Rudd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154375012 PECOS PAC ID: 8426091240 Enrollment ID: I20050602000976 |
| Provider Name | Peter C Frommelt |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1508817461 PECOS PAC ID: 4789627514 Enrollment ID: I20050602001089 |
| Provider Name | Lynn N Abad Santos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184675696 PECOS PAC ID: 5698705374 Enrollment ID: I20050813000037 |
| Provider Name | Lisa A Crandall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295787729 PECOS PAC ID: 6305864836 Enrollment ID: I20051103000456 |
| Provider Name | Peter J Mason |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1144282120 PECOS PAC ID: 7810900081 Enrollment ID: I20060711000466 |
| Provider Name | Peter J Bartz |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1497728794 PECOS PAC ID: 4688678733 Enrollment ID: I20060905000219 |
| Provider Name | David C Gregg |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134178601 PECOS PAC ID: 5395708036 Enrollment ID: I20070202000075 |
| Provider Name | Sara A Lowe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659579514 PECOS PAC ID: 7214020494 Enrollment ID: I20070904000455 |
| Provider Name | Edward C Kirkpatrick |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1265630651 PECOS PAC ID: 2961390968 Enrollment ID: I20071005000593 |
| Provider Name | Andrea J Hilgenberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255501987 PECOS PAC ID: 7416033568 Enrollment ID: I20080328000724 |
| Provider Name | Todd Michael Gudausky |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1881604932 PECOS PAC ID: 7012912470 Enrollment ID: I20080423000391 |
| Provider Name | David Margolis |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1760435499 PECOS PAC ID: 5395811848 Enrollment ID: I20080905000666 |
| Provider Name | Kathryn A Tillman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861658502 PECOS PAC ID: 1355419961 Enrollment ID: I20081009000567 |
| Provider Name | Christina D Diaz |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1013004779 PECOS PAC ID: 0143388264 Enrollment ID: I20081018000124 |
| Provider Name | Anoop K Singh |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1225239619 PECOS PAC ID: 0749341493 Enrollment ID: I20081212000508 |
| Provider Name | Mohit Maheshwari |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1831279512 PECOS PAC ID: 6002966892 Enrollment ID: I20090617000332 |
| Provider Name | Kimberly Jane Lee |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1902857451 PECOS PAC ID: 8527119312 Enrollment ID: I20090708000367 |
| Provider Name | Joseph R Cava |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1528019015 PECOS PAC ID: 9638061104 Enrollment ID: I20090804000464 |
| Provider Name | Joseph R Block |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1316068364 PECOS PAC ID: 0345395240 Enrollment ID: I20090828000134 |
| Provider Name | Heidi T Zafra |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1245282748 PECOS PAC ID: 3971645797 Enrollment ID: I20100116000162 |
| Provider Name | Molly M Brickler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922245166 PECOS PAC ID: 6901940097 Enrollment ID: I20100212000151 |
| Provider Name | Asriani M Chiu |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1548211949 PECOS PAC ID: 8224168901 Enrollment ID: I20100607000135 |
| Provider Name | Lynnette J Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841244969 PECOS PAC ID: 1850424516 Enrollment ID: I20100802000227 |
| Provider Name | Latha N Kampalath |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1639120470 PECOS PAC ID: 9739372236 Enrollment ID: I20101015001004 |
| Provider Name | Jennifer F Gerardin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1053523399 PECOS PAC ID: 3779778642 Enrollment ID: I20101117000921 |
| Provider Name | Jessica A Scott Schwoerer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275590572 PECOS PAC ID: 0143416875 Enrollment ID: I20101120000165 |
| Provider Name | Kathleen T Ryan Loker |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1609079326 PECOS PAC ID: 2062541188 Enrollment ID: I20101217000673 |
| Provider Name | Susan R Foerster |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1215953450 PECOS PAC ID: 2062437338 Enrollment ID: I20110131000304 |
| Provider Name | Ann E Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679886378 PECOS PAC ID: 3678753209 Enrollment ID: I20110214000674 |
| Provider Name | Jill M Grevenow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124337043 PECOS PAC ID: 0941481485 Enrollment ID: I20110216001014 |
