| Unitypoint Health - Meriter | |
|
202 S Park St Madison WI 53715-1507 | |
| (608) 417-6000 | |
| Not Available |
| Full Name | Unitypoint Health - Meriter |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 202 S Park St, Madison, Wisconsin |
| Authorized Official Name and Position | Beth Erdman (CFO) |
| Authorized Official Contact | 6084175829 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Unitypoint Health - Meriter 202 S Park St Madison WI 53715-1507 Ph: (608) 417-6000 | Unitypoint Health - Meriter 202 S Park St Madison WI 53715-1507 Ph: (608) 417-6000 |
| NPI Number | 1548280225 |
|---|---|
| Provider Enumeration Date | 07/19/2006 |
| Last Update Date | 01/12/2016 |
| Medicare PECOS PAC ID | 3971412735 |
|---|---|
| Medicare Enrollment ID | O20031126000346 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548280225 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 316-800 (Wisconsin) | Primary |
| Provider Name | Catherine E Ranheim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356317424 PECOS PAC ID: 0244134617 Enrollment ID: I20031126000401 |
| Provider Name | April Eddy |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1376588087 PECOS PAC ID: 3375448186 Enrollment ID: I20031204000860 |
| Provider Name | Mon Yee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003824376 PECOS PAC ID: 8123914009 Enrollment ID: I20040226000649 |
| Provider Name | Diane Wendland |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053335174 PECOS PAC ID: 2860384815 Enrollment ID: I20040325001424 |
| Provider Name | Scott A Ensminger |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902919699 PECOS PAC ID: 8022900661 Enrollment ID: I20040327000220 |
| Provider Name | Joseph P Holt |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336245844 PECOS PAC ID: 1254322571 Enrollment ID: I20040524000925 |
| Provider Name | Jeremy W Jaskunas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568438414 PECOS PAC ID: 9638143589 Enrollment ID: I20040825000761 |
| Provider Name | Travis B Copeland |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114963709 PECOS PAC ID: 4183691561 Enrollment ID: I20040915000013 |
| Provider Name | Julianne J Brown |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265478994 PECOS PAC ID: 8123080207 Enrollment ID: I20041101000647 |
| Provider Name | Ray Kimura |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184690125 PECOS PAC ID: 9436109519 Enrollment ID: I20050126000753 |
| Provider Name | David J Ciske |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063471944 PECOS PAC ID: 1153377106 Enrollment ID: I20050323000836 |
| Provider Name | John Ewing |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053378331 PECOS PAC ID: 9335194497 Enrollment ID: I20050418001189 |
| Provider Name | Douglas C Kutz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669448601 PECOS PAC ID: 3577504505 Enrollment ID: I20050519000456 |
| Provider Name | Timothy M Juergens |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659476273 PECOS PAC ID: 8426093733 Enrollment ID: I20050627000604 |
| Provider Name | Scott M Mead |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528034568 PECOS PAC ID: 1850328659 Enrollment ID: I20050723000098 |
| Provider Name | Melissa S Grimm |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184619231 PECOS PAC ID: 0840220018 Enrollment ID: I20050817000484 |
| Provider Name | Arpad S Olajos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568579936 PECOS PAC ID: 7911922505 Enrollment ID: I20051012001050 |
| Provider Name | Claudiu G Gherlan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639134216 PECOS PAC ID: 0547282907 Enrollment ID: I20051228000645 |
| Provider Name | Naomi Y Wedel |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1740243203 PECOS PAC ID: 2062426893 Enrollment ID: I20060201000357 |
| Provider Name | Cheryl A Martin Foster |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578670030 PECOS PAC ID: 6709893217 Enrollment ID: I20060308000415 |
| Provider Name | Deborah P Wubben |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1831132000 PECOS PAC ID: 5496759755 Enrollment ID: I20060830000018 |
| Provider Name | Bridget A Pribbenow |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225063878 PECOS PAC ID: 0345244612 Enrollment ID: I20060830000092 |
| Provider Name | Carleen L Hanson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366407330 PECOS PAC ID: 1658375746 Enrollment ID: I20060901000125 |
| Provider Name | Bhawani Ballamudi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831148691 PECOS PAC ID: 8729082854 Enrollment ID: I20060905000082 |
