Nicholas Ward, MD | |
975 Port Washington Rd, Grafton, WI 53024-9201 | |
(262) 329-1000 | |
(262) 329-1001 |
Full Name | Nicholas Ward |
---|---|
Gender | Male |
Speciality | Surgery |
Location | 975 Port Washington Rd, Grafton, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861872723 | NPI | - | NPPES |
100210976 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | LL38292 (South Carolina) | Secondary |
208600000X | Surgery | 77109 (Wisconsin) | Primary |
Entity Name | Aurora Advanced Healthcare Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265629133 PECOS PAC ID: 3375625833 Enrollment ID: O20080123000694 |
Mailing Address | Practice Location Address |
---|---|
Nicholas Ward, MD 3301 W Forest Home Ave, Milwaukee, WI 53215-2843 Ph: (262) 329-1000 | Nicholas Ward, MD 975 Port Washington Rd, Grafton, WI 53024-9201 Ph: (262) 329-1000 |
Dr. Abhishek Sundaram, M.B.B.S Surgery Medicare: Accepting Medicare Assignments Practice Location: 975 Port Washington Rd, Grafton, WI 53024 Phone: 262-329-1000 Fax: 262-329-1001 | |
James D Larson, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 975 Port Washington Rd, Suite 320, Grafton, WI 53024 Phone: 262-329-8100 | |
Gwenn K. Pavlovitz, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 975 Port Washington Road, Suite 320, Grafton, WI 53024 Phone: 262-387-8100 | |
Michael D Erickson, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 975 Port Washington Rd, Grafton, WI 53024 Phone: 262-387-8300 |