DR. RICHARD C. LENNERTZ JR. (NPI# 1013991520) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1013991520 |
Entity Type | Individual |
Full Name | DR. RICHARD C. LENNERTZ JR. |
Credential | M.D. |
Practice Address |
2323 N Lake Dr Milwaukee WI 53211-4508 |
Mailing Address |
225 S Executive Dr Brookfield WI 53005-4257 |
Practice Telephone | 4142911000 |
Mailing Telephone | 2627874026 |
Mailing Fax Number | 2627826040 |
Enumeration Date | 2005-11-30 |
Last Update Date | 2017-06-22 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207L00000X | Anesthesiology | 25978-020 | WI | Allopathic & Osteopathic Physicians |
Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
25978 | WI | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | 30752400 | 05 | |
RAIL ROAD MEDICARE | 050085808 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922447473 | Richard Charles Lennertz IIi | Anesthesiology | 200 Hawkins Dr, Anesthesia, Iowa City, IA 52242-1009 | 2013-06-18 |
Street Address |
2323 N LAKE DR |
City | MILWAUKEE |
State | WI |
Zip Code | 53211-4508 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225032691 | Rosemary S Presser | Nurse Practitioner | 2323 N Lake Dr, 7th Floor, Milwaukee, WI 53211-4508 | 2005-06-13 |
1205434404 | Emma Stocker | Genetic Counselor, MS | 2323 N Lake Dr, Milwaukee, WI 53211-4508 | 2020-10-12 |
1669070876 | Hannah Brodner | Genetic Counselor, MS | 2323 N Lake Dr, Milwaukee, WI 53211-4508 | 2020-10-12 |
1598378531 | Sandra Luz Chapa | Registered Nurse | 2323 N Lake Dr, Milwaukee, WI 53211-4508 | 2020-08-28 |
1295347227 | Sarah Purpura | Dietitian, Registered | 2323 N Lake Dr, Milwaukee, WI 53211-4508 | 2020-08-20 |
1780205450 | Kyra Gravelle | Occupational Therapist | 2323 N Lake Dr, Milwaukee, WI 53211-4508 | 2020-05-04 |
1780213223 | Andrew Michael Ganshirt | Student in an Organized Health Care Education/Training Program | 2323 N Lake Dr, Milwaukee, WI 53211-4508 | 2020-04-06 |
1386290872 | Mary R Laquerre | Anesthesiologist Assistant | 2323 N Lake Dr, Milwaukee, WI 53211-4508 | 2019-08-12 |
1346721669 | Rochelle F Hass | Physician Assistant | 2323 N Lake Dr, Milwaukee, WI 53211-4508 | 2018-08-24 |
1053800714 | Heather Jean Biancuzzo | Pharmacist | 2323 N Lake Dr, Milwaukee, WI 53211-4508 | 2018-05-08 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821602335 | Gabriella Caitrin Emanuele | Occupational Therapist | Harborchase of Shorewood, 1111 E Capitol Drive, Shorewood, WI 53211 | 2020-09-02 |
1710527783 | Sage Specialty Pharmacy Inc. | Pharmacy | 4001 N. Oakland Ave, Shorewood, WI 53211 | 2020-01-08 |
1861043952 | Rosina Bloomingdale Norton | Nurse Practitioner | 1921 E Harford Ave, Milwaukee, WI 53211 | 2019-09-20 |
1528556255 | Renee Reckelberg | Specialist/Technologist | 3409 North Downer Avenue, Pavilion, Suite 350, Milwaukee, WI 53211 | 2018-04-27 |
1700325602 | Wisconsin Vision, Inc. | Optometrist | 4163 N Oakland Ave, Shorewood, WI 53211 | 2017-02-13 |
1750827556 | Daniel Butz M.d., S.c. | Plastic Surgery | 2350 N Lake Dr Ste 304, Milwaukee, WI 53211 | 2017-01-17 |
