| Gastroenterology Consultants, Ltd | |
|
2801 W Kinnickinnic River Pkwy Ste 1080 Milwaukee WI 53215-3689 | |
| (414) 908-6500 | |
| (414) 908-6565 |
| Full Name | Gastroenterology Consultants, Ltd |
|---|---|
| Speciality | Internal Medicine |
| Location | 2801 W Kinnickinnic River Pkwy Ste 1080, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Amy Jo Burns (DIRECTOR REVENUE CYCLE MANAGEMENT) |
| Authorized Official Contact | 2629707825 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gastroenterology Consultants, Ltd 2801 W Kinnickinnic River Pkwy Ste 1080 Milwaukee WI 53215-3689 Ph: (414) 908-6506 | Gastroenterology Consultants, Ltd 2801 W Kinnickinnic River Pkwy Ste 1080 Milwaukee WI 53215-3689 Ph: (414) 908-6500 |
| NPI Number | 1730608324 |
|---|---|
| Provider Enumeration Date | 09/14/2017 |
| Last Update Date | 01/08/2025 |
| Certification Date | 01/08/2025 |
| Medicare PECOS PAC ID | 5092890079 |
|---|---|
| Medicare Enrollment ID | O20171101000018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730608324 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | () | Primary |
| Provider Name | Lyndon V Hernandez |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1831166503 PECOS PAC ID: 5193626521 Enrollment ID: I20040119000000 |
| Provider Name | Alan N Mayer |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1134170988 PECOS PAC ID: 7810890241 Enrollment ID: I20040131000235 |
| Provider Name | Jamal a Qureshi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1487761706 PECOS PAC ID: 4284694407 Enrollment ID: I20041013000005 |
| Provider Name | Nalini M Guda |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1750358420 PECOS PAC ID: 2264496314 Enrollment ID: I20041117001100 |
| Provider Name | Joseph P Kim |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1962472589 PECOS PAC ID: 2769372242 Enrollment ID: I20060322000342 |
| Provider Name | Nikole Henthorn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528035219 PECOS PAC ID: 3971679168 Enrollment ID: I20080912000213 |
| Provider Name | Laurie Casiano |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1851368534 PECOS PAC ID: 6507933785 Enrollment ID: I20081003000430 |
| Provider Name | Fabiola T Boche |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1265661847 PECOS PAC ID: 4587799119 Enrollment ID: I20100320000215 |
| Provider Name | Alex Ulitsky |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1720015225 PECOS PAC ID: 4486667987 Enrollment ID: I20101028001133 |
| Provider Name | Ricardo a Li |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1366419046 PECOS PAC ID: 2860675485 Enrollment ID: I20110319000067 |
| Provider Name | Brian Moloney |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1578775755 PECOS PAC ID: 2264525021 Enrollment ID: I20121017000249 |
| Provider Name | Syed Hussain |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1760696991 PECOS PAC ID: 9335326750 Enrollment ID: I20150724010423 |
| Provider Name | Julia Leo |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1891953295 PECOS PAC ID: 3678889524 Enrollment ID: I20150908002919 |
| Provider Name | William Blosky |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1740506195 PECOS PAC ID: 1254574130 Enrollment ID: I20160808002300 |
| Provider Name | Angelina Sanchez |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1619429230 PECOS PAC ID: 5294019089 Enrollment ID: I20170222001712 |
| Provider Name | Michael James Schmalz |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1346655198 PECOS PAC ID: 7315163524 Enrollment ID: I20200618001960 |
| Provider Name | Chetan Mittal |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1407140015 PECOS PAC ID: 4587896220 Enrollment ID: I20220823003423 |
| Provider Name | Anna Minchillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215675897 PECOS PAC ID: 1759767908 Enrollment ID: I20220926002841 |
| Provider Name | Sohaib Hassan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1407169113 PECOS PAC ID: 1557595592 Enrollment ID: I20240426001457 |
| Provider Name | Richard S Kinsey |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1659574127 PECOS PAC ID: 3476616624 Enrollment ID: I20241223000860 |
| Provider Name | Ehab Rabaa |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1164586707 PECOS PAC ID: 6204937568 Enrollment ID: I20241227001593 |
| Provider Name | Maria T Rivera |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1417924192 PECOS PAC ID: 1658808696 Enrollment ID: I20250102002182 |
| Provider Name | Annie Shergill |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1609257153 PECOS PAC ID: 5193023109 Enrollment ID: I20250612002007 |
| Provider Name | Jason J.O. Browne |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1467912030 PECOS PAC ID: 0840524898 Enrollment ID: I20250716000109 |
Community Based Residential Facility Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3910 W Burleigh St, Milwaukee, WI 53210 Phone: 414-445-3607 Fax: 414-445-6575 |
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Muhammad Akbar MD LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2900 W Oklahoma Ave, Milwaukee, WI 53215 Phone: 414-365-3210 Fax: 414-365-3225 |
La Clinica Latina LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1238 S Cesar E Chavez Dr, Milwaukee, WI 53204 Phone: 414-645-6666 Fax: 414-645-6732 |
Medzone LLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1919 W North Ave Ste 150, Milwaukee, WI 53205 Phone: 414-395-0009 |
Jeremias B. Vinluan M.D. S.C. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 756 N 35th St, Suite 204, Milwaukee, WI 53208 Phone: 414-342-2606 Fax: 414-342-0789 |