Advanced Ear Nose & Throat Specialists, Sc | |
2885 N Mayfair Rd, Milwaukee, WI 53222-4404 | |
(888) 889-3838 | |
Not Available |
Full Name | Advanced Ear Nose & Throat Specialists, Sc |
---|---|
Type | Facility |
Speciality | Otolaryngology - Plastic Surgery Within The Head & Neck |
Location | 2885 N Mayfair Rd, Milwaukee, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689782427 | NPI | - | NPPES |
34336200 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
231H00000X | Audiologist | 434 156 (Wisconsin) | Secondary |
207YX0007X | Otolaryngology - Plastic Surgery Within The Head & Neck | 44930 020 (Wisconsin) | Primary |
Provider Name | Madan N Kandula |
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Provider Type | Practitioner - Otolaryngology |
Provider Identifiers | NPI Number: 1275521288 PECOS PAC ID: 4789649534 Enrollment ID: I20041122000465 |
Provider Name | Richard N Schmidt |
---|---|
Provider Type | Practitioner - Otolaryngology |
Provider Identifiers | NPI Number: 1518182724 PECOS PAC ID: 9638250319 Enrollment ID: I20080118000689 |
Provider Name | Matthew E Peters |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316224983 PECOS PAC ID: 1052578762 Enrollment ID: I20120208000629 |
Provider Name | Ethan Handler |
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Provider Type | Practitioner - Otolaryngology |
Provider Identifiers | NPI Number: 1831359801 PECOS PAC ID: 6002138955 Enrollment ID: I20160616002356 |
Provider Name | Maggie A Weissman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336665082 PECOS PAC ID: 6901172048 Enrollment ID: I20171018000439 |
Provider Name | Christopher Joseph Lee |
---|---|
Provider Type | Practitioner - Otolaryngology |
Provider Identifiers | NPI Number: 1962768267 PECOS PAC ID: 1658675129 Enrollment ID: I20190506001852 |
Provider Name | Justin E Wittkopf |
---|---|
Provider Type | Practitioner - Otolaryngology |
Provider Identifiers | NPI Number: 1043460850 PECOS PAC ID: 2264585603 Enrollment ID: I20190710002916 |
Provider Name | Jennifer Hsia |
---|---|
Provider Type | Practitioner - Otolaryngology |
Provider Identifiers | NPI Number: 1174633184 PECOS PAC ID: 6204013550 Enrollment ID: I20211214001778 |
Provider Name | Danielle Ratter |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073271961 PECOS PAC ID: 7214322411 Enrollment ID: I20220325001504 |
Provider Name | Ronald Devore |
---|---|
Provider Type | Practitioner - Otolaryngology |
Provider Identifiers | NPI Number: 1619078201 PECOS PAC ID: 8820992324 Enrollment ID: I20220405000968 |
Provider Name | Jennifer Stropkey |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649934530 PECOS PAC ID: 3577954080 Enrollment ID: I20220907003209 |
Provider Name | Andrew John Vanbruggen |
---|---|
Provider Type | Practitioner - Otolaryngology |
Provider Identifiers | NPI Number: 1003337809 PECOS PAC ID: 1951786490 Enrollment ID: I20221006002427 |
Provider Name | Ruben D Apgar |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083332852 PECOS PAC ID: 3375911530 Enrollment ID: I20221118000640 |
Provider Name | Kiara Iris Hoffman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336864719 PECOS PAC ID: 5698144244 Enrollment ID: I20221205000355 |
Provider Name | Ronald Schroeder |
---|---|
Provider Type | Practitioner - Otolaryngology |
Provider Identifiers | NPI Number: 1427493485 PECOS PAC ID: 8527391333 Enrollment ID: I20230503000952 |
Provider Name | Megan M Hanson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194439497 PECOS PAC ID: 6103283890 Enrollment ID: I20230612002652 |
Provider Name | Genna Tonstad |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386421279 PECOS PAC ID: 0345696720 Enrollment ID: I20231020000866 |
Provider Name | Jena Rae Wilhelmi |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689453417 PECOS PAC ID: 0840647566 Enrollment ID: I20231116002942 |
Provider Name | Jennifer Yates |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649477175 PECOS PAC ID: 9739613845 Enrollment ID: I20241112004079 |
Provider Name | Tara Peterson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144045444 PECOS PAC ID: 0547797318 Enrollment ID: I20241218003452 |
Mailing Address | Practice Location Address |
---|---|
Advanced Ear Nose & Throat Specialists, Sc 10001 W Innovation Dr Ste 200, Wauwatosa, WI 53226-4851 Ph: (888) 938-3838 | Advanced Ear Nose & Throat Specialists, Sc 2885 N Mayfair Rd, Milwaukee, WI 53222-4404 Ph: (888) 889-3838 |