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750 Highland Ave Fl 4 Health Sciences Learning Center Madison WI 53705-2221 | |
| (608) 263-4938 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/Center |
| Location | 750 Highland Ave Fl 4, Madison, Wisconsin |
| Authorized Official Name and Position | Heidi Gaye Conrad (CFO) |
| Authorized Official Contact | 6082634938 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
7974 Uw Health Court Middleton WI 53562-5531 Ph: (608) 829-5485 | 750 Highland Ave Fl 4 Health Sciences Learning Center Madison WI 53705-2221 Ph: (608) 263-4938 |
| NPI Number | 1346266319 |
|---|---|
| Provider Enumeration Date | 07/14/2006 |
| Last Update Date | 01/14/2025 |
| Medicare PECOS PAC ID | 9133024888 |
|---|---|
| Medicare Enrollment ID | O20031204001102 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346266319 | NPI | - | NPPES |
| 32855400 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | John A Jerisha |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053389288 PECOS PAC ID: 5991602369 Enrollment ID: I20031215000386 |
| Provider Name | Perry J Pickhardt |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1962464123 PECOS PAC ID: 3779484068 Enrollment ID: I20040120000016 |
| Provider Name | Valerie A Boll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720049638 PECOS PAC ID: 2264329028 Enrollment ID: I20040304000551 |
| Provider Name | Michael J Rock |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689640773 PECOS PAC ID: 3870589716 Enrollment ID: I20040424000046 |
| Provider Name | Charles G Stepherson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508835596 PECOS PAC ID: 3375539125 Enrollment ID: I20040426000444 |
| Provider Name | Elizabeth L Teigen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285603282 PECOS PAC ID: 5799771556 Enrollment ID: I20040426000569 |
| Provider Name | Kathleen M Baus |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063480291 PECOS PAC ID: 8729074596 Enrollment ID: I20040426000621 |
| Provider Name | Elizabeth A Sadowski |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093783987 PECOS PAC ID: 1355325945 Enrollment ID: I20040614000061 |
| Provider Name | Amanda E Mravec |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1730143322 PECOS PAC ID: 9830174218 Enrollment ID: I20040621000794 |
| Provider Name | James L Hinshaw |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437123031 PECOS PAC ID: 3173595527 Enrollment ID: I20040806001194 |
| Provider Name | John K Park |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1487623773 PECOS PAC ID: 0941269534 Enrollment ID: I20041008000406 |
| Provider Name | Aaron S Field |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083682421 PECOS PAC ID: 6507828258 Enrollment ID: I20041103001160 |
| Provider Name | Frederick Kelcz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508826801 PECOS PAC ID: 4385606052 Enrollment ID: I20041103001280 |
| Provider Name | Michael J Tuite |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467420950 PECOS PAC ID: 8224091913 Enrollment ID: I20041104000133 |
| Provider Name | Donna G Blankenbaker |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558322065 PECOS PAC ID: 9739142423 Enrollment ID: I20041104000166 |
| Provider Name | Scott B Perlman |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1649248030 PECOS PAC ID: 8628031333 Enrollment ID: I20041104000292 |
| Provider Name | Thomas M Grist |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841269859 PECOS PAC ID: 3072576792 Enrollment ID: I20041104000406 |
| Provider Name | Seth H Dailey |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1346204989 PECOS PAC ID: 1153385927 Enrollment ID: I20041112000400 |
| Provider Name | Gary J Wendt |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093784316 PECOS PAC ID: 9931163664 Enrollment ID: I20041112000877 |
| Provider Name | Fred T Lee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427027713 PECOS PAC ID: 4183688831 Enrollment ID: I20041112001063 |
| Provider Name | Elizabeth S Burnside Rollins |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306801980 PECOS PAC ID: 4880658541 Enrollment ID: I20041112001103 |
| Provider Name | Paul A Staskowski |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1548224264 PECOS PAC ID: 6002871977 Enrollment ID: I20041120000072 |
| Provider Name | Kimberly A Sowers |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1821053570 PECOS PAC ID: 2567410806 Enrollment ID: I20050104000484 |
| Provider Name | David H Kim |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861469058 PECOS PAC ID: 5597703462 Enrollment ID: I20050420001402 |
| Provider Name | Benjamin C Marcus |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1639134398 PECOS PAC ID: 9335121474 Enrollment ID: I20050531000871 |
