Individual Healthcare Provider
Amanda Rose Smolock
Provider's NPPES record last updated: November 21, 2023
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1255699682
- Primary Specialty
- Radiology — Vascular & Interventional Radiology
- Practice Location
- Milwaukee, Wisconsin
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 18, 2026, 9:22 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Radiology
Vascular & Interventional Radiology
Allopathic & Osteopathic Physicians
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
Taxonomy code 2085R0204X Radiology
Diagnostic Radiology
Allopathic & Osteopathic Physicians
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Taxonomy code 2085R0202X
Provider-Reported License Information
- Radiology (Wisconsin)
- 61428
- Radiology (Wisconsin)
- 61428-20
Practice Locations
Practice Location
9200 W Wisconsin Ave
Milwaukee, Wisconsin 53226-3522
Phone: (414) 805-3750
Additional Practice Location
W180n8085 Town Hall Rd
Menomonee Falls, Wisconsin 53051-3518
Phone: (262) 257-3060
Fax: (261) 518-5052
Additional Practice Location
4805 S Moorland Rd
New Berlin, Wisconsin 53151-7401
Phone: (262) 798-7200
Fax: (262) 798-7271
Additional Practice Location
3522 W Lisbon Ave
Milwaukee, Wisconsin 53208-1953
Phone: (414) 935-8000
Fax: (414) 344-0895
Additional Practice Location
4455 S 108th St
Greenfield, Wisconsin 53228-2504
Phone: (414) 427-5310
Fax: (414) 427-5311
Record Information
- Enumeration Date
- April 23, 2012
- Provider's NPPES Record Last Updated
- November 21, 2023
- Certification Date
- November 21, 2023
- NPISignal NPPES Dataset
- August 2026
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