| Provider Name | Salil Ginde |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1174779664 PECOS PAC ID: 8022295898 Enrollment ID: I20110602000695 |
| Provider Name | Scott B Cohen |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1184840175 PECOS PAC ID: 8325226806 Enrollment ID: I20110705000369 |
| Provider Name | Breanne Kp Shah |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174789283 PECOS PAC ID: 4284803206 Enrollment ID: I20110809000436 |
| Provider Name | Hillary M Giorgi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376823385 PECOS PAC ID: 3870760408 Enrollment ID: I20120121000062 |
| Provider Name | Kathryn R Seidl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619247129 PECOS PAC ID: 5092974378 Enrollment ID: I20120306000283 |
| Provider Name | Joshua R Kovach |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437375649 PECOS PAC ID: 8123119898 Enrollment ID: I20120627000497 |
| Provider Name | Becky J. Buelow |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1235454331 PECOS PAC ID: 3577719327 Enrollment ID: I20120809000521 |
| Provider Name | Kristen L Labovsky |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1245490838 PECOS PAC ID: 1759537269 Enrollment ID: I20120815000412 |
| Provider Name | Kevin P Boyd |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114172004 PECOS PAC ID: 3072769579 Enrollment ID: I20120816000573 |
| Provider Name | Joshua A Steinberg |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1326153917 PECOS PAC ID: 6002008851 Enrollment ID: I20121008000004 |
| Provider Name | Brooks M Hawley |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1447486386 PECOS PAC ID: 5890945802 Enrollment ID: I20121029000738 |
| Provider Name | Jennifer E Rauscher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700133873 PECOS PAC ID: 1557512381 Enrollment ID: I20121103000038 |
| Provider Name | Matthew T. Tallar |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1376785691 PECOS PAC ID: 8820240740 Enrollment ID: I20121128000451 |
| Provider Name | Jennifer A Hoag |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1033342183 PECOS PAC ID: 0042462640 Enrollment ID: I20121205000532 |
| Provider Name | Gail L Stendahl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134380025 PECOS PAC ID: 9032362298 Enrollment ID: I20130122000041 |
| Provider Name | Matthew W Buelow |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1659513158 PECOS PAC ID: 1951543057 Enrollment ID: I20130819000713 |
| Provider Name | Karin S Goodfriend |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1982929931 PECOS PAC ID: 6002030665 Enrollment ID: I20140623000276 |
| Provider Name | Elizabeth M P Weber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083005953 PECOS PAC ID: 9638496995 Enrollment ID: I20150325001016 |
| Provider Name | Steven J Kindel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1649477365 PECOS PAC ID: 0345406856 Enrollment ID: I20150720002819 |
| Provider Name | Benjamin H Goot |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1376716712 PECOS PAC ID: 4789827411 Enrollment ID: I20150831002373 |
| Provider Name | Jennifer L Hauf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215319520 PECOS PAC ID: 0446566863 Enrollment ID: I20150831003111 |
| Provider Name | Barry J Pelz |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1700103272 PECOS PAC ID: 5294027371 Enrollment ID: I20160711000983 |
| Provider Name | Shilpa Narayan |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1609187616 PECOS PAC ID: 0749572832 Enrollment ID: I20160711001306 |
| Provider Name | Stephanie S Handler |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1962660290 PECOS PAC ID: 4587788419 Enrollment ID: I20160829002073 |
| Provider Name | Maureen K Hanson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093168635 PECOS PAC ID: 1850679531 Enrollment ID: I20161101000063 |
| Provider Name | Nicole L Hunker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033653597 PECOS PAC ID: 6608151477 Enrollment ID: I20170316002144 |
| Provider Name | Amber H Winchel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548786536 PECOS PAC ID: 1153680111 Enrollment ID: I20180119000858 |
| Provider Name | Sara E Creighton |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1629398169 PECOS PAC ID: 8628205390 Enrollment ID: I20180410001606 |
| Provider Name | Kristina Bolling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831691831 PECOS PAC ID: 7113280231 Enrollment ID: I20180424000582 |