| Provider Name | Scott Brian Reeder |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1457320376 PECOS PAC ID: 2264410208 Enrollment ID: I20050816000978 |
| Provider Name | Lonie R Salkowski |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1669431102 PECOS PAC ID: 0345272274 Enrollment ID: I20050831000484 |
| Provider Name | Shilagh A Mirgain |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1477517027 PECOS PAC ID: 1153354881 Enrollment ID: I20050914000252 |
| Provider Name | Mary Beth Henry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194780700 PECOS PAC ID: 9931116084 Enrollment ID: I20060314000560 |
| Provider Name | Newrhee Kim |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1952370256 PECOS PAC ID: 9537177241 Enrollment ID: I20060322000294 |
| Provider Name | Peter Joseph Chase |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295792158 PECOS PAC ID: 2769493170 Enrollment ID: I20060524000174 |
| Provider Name | Erin M Sessler |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1871523043 PECOS PAC ID: 1456354778 Enrollment ID: I20060807000021 |
| Provider Name | Tony L Kille |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1518918952 PECOS PAC ID: 2062417769 Enrollment ID: I20061003000068 |
| Provider Name | Allison M Grayev |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1962447789 PECOS PAC ID: 9032117148 Enrollment ID: I20061128000609 |
| Provider Name | Mai A Elezaby |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1366525990 PECOS PAC ID: 2466452867 Enrollment ID: I20070109000442 |
| Provider Name | Bora Ozel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1316998917 PECOS PAC ID: 6406959261 Enrollment ID: I20070315000187 |
| Provider Name | Kenneth S Lee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1962626739 PECOS PAC ID: 8527166065 Enrollment ID: I20070607000335 |
| Provider Name | Timothy M Mcculloch |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1477686830 PECOS PAC ID: 3577573385 Enrollment ID: I20070717000352 |
| Provider Name | Matthew T Lister |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1821200239 PECOS PAC ID: 9537253091 Enrollment ID: I20070914000683 |
| Provider Name | Humberto G Rosas |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861429557 PECOS PAC ID: 0840295598 Enrollment ID: I20070915000102 |
| Provider Name | Mark L Schiebler |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467450056 PECOS PAC ID: 2860589041 Enrollment ID: I20071105000364 |
| Provider Name | Janice M Singles |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1497719074 PECOS PAC ID: 0648368738 Enrollment ID: I20071127000401 |
| Provider Name | Susan L Rebsamen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871590422 PECOS PAC ID: 1355421595 Enrollment ID: I20071231000268 |
| Provider Name | Wendy L Marchant |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1245439405 PECOS PAC ID: 1557444668 Enrollment ID: I20080213000327 |
| Provider Name | Jessica B Robbins |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407971336 PECOS PAC ID: 9739259367 Enrollment ID: I20080609000175 |
| Provider Name | Meghan G Lubner |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1184845133 PECOS PAC ID: 5294809299 Enrollment ID: I20080809000088 |
| Provider Name | Brian K Markhardt |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154335420 PECOS PAC ID: 8729152665 Enrollment ID: I20080811000394 |
| Provider Name | Vivek Prabhakaran |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891848115 PECOS PAC ID: 1254406218 Enrollment ID: I20081002000613 |
| Provider Name | Lori L Dubenske |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1366687840 PECOS PAC ID: 2264598747 Enrollment ID: I20090309000174 |
| Provider Name | Gregory D Avey |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1881644813 PECOS PAC ID: 6305993064 Enrollment ID: I20090415000304 |
| Provider Name | Tabassum A Kennedy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508074618 PECOS PAC ID: 8921157215 Enrollment ID: I20090515000244 |
| Provider Name | Richard J Bruce |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1649220427 PECOS PAC ID: 8921179870 Enrollment ID: I20090615000685 |
| Provider Name | Jeffrey Paul Kanne |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639186463 PECOS PAC ID: 9335187319 Enrollment ID: I20090707000486 |
| Provider Name | Amy J Baillies |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1023072667 PECOS PAC ID: 3971657867 Enrollment ID: I20090811000668 |
| Provider Name | Stevie J Marvin |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1649441528 PECOS PAC ID: 6103970207 Enrollment ID: I20090824000276 |
| Provider Name | Molly A Knigge |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1275601841 PECOS PAC ID: 4385790351 Enrollment ID: I20090916000076 |
