DR. JOHN P SIMANONOK (NPI# 1003870395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003870395 |
| Entity Type | Individual |
| Full Name | DR. JOHN P SIMANONOK |
| Credential | MD |
| Practice Address |
2901 W Kinnickinnic River Pkwy Ste 309 Milwaukee WI 53215-3660 |
| Mailing Address |
2900 W Oklahoma Ave Milwaukee WI 53215-4330 |
| Practice Telephone | 4146491292 |
| Mailing Telephone | 4146496000 |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2019-09-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083P0011X |
Preventive Medicine Specialization: Undersea and Hyperbaric Medicine |
44402 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 34269400 | 05 |
| Street Address |
2901 W KINNICKINNIC RIVER PKWY STE 309 |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53215-3660 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841829918 | Joshua Michael Brooks | Student in an Organized Health Care Education/Training Program | Aurora St. Lukes Medical Center 2901 W Oklahoma Ave, Milwaukee, WI 53215 | 2020-04-02 |
| 1053967091 | Kristina Strupp | Clinical Nurse Specialist | 2900 W. Oaklahoma Avenue, Milwaukee, WI 53215 | 2019-08-15 |
| 1427510296 | Madelyn Pickle | Student in an Organized Health Care Education/Training Program | 2801 W. Kinnickinnic Rd Ste 250, Milwaukee, WI 53215 | 2019-04-02 |
| 1932601838 | Elizabeth D Morawski | Nurse Practitioner | 2801 Kinnickinnic Parkway, Suite 630, Milwaukee, WI 53215 | 2018-03-06 |
| 1457872673 | Canzata Kimberly Dent | Counselor | 2727 W. Cleveland Suite 204, Milwaukee, WI 53215 | 2017-06-28 |
| 1538689955 | Christian Pena | Durable Medical Equipment & Medical Supplies | 2800 W Forest Home Ave, Suite 100, Milwaukee, WI 53215 | 2017-06-27 |
| 1386178804 | Dane A Olsen | Family Medicine | 801 W Kinnickinnic River Pkwy., Suite 250, Milwaukee, WI 53215 | 2017-04-12 |
| 1811443492 | Thomas Diamond | Physical Therapist | 2901 Kinnickinnic Parkway, Milwaukee, WI 53215 | 2016-09-01 |
| 1487055133 | Sam Khalili | Otolaryngology | 2801 W Kinnickinnic River Pkwy # 680, Milwaukee, WI 53215 | 2014-09-12 |
| 1992105621 | Nicole R Hall | Nurse Practitioner | 2901 S Kinnickinnic Ave, Milwaukee, WI 53215 | 2014-08-29 |
| Find all providers in zip 53215 | ||||
| Taxonomy Code | 2083P0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Undersea and Hyperbaric Medicine |
| A specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns and bone infections. This specialist also serves as consultant to other physicians in all aspects of hyperbaric chamber operations and assesses risks and applies appropriate standards to prevent disease and disability in divers and other persons working in altered atmospheric conditions. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811356736 | Cory Ryan Dubose | Preventive Medicine | 2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 | 2016-02-20 |
| 1316148273 | Lori L Mcallister | Preventive Medicine | 2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 | 2007-05-29 |
| 1821118506 | Matthew L White | Preventive Medicine | 2900 W Oklahoma Ave, Hyperbaric Medicine & Wound Care/slmc, Milwaukee, WI 53215-4330 | 2007-03-29 |
| 1194895920 | Laurie Beth Gesell | Preventive Medicine | 2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 | 2006-11-09 |
| 1487689451 | Gerald C Godfrey | Preventive Medicine | 2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 | 2006-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992221840 | Healogics Specialty Physicians of Wisconsin, LLC | Preventive Medicine | 430 Wilcox St, Fort Atkinson, WI 53538-1968 | 2017-08-22 |
| 1285093104 | Kyle Justin Dubose | Preventive Medicine | 10400 75th St, Kenosha, WI 53142-7884 | 2016-02-20 |
| 1659696029 | Hyperbaric Associates Sc | Preventive Medicine | 333 Pine Ridge Blvd, Suite 300, Wausau, WI 54401-4120 | 2010-03-29 |
| 1376650788 | Roland P Moreno | Preventive Medicine | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 | 2006-08-23 |
| 1639180961 | Matthew Thomas Clancy | Preventive Medicine | 333 Pine Ridge Blvd, Suite 317, Wausau, WI 54401-4102 | 2006-08-11 |
| 1164454302 | Thomas C Betka | Preventive Medicine | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 | 2006-07-07 |
Please comment or provide details below to improve the information on DR. JOHN P SIMANONOK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.