| Provider Name | Andrew D Spearman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1689936486 PECOS PAC ID: 3274823166 Enrollment ID: I20180612002017 |
| Provider Name | Gregory M Halenda |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1154697175 PECOS PAC ID: 1355610601 Enrollment ID: I20180710000447 |
| Provider Name | Paul L Linsky |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1871818930 PECOS PAC ID: 4385959600 Enrollment ID: I20180911000978 |
| Provider Name | Christine E Bengtson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922575349 PECOS PAC ID: 9537403027 Enrollment ID: I20181211001502 |
| Provider Name | Ethan R Schaefer |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1093284861 PECOS PAC ID: 4789922055 Enrollment ID: I20190212000771 |
| Provider Name | Colleen K Manak |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386062180 PECOS PAC ID: 9133441470 Enrollment ID: I20190531001183 |
| Provider Name | Melanie M Parent |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588295992 PECOS PAC ID: 0042649055 Enrollment ID: I20200326001165 |
| Provider Name | Danielle C Fair |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1497173215 PECOS PAC ID: 2163715707 Enrollment ID: I20200408003242 |
| Provider Name | Daniel Robert Beacher |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1942628466 PECOS PAC ID: 3678866191 Enrollment ID: I20200518003126 |
| Provider Name | Wendi Jo L Wendt |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164836052 PECOS PAC ID: 0143536227 Enrollment ID: I20200818003231 |
| Provider Name | Alexander Raskin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1871836999 PECOS PAC ID: 6901124809 Enrollment ID: I20200901000539 |
| Provider Name | Kathleen A Maloney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205441128 PECOS PAC ID: 1557781911 Enrollment ID: I20201023001368 |
| Provider Name | Vaishali Singh |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1396003406 PECOS PAC ID: 4688814205 Enrollment ID: I20201023002243 |
| Provider Name | Nicole M Kowalski |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1700474772 PECOS PAC ID: 5496169476 Enrollment ID: I20210203000374 |
| Provider Name | Claudia P Vicetti Miguel |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1962799155 PECOS PAC ID: 3779886536 Enrollment ID: I20210719001505 |
| Provider Name | Kasey J Chaszczewski |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1215376868 PECOS PAC ID: 6406147396 Enrollment ID: I20210721002997 |
| Provider Name | Paul G Didomizio |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326579491 PECOS PAC ID: 5597034728 Enrollment ID: I20210910000361 |
| Provider Name | Rebecca Lee Steuart |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407240369 PECOS PAC ID: 8022348325 Enrollment ID: I20210915002969 |
| Provider Name | Nikki M Singh |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1285995480 PECOS PAC ID: 1759671241 Enrollment ID: I20211011002782 |
| Provider Name | Vanessa A Snyder |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1487213096 PECOS PAC ID: 7911395678 Enrollment ID: I20211028002678 |
| Provider Name | David E Segar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1770931826 PECOS PAC ID: 2163712761 Enrollment ID: I20220601001637 |
| Provider Name | Tracy R Geoffrion |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1760748107 PECOS PAC ID: 0840531885 Enrollment ID: I20221022000202 |
| Provider Name | Victoria C Ronan |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1699154948 PECOS PAC ID: 4183920259 Enrollment ID: I20221026001085 |
| Provider Name | Emma M Austenfeld |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1750813184 PECOS PAC ID: 5294068615 Enrollment ID: I20230519000297 |
| Provider Name | Ashley N Phimister |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1497109193 PECOS PAC ID: 1456686930 Enrollment ID: I20230601003195 |
| Provider Name | Adam Striker |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1649280348 PECOS PAC ID: 6709816911 Enrollment ID: I20230612001936 |
| Provider Name | Juliana Jeffers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700587813 PECOS PAC ID: 8729446232 Enrollment ID: I20230615000485 |
| Provider Name | Katie M Sullivan |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1730715830 PECOS PAC ID: 1153731617 Enrollment ID: I20230811002532 |
| Provider Name | Andrew James Macginnitie |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1518931609 PECOS PAC ID: 0941283014 Enrollment ID: I20231027002736 |
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