| Provider Name | Orhan S Ozkan |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1043394398 PECOS PAC ID: 8224130687 Enrollment ID: I20091006000698 |
| Provider Name | Gregory K Hartig |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1386608966 PECOS PAC ID: 5698819613 Enrollment ID: I20100215000377 |
| Provider Name | Thomas R Pasic |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1689638256 PECOS PAC ID: 2466596499 Enrollment ID: I20100215000439 |
| Provider Name | Edward J Borman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1851340657 PECOS PAC ID: 3779612668 Enrollment ID: I20100602000936 |
| Provider Name | Lara L Duwe |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1144284787 PECOS PAC ID: 8123158953 Enrollment ID: I20100604000847 |
| Provider Name | Jason W Pinchot |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1639339971 PECOS PAC ID: 3971633223 Enrollment ID: I20100611000658 |
| Provider Name | John-michael N Khalil |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588848923 PECOS PAC ID: 4587714407 Enrollment ID: I20100626000261 |
| Provider Name | Aaron M Wieland |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1689887986 PECOS PAC ID: 0840324745 Enrollment ID: I20100813000710 |
| Provider Name | Roberta Marie Strigel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1710078746 PECOS PAC ID: 7113071879 Enrollment ID: I20100920000709 |
| Provider Name | Timothy J Ziemlewicz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1184885683 PECOS PAC ID: 6800946773 Enrollment ID: I20100927001390 |
| Provider Name | Christopher G Guglielmo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770750432 PECOS PAC ID: 9638361504 Enrollment ID: I20101011000450 |
| Provider Name | Kara Gill |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477634624 PECOS PAC ID: 2163608175 Enrollment ID: I20110509000431 |
| Provider Name | David C Upton |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1457397663 PECOS PAC ID: 9234317546 Enrollment ID: I20110708000300 |
| Provider Name | Susan K Marten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992771844 PECOS PAC ID: 1355515123 Enrollment ID: I20111114000793 |
| Provider Name | Joseph Y Tang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083806350 PECOS PAC ID: 4082873302 Enrollment ID: I20120306000757 |
| Provider Name | Molly E Raske |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093820730 PECOS PAC ID: 9436220142 Enrollment ID: I20120328000963 |
| Provider Name | Venkata N Meduri |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437424835 PECOS PAC ID: 7315103405 Enrollment ID: I20120717000577 |
| Provider Name | Jason Woods Stephenson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720269137 PECOS PAC ID: 8628128477 Enrollment ID: I20120815000791 |
| Provider Name | Amy M Fowler |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992960975 PECOS PAC ID: 9234393182 Enrollment ID: I20130608000151 |
| Provider Name | Scott R. Chaiet |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1184828170 PECOS PAC ID: 2961667159 Enrollment ID: I20130717000539 |
| Provider Name | Robert K Bour |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285892844 PECOS PAC ID: 7113168741 Enrollment ID: I20130724000811 |
| Provider Name | Michael A Woods |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1518096817 PECOS PAC ID: 5991946543 Enrollment ID: I20130725000102 |
| Provider Name | Justin L Brucker |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194997601 PECOS PAC ID: 0446491633 Enrollment ID: I20130731000362 |
| Provider Name | Kimberly S Hoppe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689096000 PECOS PAC ID: 2769614502 Enrollment ID: I20140410000709 |
| Provider Name | Steve Y Cho |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1902945181 PECOS PAC ID: 6406940733 Enrollment ID: I20140602000210 |
| Provider Name | Ryan W Woods |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1598995748 PECOS PAC ID: 2466601653 Enrollment ID: I20140602001884 |
| Provider Name | Mark G Kleedehn |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1508187964 PECOS PAC ID: 5395968069 Enrollment ID: I20140911001955 |
| Provider Name | Nevein Ibrahim |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1629333240 PECOS PAC ID: 0648493379 Enrollment ID: I20150316001392 |
| Provider Name | Maria D Martin Rother |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194038588 PECOS PAC ID: 8820318330 Enrollment ID: I20150526000521 |
| Provider Name | Andrew B Ross |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154563377 PECOS PAC ID: 9234459751 Enrollment ID: I20150526000701 |