| Provider Name | Peter A Redford |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205891686 PECOS PAC ID: 6800890799 Enrollment ID: I20060907000357 |
| Provider Name | Heather E Certain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104961465 PECOS PAC ID: 7911000179 Enrollment ID: I20070309000093 |
| Provider Name | Jason A Yelk |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063408862 PECOS PAC ID: 8628175916 Enrollment ID: I20070522000132 |
| Provider Name | Toby Christopher Campbell |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1700802220 PECOS PAC ID: 6406950625 Enrollment ID: I20070607000411 |
| Provider Name | Katherine A Schmitt |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740245836 PECOS PAC ID: 4880794437 Enrollment ID: I20070711000488 |
| Provider Name | Dhanalakshmi S Namasivayam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316142110 PECOS PAC ID: 2365535416 Enrollment ID: I20070905000420 |
| Provider Name | Nicholas C Lane |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255300935 PECOS PAC ID: 2668460320 Enrollment ID: I20070912000534 |
| Provider Name | N Thomas Casper |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003883786 PECOS PAC ID: 8224103668 Enrollment ID: I20080819000518 |
| Provider Name | Shoba Narayan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164610333 PECOS PAC ID: 5395811491 Enrollment ID: I20080912000439 |
| Provider Name | Barbara J Higgins |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1497776090 PECOS PAC ID: 0345317863 Enrollment ID: I20080925000497 |
| Provider Name | Flynn C Trinity |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588731871 PECOS PAC ID: 6709954738 Enrollment ID: I20081003000742 |
| Provider Name | Elizabeth M Trinity |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326116260 PECOS PAC ID: 5799843819 Enrollment ID: I20081018000110 |
| Provider Name | Andrew J Okas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740257245 PECOS PAC ID: 0547323545 Enrollment ID: I20090119000128 |
| Provider Name | Heather A Childers Okas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093782765 PECOS PAC ID: 1456416205 Enrollment ID: I20090211000736 |
| Provider Name | Wendy R Mortimore |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841242674 PECOS PAC ID: 4587605597 Enrollment ID: I20090218000284 |
| Provider Name | Atit R Desai |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801845672 PECOS PAC ID: 6103982905 Enrollment ID: I20090303000394 |
| Provider Name | Omer Sharif |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518066562 PECOS PAC ID: 1153478144 Enrollment ID: I20090408000473 |
| Provider Name | Simone L Glinberg |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1144288499 PECOS PAC ID: 6103973037 Enrollment ID: I20090413000175 |
| Provider Name | Karen A Reed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760422711 PECOS PAC ID: 1658429204 Enrollment ID: I20090508000181 |
| Provider Name | Kristina E Espinoza |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962553669 PECOS PAC ID: 7113070467 Enrollment ID: I20090804000209 |
| Provider Name | Derek E Clevidence |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093774135 PECOS PAC ID: 1759435951 Enrollment ID: I20090824000159 |
| Provider Name | Sarah J Maudlin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689895617 PECOS PAC ID: 1951448141 Enrollment ID: I20091020000647 |
| Provider Name | Dana M Johnson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518903897 PECOS PAC ID: 3779623954 Enrollment ID: I20091218000437 |
| Provider Name | Michael T Haubenschild |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811191729 PECOS PAC ID: 0345376406 Enrollment ID: I20100327000336 |
| Provider Name | David P Sommerfeld |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548385925 PECOS PAC ID: 2668509597 Enrollment ID: I20100423000430 |
| Provider Name | Frances L Pogue |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174622757 PECOS PAC ID: 5698802544 Enrollment ID: I20100423000654 |
| Provider Name | Robert A Golden |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013986199 PECOS PAC ID: 8527197979 Enrollment ID: I20100524000907 |
| Provider Name | Elizabeth S Woods |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316066004 PECOS PAC ID: 8729117973 Enrollment ID: I20100526000270 |
| Provider Name | Kristin R Odell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780919654 PECOS PAC ID: 8325177165 Enrollment ID: I20100603000624 |
| Provider Name | James H Shropshire |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225092950 PECOS PAC ID: 3971633652 Enrollment ID: I20100607000116 |