1528517232 | Therese Simonis | Speech-Language Pathologist | 2390 N Lake Drive, Milwaukee, WI 53211 | 2016-09-23 |
1982075701 | Katie Michel | Specialist/Technologist | 3409 N. Downer Ave, Milwaukee, WI 53211 | 2015-10-20 |
1255776365 | Sarah Elizabeth Brill | Social Worker | 4433 N Oakland Ave Ste D, Shorewood, WI 53211 | 2013-05-02 |
1679814537 | Nicole Anne Parulski | Physical Therapist | 2301 North Lake Dr, Milwaukee, WI 53211 | 2013-03-01 |
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Taxonomy Code | 208VP0014X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pain Medicine |
Specialization | Interventional Pain Medicine |
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679119689 | Pain Physicians of Wisconsin, Sc | Pain Medicine | 5007 S Howell Ave Ste 115, Milwaukee, WI 53207-6158 | 2019-11-25 |
1285924969 | Thomas J. Guhl, M.d., S.c. | Pain Medicine | 3305 S 20th St Ste 150, Milwaukee, WI 53215-4941 | 2011-04-14 |
1457459869 | Nichole Virgo | Pain Medicine | 8901 N 76th St Fl 3, Milwaukee, WI 53223-1901 | 2006-09-20 |
1275799264 | Alberto C Clar Md Sc | Pain Medicine | 8901 N 76th St, Milwaukee, WI 53223-1901 | 2008-07-30 |
1619154952 | Pritika Bhatia, M.d., LLC. | Pain Medicine | 3305 S 20th St, Ste 150, Milwaukee, WI 53215-4940 | 2008-01-29 |
1063439867 | Metropolitan Anesthesiologists, S.c. | Pain Medicine | 2323 N Lake Dr, Milwaukee, WI 53211-4508 | 2006-07-16 |
1356397954 | Midwest Comprehensive Pain Care Sc | Pain Medicine | 2500 N Mayfair Rd, #300, Milwaukee, WI 53226 | 2006-05-25 |
1578518353 | Anesthesiology Associates of Wisconsin, S.c. | Pain Medicine | 2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 | 2006-05-23 |
1346230612 | Nancy C Bratanow | Pain Medicine | 2500 N Mayfair Rd, Suite 300, Milwaukee, WI 53226 | 2005-10-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790309276 | Wisconsin Spine and Pain Sc | Pain Medicine | 1604 Cedar Bnd, Hartland, WI 53029-8663 | 2020-06-01 |
1619359122 | Pain Relief, Inc. | Pain Medicine | 7520 Us Highway 51, Nwbj, Minocqua, WI 54548-8943 | 2015-06-19 |
1093001851 | Brian Curtin | Pain Medicine | 525 W River Woods Pkwy Ste 240, Glendale, WI 53212-1010 | 2011-06-21 |
1740889021 | Midwest Interventional Pain and Diagnostics | Pain Medicine | 525 W River Woods Pkwy Ste 240, Glendale, WI 53212-1010 | 2020-10-19 |
1720499759 | Ryan William Clark | Pain Medicine | 12203 Corporate Pkwy, Mequon, WI 53092 | 2014-05-13 |
1750791901 | David L. Scherwinski, M.d., S.c. | Pain Medicine | 140 24th St S, Wisconsin Rapids, WI 54494-1906 | 2014-04-28 |
1568682318 | Innovative Pain Care LLC | Pain Medicine | 3111 W Rawson Ave, Suite 210, Franklin, WI 53132-9417 | 2007-04-26 |
1417092073 | Marco Araujo | Pain Medicine | 4131 W Loomis Rd, Suite 300, Greenfield, WI 53221-2051 | 2007-02-21 |
1750436515 | Aascend Pain Institute, Sc | Pain Medicine | 842 N Westhill Blvd, Appleton, WI 54914-5788 | 2007-01-24 |
1407922271 | Northwoods Anesthesia Services, S.c. | Pain Medicine | 2251 N Shore Dr, Rhinelander, WI 54501-8360 | 2006-11-25 |
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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.