| Provider Name | Paul F Laeseke |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1902030778 PECOS PAC ID: 6800108085 Enrollment ID: I20150630002203 |
| Provider Name | John-paul Yu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912225939 PECOS PAC ID: 7416269196 Enrollment ID: I20150709000805 |
| Provider Name | Erica M Knavel Koepsel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700164928 PECOS PAC ID: 3476866625 Enrollment ID: I20150717001020 |
| Provider Name | Justin N Tawil |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1235367590 PECOS PAC ID: 2961725346 Enrollment ID: I20150810002817 |
| Provider Name | Zachary Borden |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750677290 PECOS PAC ID: 1951524743 Enrollment ID: I20160510002111 |
| Provider Name | Michael P Hartung |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750660692 PECOS PAC ID: 9133419369 Enrollment ID: I20160531002456 |
| Provider Name | Nicole M Pulia |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1619318433 PECOS PAC ID: 4082905138 Enrollment ID: I20160620001910 |
| Provider Name | Joseph P Roche |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1104020932 PECOS PAC ID: 1456643857 Enrollment ID: I20160705001691 |
| Provider Name | Bryan Dustin Pooler |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1851650030 PECOS PAC ID: 2365746831 Enrollment ID: I20160804002674 |
| Provider Name | John Stephen Symanski |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1073812236 PECOS PAC ID: 3870722408 Enrollment ID: I20170517001579 |
| Provider Name | David Bluemke |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1043276728 PECOS PAC ID: 0749278505 Enrollment ID: I20170614000226 |
| Provider Name | David Oliver Francis |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1154430072 PECOS PAC ID: 6204960602 Enrollment ID: I20170801002541 |
| Provider Name | Tiffany Ann Glazer |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1629365135 PECOS PAC ID: 8628383502 Enrollment ID: I20170814003206 |
| Provider Name | Jeffrey David Swick |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154762078 PECOS PAC ID: 7214151406 Enrollment ID: I20171026001147 |
| Provider Name | Kelly W Capel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356768220 PECOS PAC ID: 2365762895 Enrollment ID: I20180731003833 |
| Provider Name | Aaron Cole Eifler |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1548525348 PECOS PAC ID: 6800144718 Enrollment ID: I20180809004427 |
| Provider Name | Laura Burns Eisenmenger |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417214479 PECOS PAC ID: 9234361494 Enrollment ID: I20190103000981 |
| Provider Name | Matthew William Shore |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1669814737 PECOS PAC ID: 8729202049 Enrollment ID: I20190529001459 |
| Provider Name | Benjamin B Whiddon |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1831586817 PECOS PAC ID: 8729392626 Enrollment ID: I20190607000754 |
| Provider Name | Minnie W Kieler |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1942659883 PECOS PAC ID: 6406136282 Enrollment ID: I20190701000877 |
| Provider Name | Ali Pirasteh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164788253 PECOS PAC ID: 5092088708 Enrollment ID: I20190716002893 |
| Provider Name | Jonathan Ogden Swanson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1073623104 PECOS PAC ID: 4183775232 Enrollment ID: I20190916000506 |
| Provider Name | John F Swietlik |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1285029314 PECOS PAC ID: 4880974666 Enrollment ID: I20200331002012 |
| Provider Name | Alison R Gegios |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1669867990 PECOS PAC ID: 9830420090 Enrollment ID: I20200521000095 |
| Provider Name | Mitchell K Daun |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265827943 PECOS PAC ID: 2961776356 Enrollment ID: I20200603003079 |
| Provider Name | Joshua R Fage |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437579844 PECOS PAC ID: 9436570140 Enrollment ID: I20200605000320 |
| Provider Name | Andrew Louis Wentland |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295121986 PECOS PAC ID: 6406151158 Enrollment ID: I20200609001538 |
| Provider Name | Edward M Lawrence |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912393703 PECOS PAC ID: 2860700879 Enrollment ID: I20200715003398 |
| Provider Name | Jacob I Ferris |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164876777 PECOS PAC ID: 7618269515 Enrollment ID: I20201105001309 |
| Provider Name | Brian F Mullan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1043208085 PECOS PAC ID: 6103916671 Enrollment ID: I20201110000614 |
| Provider Name | Kathleen L Gorenc |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467729764 PECOS PAC ID: 8921413832 Enrollment ID: I20210225003393 |