| Provider Name | Sanford A Carimi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497864003 PECOS PAC ID: 6800926262 Enrollment ID: I20100610000721 |
| Provider Name | William C Bucknam |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548206360 PECOS PAC ID: 7012921943 Enrollment ID: I20100820001127 |
| Provider Name | Hans C Jensen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568411239 PECOS PAC ID: 8527252485 Enrollment ID: I20101104000639 |
| Provider Name | Thomas J Westfall |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558388355 PECOS PAC ID: 6901802040 Enrollment ID: I20101115000783 |
| Provider Name | Shachar Peles |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386809200 PECOS PAC ID: 6800071804 Enrollment ID: I20110505000612 |
| Provider Name | Melissa Barnett |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1538364773 PECOS PAC ID: 0042301228 Enrollment ID: I20110801000890 |
| Provider Name | Bret Benally Thompson |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1639276785 PECOS PAC ID: 2860577475 Enrollment ID: I20111026000964 |
| Provider Name | Shannon C Reed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760648026 PECOS PAC ID: 1951575703 Enrollment ID: I20111114000465 |
| Provider Name | Gerhard Kraske |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164415519 PECOS PAC ID: 7416059654 Enrollment ID: I20120404000158 |
| Provider Name | Kimberly A Moreland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487853933 PECOS PAC ID: 7911154539 Enrollment ID: I20120904000218 |
| Provider Name | Terryann Chrudimsky |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1356652366 PECOS PAC ID: 6103015094 Enrollment ID: I20121126000163 |
| Provider Name | Thomas F Bugliosi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1629055124 PECOS PAC ID: 5395750277 Enrollment ID: I20121219000527 |
| Provider Name | Erik M Hardy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275775744 PECOS PAC ID: 2365696663 Enrollment ID: I20130517000166 |
| Provider Name | Rani Moses Saoud |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083926745 PECOS PAC ID: 0244471696 Enrollment ID: I20130726000405 |
| Provider Name | Joshua P Babu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376777151 PECOS PAC ID: 5597999763 Enrollment ID: I20131002000396 |
| Provider Name | Kraig T Kumfer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609192244 PECOS PAC ID: 8921233545 Enrollment ID: I20131106001089 |
| Provider Name | Shelly L Komondoros |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1073800777 PECOS PAC ID: 9830326180 Enrollment ID: I20131212001686 |
| Provider Name | Suzanne E Gomez Goldman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578754396 PECOS PAC ID: 2264624857 Enrollment ID: I20131219000249 |
| Provider Name | Alan R Dimond |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053576090 PECOS PAC ID: 4284877465 Enrollment ID: I20140320001265 |
| Provider Name | Shujauddin Syed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396031324 PECOS PAC ID: 7012150857 Enrollment ID: I20140605001972 |
| Provider Name | Elizabeth Bothfeld |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912113887 PECOS PAC ID: 6901021732 Enrollment ID: I20140710000639 |
| Provider Name | Nicholas B Haun |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215225446 PECOS PAC ID: 1153554134 Enrollment ID: I20140902000006 |
| Provider Name | Kellie A Trepton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366784928 PECOS PAC ID: 6204073729 Enrollment ID: I20141024001383 |
| Provider Name | Eric S Marty |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1710299037 PECOS PAC ID: 1951534775 Enrollment ID: I20141117000051 |
| Provider Name | Christine D Sharkey |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1770783797 PECOS PAC ID: 7719119049 Enrollment ID: I20141118000351 |
| Provider Name | Ioana Huibregtse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073865598 PECOS PAC ID: 8022330836 Enrollment ID: I20141205001598 |
| Provider Name | Scott R Wilson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700874328 PECOS PAC ID: 9234271065 Enrollment ID: I20141231001310 |
| Provider Name | Christopher M Lowry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730445008 PECOS PAC ID: 5294963112 Enrollment ID: I20150102000836 |
| Provider Name | Elisabeth A Zgraggen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295126878 PECOS PAC ID: 6608194873 Enrollment ID: I20150420001069 |
| Provider Name | Kelly S Lutzen |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1811380033 PECOS PAC ID: 1052639101 Enrollment ID: I20150421002048 |
