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FROEDTERT & MEDICAL COLLEGE OF WI COMMUNITY PHYSICIANS
NPI 1720604044
Non-Pharmacy Dispensing Site in West Bend, WI

Active since June 23, 2020
1700 PARADISE DR, WEST BEND, WI 53095(262) 253-5230 Get Directions Write a Review

NPPES record last updated: June 23, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Froedtert & Medical College Of Wi Community Physicians NPPES

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

FROEDTERT & MEDICAL COLLEGE OF WI COMMUNITY PHYSICIANS (NPI 1720604044) is a healthcare organization registered as a non-pharmacy dispensing site in West Bend, Wisconsin and active in the NPI registry since June 2020. The organization lists Randall Newman, Vp Finance, as its authorized official.

NPPES Registry Identity

NPI1720604044
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameFROEDTERT & MEDICAL COLLEGE OF WI COMMUNITY PHYSICIANS
Location Address1700 PARADISE DRWest Bend, WI 53095-9795
Mailing Address1700 Paradise DrWest Bend, WI 53095-9795
Phone(262) 253-5230
Organization SubpartYes
Authorized OfficialRandall NewmanVp Finance · (414) 777-7963
Enumeration DateJune 23, 2020
NPPES CertifiedJune 23, 2020
✔ NPI 1720604044 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.)
1700 PARADISE DR, West Bend, WI 53095
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Other Providers at the Same Location NPPES 10

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

DR. SHANICE S KUKUCK APNP
Nurse Practitioner (Pediatrics)
1700 PARADISE DR
WEST BEND, WI 53095
Washington County (262) 334-3451
ALISSA ASHLEY RUE NP
Nurse Practitioner
1700 PARADISE DR
WEST BEND, WI 53095
Washington County (262) 334-3451
CALLIE HICKS RD
Dietitian, Registered
1700 PARADISE DR
WEST BEND, WI 53095
Washington County (262) 334-3451
ASHLEY LINSMEIER APNP
Nurse Practitioner (Family)
1700 PARADISE DR
WEST BEND, WI 53095
Washington County (262) 334-3451
SEAN SAMUEL ROONEY D.O.
Family Medicine
1700 PARADISE DR
WEST BEND, WI 53095
Washington County (262) 334-3451
JESSICA DZEMSKE NP
Nurse Practitioner (Family)
1700 PARADISE DR
WEST BEND, WI 53095
Washington County (262) 334-3451
ALLISON AUDREY LEIGHTNER APNP
Nurse Practitioner (Family)
1700 PARADISE DR
WEST BEND, WI 53095
Washington County (262) 334-3451
NATHAN FERGER DPT
Physical Therapist
1700 PARADISE DR
WEST BEND, WI 53095
Washington County (262) 334-3451

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 & Medical College Of Wi Community Physicians's NPI number?

The NPI number for Froedtert & Medical College Of Wi Community Physicians is 1720604044. It was assigned to this organization in the NPPES registry on June 23, 2020.

Where is Froedtert & Medical College Of Wi Community Physicians located?

Froedtert & Medical College Of Wi Community Physicians is located at 1700 Paradise Dr, West Bend, WI 53095. The listed phone number is (262) 253-5230.

What is Froedtert & Medical College Of Wi Community Physicians's specialty?

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

When was this NPI record last updated?

The NPPES record for Froedtert & Medical College Of Wi Community Physicians was last updated on June 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.