| Provider Name | Prashant Nagpal |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255763579 PECOS PAC ID: 4284861782 Enrollment ID: I20210511002048 |
| Provider Name | Matthew H Lee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447538566 PECOS PAC ID: 8820394729 Enrollment ID: I20210528000528 |
| Provider Name | Eric James Monroe |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1073747796 PECOS PAC ID: 3870818495 Enrollment ID: I20210602002164 |
| Provider Name | Giuseppe V Toia |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1710364187 PECOS PAC ID: 1951605815 Enrollment ID: I20210610000163 |
| Provider Name | Anand Kumar Narayan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1124304217 PECOS PAC ID: 3971752270 Enrollment ID: I20210723000932 |
| Provider Name | Sandip Biswal |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528158359 PECOS PAC ID: 9032217559 Enrollment ID: I20211001000404 |
| Provider Name | Nicholas Charles Laucis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255782116 PECOS PAC ID: 6901190891 Enrollment ID: I20220609002973 |
| Provider Name | Jade A Anderson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871941252 PECOS PAC ID: 7517246366 Enrollment ID: I20220629000233 |
| Provider Name | Teresa Chapman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1730290214 PECOS PAC ID: 6103901004 Enrollment ID: I20220927004010 |
| Provider Name | Daniel Scott Towns |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669797585 PECOS PAC ID: 5193961571 Enrollment ID: I20221018002902 |
| Provider Name | Scott Ferry |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1417178385 PECOS PAC ID: 1153475496 Enrollment ID: I20221130002180 |
| Provider Name | James R. Fink |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164527495 PECOS PAC ID: 6002852910 Enrollment ID: I20230123001987 |
| Provider Name | Leslie Nelson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770088387 PECOS PAC ID: 7012373095 Enrollment ID: I20230517001035 |
| Provider Name | Michael Joseph Houghan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508495417 PECOS PAC ID: 3971927310 Enrollment ID: I20230523003112 |
| Provider Name | Michael C Veronesi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780908400 PECOS PAC ID: 2860796158 Enrollment ID: I20230530002343 |
| Provider Name | Thomas P Lo Duca |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1497247159 PECOS PAC ID: 5698022085 Enrollment ID: I20230614003043 |
| Provider Name | Jakub Michal Siembida |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982125159 PECOS PAC ID: 7517325467 Enrollment ID: I20230624000288 |
| Provider Name | Brody William Brisk |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538724240 PECOS PAC ID: 6608103627 Enrollment ID: I20230711001627 |
| Provider Name | Monica Cooley |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568968840 PECOS PAC ID: 0446509897 Enrollment ID: I20230711004268 |
| Provider Name | Kayla Nicole Bradburn |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1790277044 PECOS PAC ID: 0143575860 Enrollment ID: I20230718003365 |
| Provider Name | Jacob J Anderson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1659830669 PECOS PAC ID: 5193058279 Enrollment ID: I20230720000095 |
| Provider Name | Kathleen Fink |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1902917909 PECOS PAC ID: 1951452994 Enrollment ID: I20230720002549 |
| Provider Name | Troy N Tenbrunsel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1013478635 PECOS PAC ID: 1052642360 Enrollment ID: I20230721002571 |
| Provider Name | Nandakumar M Menon |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1982134334 PECOS PAC ID: 4880969559 Enrollment ID: I20230725001933 |
| Provider Name | Craig A Tork |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558704908 PECOS PAC ID: 8820479942 Enrollment ID: I20230727003209 |
| Provider Name | Alexander R Mcdonald |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225693492 PECOS PAC ID: 4183959521 Enrollment ID: I20230821003856 |
| Provider Name | Jacob W Tangney |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1992488001 PECOS PAC ID: 9739542747 Enrollment ID: I20230823003813 |
| Provider Name | Joshua D Warner |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1922452366 PECOS PAC ID: 7113219841 Enrollment ID: I20230927002633 |
| Provider Name | Thekla H Oechtering |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053172387 PECOS PAC ID: 0446693121 Enrollment ID: I20240209001077 |
| Provider Name | Carrie Anne Orlikowski |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164982377 PECOS PAC ID: 9234467325 Enrollment ID: I20240528002400 |
| Provider Name | Edwarda D Golden |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1962908897 PECOS PAC ID: 6305171265 Enrollment ID: I20240529001572 |