| Provider Name | Kenneth Patrick Ligaray |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1215139951 PECOS PAC ID: 5092808683 Enrollment ID: I20150706002660 |
| Provider Name | Sean Miran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780785725 PECOS PAC ID: 0345248332 Enrollment ID: I20150714000516 |
| Provider Name | Anne Kathryn Degreve |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1366706491 PECOS PAC ID: 2365681467 Enrollment ID: I20150831000282 |
| Provider Name | Abdul Mohsin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265679724 PECOS PAC ID: 6406048321 Enrollment ID: I20150915002549 |
| Provider Name | Jerald Petersen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1649209032 PECOS PAC ID: 6709930191 Enrollment ID: I20160114001799 |
| Provider Name | Melissa L Chesmore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831404474 PECOS PAC ID: 8426351651 Enrollment ID: I20160122000089 |
| Provider Name | Catrina Heath |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518326412 PECOS PAC ID: 6204133622 Enrollment ID: I20160330002349 |
| Provider Name | Farah Khan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508153867 PECOS PAC ID: 1254504590 Enrollment ID: I20160419002414 |
| Provider Name | Nilay Kumar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578792982 PECOS PAC ID: 7719124411 Enrollment ID: I20160615000356 |
| Provider Name | Farah Kaiksow |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639436801 PECOS PAC ID: 8022323427 Enrollment ID: I20160714000260 |
| Provider Name | Joanathan L Vu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275892598 PECOS PAC ID: 4082847769 Enrollment ID: I20160823001102 |
| Provider Name | Sarah Mae Kloiber |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285073270 PECOS PAC ID: 1153563580 Enrollment ID: I20160824000113 |
| Provider Name | Karen L Stammer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013283936 PECOS PAC ID: 3173829595 Enrollment ID: I20160824000201 |
| Provider Name | Sara E Odonnell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023562782 PECOS PAC ID: 5395031413 Enrollment ID: I20160915001058 |
| Provider Name | Sean F Ackerman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548559305 PECOS PAC ID: 1850516675 Enrollment ID: I20160915001064 |
| Provider Name | Jordan S Kenik |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215371554 PECOS PAC ID: 8921221862 Enrollment ID: I20161005001129 |
| Provider Name | Kimberly K. Curran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154877165 PECOS PAC ID: 0244518124 Enrollment ID: I20161027001118 |
| Provider Name | Jonathan R Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235689373 PECOS PAC ID: 3577842079 Enrollment ID: I20161123001624 |
| Provider Name | Joshua S Shapiro |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1184030645 PECOS PAC ID: 2163649872 Enrollment ID: I20170620002706 |
| Provider Name | Andrea M Pollema |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114468816 PECOS PAC ID: 6507130986 Enrollment ID: I20170923000486 |
| Provider Name | Diane M Anderson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437598620 PECOS PAC ID: 3779717251 Enrollment ID: I20171011003691 |
| Provider Name | Heidi R Huang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245675677 PECOS PAC ID: 2668695024 Enrollment ID: I20171014000097 |
| Provider Name | Debra M Nyquist |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972580512 PECOS PAC ID: 1355491390 Enrollment ID: I20171109001109 |
| Provider Name | Joseph P Musto |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1255744934 PECOS PAC ID: 3678867405 Enrollment ID: I20180724003235 |
| Provider Name | Diana E Henry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841778099 PECOS PAC ID: 9931450178 Enrollment ID: I20180926003463 |
| Provider Name | Travis Gordon Kruger |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265844682 PECOS PAC ID: 4082924154 Enrollment ID: I20180927001688 |
| Provider Name | Maurizio M Pugliese |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518386390 PECOS PAC ID: 0042514119 Enrollment ID: I20181031002037 |
| Provider Name | Abbie Elizabeth Treiber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851876841 PECOS PAC ID: 1658616941 Enrollment ID: I20181213003237 |
| Provider Name | Sara K. Marshall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538631940 PECOS PAC ID: 8325389968 Enrollment ID: I20190409002606 |
| Provider Name | Yinzhong Zhang |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1194147785 PECOS PAC ID: 7416249263 Enrollment ID: I20190524000379 |
