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FROEDTERT HEALTH
NPI 1073273215
Non-Pharmacy Dispensing Site in Manitowoc, WI

Active since December 29, 2021
1650 S 41ST ST, MANITOWOC, WI 54220(920) 476-6232 Get Directions Write a Review

NPPES record last updated: December 29, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Froedtert Health NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FROEDTERT HEALTH (NPI 1073273215), doing business as Froedtert & Mcw Community Physicians, is a healthcare organization registered as a non-pharmacy dispensing site in Manitowoc, Wisconsin and active in the NPI registry since December 2021. The organization lists Blaine John O'connell, Cfo, as its authorized official.

NPPES Registry Identity

NPI1073273215
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameFROEDTERT HEALTH
Location Address1650 S 41ST STManitowoc, WI 54220-7316
Mailing Address1650 S 41st StManitowoc, WI 54220-7316 · (920) 476-6232
Phone(920) 476-6232
Organization SubpartYes
Authorized OfficialBlaine John O'connellCfo · (414) 805-4291
Enumeration DateDecember 29, 2021
NPPES CertifiedDecember 29, 2021
✔ NPI 1073273215 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers
Taxonomy Code332900000X
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
1650 S 41ST ST, Manitowoc, WI 54220
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Other Names 1

Doing Business AsFroedtert & Mcw Community Physicians

Medical Equipment Supplier Medicare DMEPOS 4

Medicare supplier enrollment and the product categories Froedtert Health Pharmacy LLC carries, from the Medicare DMEPOS supplier directory.

Froedtert Health Pharmacy LLC

DMEPOS supplier · Manitowoc, WI
✔

Accepts Medicare assignment

Froedtert Health Pharmacy LLC agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20419211
Medicare Participant SinceNovember 3, 2019
Supplier Location1650 S 41st StManitowoc, WI 54220
Phone(262) 532-5173
Supplier Specialties
Pharmacy

Medicare Product Categories

Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BARBARA J BACKUS N.P.
Nurse Practitioner (Family)
1650 S 41ST ST
MANITOWOC, WI 54220
Manitowoc County (920) 320-4500
TAHNEE SIEWERT
Nurse Practitioner (Gerontology)
1650 S 41ST ST
MANITOWOC, WI 54220
Manitowoc County (920) 320-4660
BRITTNEY NICOLE LAPALME MOTR/L
Occupational Therapist
1650 S 41ST ST
MANITOWOC, WI 54220
Manitowoc County (920) 320-3100
JOHN LEO OLSEN M.D.
Psychiatry & Neurology (Psychiatry)
1650 S 41ST ST
MANITOWOC, WI 54220
Manitowoc County (920) 320-2436
JESSICA L LIETZAN FNP-C
Nurse Practitioner (Family)
1650 S 41ST ST
MANITOWOC, WI 54220
Manitowoc County (920) 320-2436
JENNIE MCCORMICK
Speech-Language Pathologist
1650 S 41ST ST
MANITOWOC, WI 54220
Manitowoc County (920) 320-3100
PAMELA J POSVIC PTA
Physical Therapy Assistant
1650 S 41ST ST
MANITOWOC, WI 54220
Manitowoc County (920) 320-4000
NICOLE DREW PT
Physical Therapist
1650 S 41ST ST
MANITOWOC, WI 54220
Manitowoc County (920) 320-3100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Froedtert Health's NPI number?

The NPI number for Froedtert Health is 1073273215. It was assigned to this organization in the NPPES registry on December 29, 2021. The provider is doing business as Froedtert & MCW Community Physicians.

Where is Froedtert Health located?

Froedtert Health is located at 1650 S 41st St, Manitowoc, WI 54220. The listed phone number is (920) 476-6232.

What is Froedtert Health's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

Does Froedtert Health accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Froedtert Health Pharmacy LLC accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

When was this NPI record last updated?

The NPPES record for Froedtert Health was last updated on December 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.