| Provider Name | Saralyn R Beckius |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144783218 PECOS PAC ID: 2860934916 Enrollment ID: I20240605000828 |
| Provider Name | Alex E Cook |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1124589908 PECOS PAC ID: 4688909369 Enrollment ID: I20240613001081 |
| Provider Name | Patrick Touhy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811552847 PECOS PAC ID: 7911233697 Enrollment ID: I20240614002045 |
| Provider Name | Haley Alexi Probst |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285214635 PECOS PAC ID: 5698177194 Enrollment ID: I20240617001362 |
| Provider Name | Aishwariya Sai Vegunta |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720648918 PECOS PAC ID: 6608319835 Enrollment ID: I20240617001967 |
| Provider Name | Changhee Lee |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1316696396 PECOS PAC ID: 5092195412 Enrollment ID: I20240617002781 |
| Provider Name | Matthew R Smith |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083110381 PECOS PAC ID: 0648527226 Enrollment ID: I20240626002280 |
| Provider Name | Afshin Ameri |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033576434 PECOS PAC ID: 9032450283 Enrollment ID: I20240702002618 |
| Provider Name | Ariel Herschel Kwart |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1114489960 PECOS PAC ID: 3476880907 Enrollment ID: I20240703000643 |
| Provider Name | Adam T Miller |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194288175 PECOS PAC ID: 1759616691 Enrollment ID: I20240705000209 |
| Provider Name | Lewis A Jordan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720647233 PECOS PAC ID: 3274951553 Enrollment ID: I20240705000522 |
| Provider Name | Andrew Liu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699206961 PECOS PAC ID: 7113277070 Enrollment ID: I20240710002891 |
| Provider Name | Taylor J Sellers |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1013576701 PECOS PAC ID: 5597091793 Enrollment ID: I20240716001124 |
| Provider Name | Kayla Berigan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1396190641 PECOS PAC ID: 0446671838 Enrollment ID: I20240716003223 |
| Provider Name | Sean K Golden |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1851897334 PECOS PAC ID: 2365785730 Enrollment ID: I20240723001028 |
| Provider Name | Jordan M Fenner |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356831622 PECOS PAC ID: 9537414461 Enrollment ID: I20240726003164 |
| Provider Name | Evan Miller |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1073076634 PECOS PAC ID: 4880929603 Enrollment ID: I20240729003366 |
| Provider Name | Matthew M Niemeyer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609018050 PECOS PAC ID: 4587893144 Enrollment ID: I20240731004075 |
| Provider Name | Sarv Priya |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538612056 PECOS PAC ID: 8325326770 Enrollment ID: I20240807000212 |
| Provider Name | Taylor Fletcher |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1043054679 PECOS PAC ID: 7719425818 Enrollment ID: I20240821000474 |
| Provider Name | Matthew E Larson |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1316444615 PECOS PAC ID: 5193072262 Enrollment ID: I20240903000992 |
| Provider Name | Praveena Narayanan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1548798077 PECOS PAC ID: 9537438429 Enrollment ID: I20240905000833 |
| Provider Name | Charles W Hansen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1750840948 PECOS PAC ID: 9335689538 Enrollment ID: I20240913000969 |
| Provider Name | Anthony S Emmott |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1316773369 PECOS PAC ID: 3476084385 Enrollment ID: I20241002003788 |
| Provider Name | Michio D Taya |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1598260424 PECOS PAC ID: 5799032140 Enrollment ID: I20241018002315 |
| Provider Name | Michael Korostensky |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1245057181 PECOS PAC ID: 6204368988 Enrollment ID: I20241018002718 |
Oriel Medicine S.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5231 University Ave, Madison, WI 53705 Phone: 608-238-0100 Fax: 608-238-7550 | |
Out Health Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5231 University Ave, Madison, WI 53705 Phone: 608-238-0100 Fax: 608-238-7550 | |
Steinhauer Family Eye Clinic, S.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2639 University Ave, Madison, WI 53705 Phone: 608-255-6407 Fax: 608-255-1889 | |
Therapy Space Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 740 Regent St Ste 202, Madison, WI 53715 Phone: 608-572-2101 | |
American Current Care P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1619 N Stoughton Rd, Madison, WI 53704 Phone: 866-944-6046 | |