| Provider Name | Erick T Sheftic |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629464177 PECOS PAC ID: 4486959376 Enrollment ID: I20190723000005 |
| Provider Name | Kathleen R Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477079069 PECOS PAC ID: 7517293509 Enrollment ID: I20190730000014 |
| Provider Name | Mara Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316506090 PECOS PAC ID: 2264769116 Enrollment ID: I20190814004135 |
| Provider Name | Kleitia Dida |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1750743100 PECOS PAC ID: 9032406301 Enrollment ID: I20190909000000 |
| Provider Name | Angeline A Foster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124671300 PECOS PAC ID: 1658602628 Enrollment ID: I20191007002113 |
| Provider Name | Jacqueline S Landess |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497066351 PECOS PAC ID: 9436447406 Enrollment ID: I20191008003262 |
| Provider Name | Alicia Towne Ellison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346609914 PECOS PAC ID: 0446582365 Enrollment ID: I20191025002550 |
| Provider Name | Sarah Lindsay Grob Armstrong |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477102226 PECOS PAC ID: 9335571488 Enrollment ID: I20191112001444 |
| Provider Name | Sancia Ferguson |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1497070601 PECOS PAC ID: 9133434228 Enrollment ID: I20200206001369 |
| Provider Name | Carlos Jaramillo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730612375 PECOS PAC ID: 6800162082 Enrollment ID: I20200722001862 |
| Provider Name | Meaghan Trainor |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1730567736 PECOS PAC ID: 1355645110 Enrollment ID: I20200724000402 |
| Provider Name | Blair Golden |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1235523101 PECOS PAC ID: 3173828456 Enrollment ID: I20200729000111 |
| Provider Name | Wendy Jin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881012615 PECOS PAC ID: 1254632169 Enrollment ID: I20200729002416 |
| Provider Name | Ryan Quick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831619980 PECOS PAC ID: 9739508425 Enrollment ID: I20200929003716 |
| Provider Name | Asadullah Mahmood |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528598604 PECOS PAC ID: 4880013416 Enrollment ID: I20201001001294 |
| Provider Name | Alison Jayme |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174965164 PECOS PAC ID: 5890928204 Enrollment ID: I20210128000775 |
| Provider Name | Rhiannon Jane Talbot |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1841723467 PECOS PAC ID: 7113271602 Enrollment ID: I20210603003152 |
| Provider Name | Therese E Richardson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1487803250 PECOS PAC ID: 9335217066 Enrollment ID: I20210618001718 |
| Provider Name | Justin B Levinson |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1215322888 PECOS PAC ID: 8123371994 Enrollment ID: I20210630003929 |
| Provider Name | Ahmed Mohamed Abdelfatah Hashim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710479217 PECOS PAC ID: 5698171932 Enrollment ID: I20210910002597 |
| Provider Name | James Chounramany |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982109716 PECOS PAC ID: 9931539525 Enrollment ID: I20210913000103 |
| Provider Name | Rebecca I Kellum |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1992894372 PECOS PAC ID: 7416955901 Enrollment ID: I20210915003476 |
| Provider Name | Richard M Shuey |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659340735 PECOS PAC ID: 6901870807 Enrollment ID: I20211020001833 |
| Provider Name | Meghan M Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275204604 PECOS PAC ID: 6800286170 Enrollment ID: I20211130001132 |
| Provider Name | Erik D Wells |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154852424 PECOS PAC ID: 0547533051 Enrollment ID: I20211201002615 |
| Provider Name | Madeline Margaret Yeiser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437816444 PECOS PAC ID: 5092100982 Enrollment ID: I20220310001999 |
| Provider Name | Pier Maxwell Kemnitzer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164151643 PECOS PAC ID: 7810376597 Enrollment ID: I20220627002516 |
| Provider Name | Jessica M Beier |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922567106 PECOS PAC ID: 1557695376 Enrollment ID: I20220711002323 |
| Provider Name | Jose P. Anaya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679717680 PECOS PAC ID: 2062661101 Enrollment ID: I20220805001707 |
| Provider Name | Muhammad Umair Usman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1568007508 PECOS PAC ID: 3971936113 Enrollment ID: I20220808002949 |
| Provider Name | Maryam Zamanian |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336674167 PECOS PAC ID: 2668742297 Enrollment ID: I20220812001795 |
| Provider Name | Karen Kane |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1386729093 PECOS PAC ID: 6507763612 Enrollment ID: I20220816003076 |
| Provider Name | Aaron L Owen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467958561 PECOS PAC ID: 1658628771 Enrollment ID: I20220831002184 |
| Provider Name | Daniel Scott Towns |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669797585 PECOS PAC ID: 5193961571 Enrollment ID: I20221018002902 |
| Provider Name | Alexandra Leigh Difulvio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780316901 PECOS PAC ID: 4587030382 Enrollment ID: I20221019002160 |
| Provider Name | Emily M Wolter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487374625 PECOS PAC ID: 8527436591 Enrollment ID: I20221122002867 |
| Provider Name | John A. Arce |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962856013 PECOS PAC ID: 2365708872 Enrollment ID: I20221123001009 |
| Provider Name | Sara N Feist |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023288016 PECOS PAC ID: 6608246962 Enrollment ID: I20221230001637 |
| Provider Name | Matthew Allan Mickelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942907647 PECOS PAC ID: 2668838087 Enrollment ID: I20230510000083 |
| Provider Name | Sriram Gonakoti |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710549514 PECOS PAC ID: 1355673096 Enrollment ID: I20230524002151 |
| Provider Name | Lihua Bao |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114306396 PECOS PAC ID: 6406146000 Enrollment ID: I20230613001496 |
| Provider Name | Emily Duffy |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1013479674 PECOS PAC ID: 8224438122 Enrollment ID: I20230628004234 |
| Provider Name | Connor Walter Gullstrand |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1396364204 PECOS PAC ID: 3072938109 Enrollment ID: I20230707000791 |
| Provider Name | Ran Tao |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1093335895 PECOS PAC ID: 5698198737 Enrollment ID: I20230727002733 |
| Provider Name | Ellen Miller |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1548943871 PECOS PAC ID: 1850754581 Enrollment ID: I20230829002505 |
| Provider Name | Kavita Kanwar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750900551 PECOS PAC ID: 6901220466 Enrollment ID: I20230830000723 |
| Provider Name | Jessica Anderson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1679708390 PECOS PAC ID: 2163871310 Enrollment ID: I20240104000934 |
| Provider Name | Ruth Price |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518949197 PECOS PAC ID: 7416306592 Enrollment ID: I20240104001506 |
| Provider Name | Kiruba Vembu |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1487997326 PECOS PAC ID: 2668760406 Enrollment ID: I20240214003098 |
| Provider Name | Eric Strother |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053889402 PECOS PAC ID: 8921443334 Enrollment ID: I20240226000900 |
| Provider Name | Amy J Daum |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922720671 PECOS PAC ID: 3274978622 Enrollment ID: I20240226002412 |
| Provider Name | Samantha J Cunningham |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1326811134 PECOS PAC ID: 0547605875 Enrollment ID: I20240227001387 |
| Provider Name | Rachel M Ellis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154068229 PECOS PAC ID: 1759726938 Enrollment ID: I20240227003675 |
| Provider Name | Devon Balles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881369635 PECOS PAC ID: 2466859699 Enrollment ID: I20240531003267 |
Nrrc, Sc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 702 N Blackhawk Ave, Suite 100, Madison, WI 53705 Phone: 608-616-0118 Fax: 608-663-5928 | |
Creating Space, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1915 Winnebago St Ste 101, Madison, WI 53704 Phone: 608-205-8205 Fax: 608-999-7313 | |
Think & Grow Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2921 Landmark Pl Ste 215, Madison, WI 53713 Phone: 608-957-7277 Fax: 608-252-1333 | |
Adhd Solutions, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 437 S Yellowstone Dr Ste 217b, Madison, WI 53719 Phone: 608-467-2332 | |
Comprehensive Therapeutics Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5709 Divine St, Madison, WI 53718 Phone: 608-504-1492 | |
Golden Mend Wellness And Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 122 E Olin Ave Ste 220, Madison, WI 53713 Phone: 608-729-8696 | |
The Family Resource Group Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 313 Price Pl Ste 11, Madison, WI 53705 Phone: 608-575-7518 |