DR. JOHN PANKIEWICZ (NPI# 1023142064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1023142064 |
Entity Type | Individual |
Full Name | DR. JOHN PANKIEWICZ |
Credential | M.D. |
Practice Address |
821 W State St Suite 504 Milwaukee WI 53233-1427 |
Mailing Address |
821 W State St Room 504 Milwaukee WI 53233-1427 |
Practice Telephone | 4142784690 |
Practice Fax Number | 4142231817 |
Mailing Telephone | 4142784690 |
Mailing Fax Number | 4142231817 |
Enumeration Date | 2007-03-14 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084F0202X |
Psychiatry & Neurology Specialization: Forensic Psychiatry |
29288-020 | WI | Allopathic & Osteopathic Physicians |
Street Address |
821 W STATE ST SUITE 504 |
City | MILWAUKEE |
State | WI |
Zip Code | 53233-1427 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730337338 | Milwaukee Mental Health Associates, Inc | Community/Behavioral Health | 821 W State St, Room 205, Milwaukee, WI 53233-1427 | 2008-09-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104454750 | Henok Desta Hardilo | Student in an Organized Health Care Education/Training Program | Aurora Sinai Medical Center 945 N 12th Street, Milwaukee, WI 53233 | 2020-03-30 |
1821633314 | Ann E Millard | Occupational Therapist | 560 N. 16th Street, Room 214a, Milwaukee, WI 53233 | 2019-11-08 |
1306480918 | Teng Kai Ong | Dentist | 1801 West Wisconsin Ave., Milwaukee, WI 53233 | 2019-11-06 |
1356800478 | Nebiyu Abera Tilahun | Student in an Organized Health Care Education/Training Program | Aurora Sinai Medical Center, 945 N. 12th Street, Milwaukee, WI 53233 | 2019-03-18 |
1548748387 | Emily Claire Goetz | Physical Therapist | 945 N. 12th St. Suite 1100, Milwaukee, WI 53233 | 2018-08-03 |
1801373378 | Froedtert & The Medical College of Wisconsin Community Physicians | Non-Pharmacy Dispensing Site | 1721 W Canal St, Milwaukee, WI 53233 | 2018-07-26 |
1184170706 | Lauren Troll | Physical Therapist | 925 N 12th Street, Milwaukee, WI 53233 | 2016-09-01 |
1942694401 | Iryna Nemesh | Internal Medicine | 1020 N 12th St Fl 2, Milwaukee, WI 53233 | 2015-03-23 |
1649676032 | Matina Angelopoulou | Dentist | 1801 West Winsconsin Ave, Milwaukee, WI 53233 | 2014-11-12 |
1780007831 | John Ladisa | Technician, Other | 1637 W. Wisconsin Ave, Room 311, Milwaukee, WI 53233 | 2014-01-27 |
Find all providers in zip 53233 |
Taxonomy Code | 2084F0202X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Forensic Psychiatry |
Forensic Psychiatry is a subspecialty with psychiatric focus on interrelationships with civil, criminal and administrative law, evaluation and specialized treatment of individuals involved with the legal system, incarcerated in jails, prisons, and forensic psychiatry hospitals. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518022748 | Kathleen Ann Hughes | Psychiatry & Neurology | 1265 John Q Hammons Drive, Madison, WI 53717-5500 | 2006-12-27 |
1497716443 | Murray Kapell | Psychiatry & Neurology | 113 S Franklin St, Janesville, WI 53548-3812 | 2006-03-29 |
1679543060 | Ralph K. Baker | Psychiatry & Neurology | 303 Pearl Ave, Suite C, Oshkosh, WI 54903-0679 | 2006-01-26 |
1760638886 | Susan Tran | Psychiatry & Neurology | 1160 Kepler Dr, Green Bay, WI 54311-8321 | 2008-08-08 |
1962609537 | Mitzi Montgomery Kramer | Psychiatry & Neurology | 34700 Valley Rd, Oconomowoc, WI 53066-4500 | 2007-06-28 |
1356478887 | Brad E. R. Smith | Psychiatry & Neurology | 301 Troy Dr, Madison, WI 53704-1521 | 2007-02-28 |
1972647527 | Kevin Patrick Kallas | Psychiatry & Neurology | 3099 E Washington Ave, Madison, WI 53704-4338 | 2007-02-16 |
1427118272 | Connie M Lee | Psychiatry & Neurology | 1300 South Drive, Winnebago, WI 54985-0009 | 2006-12-11 |
1477631117 | Caroline Nicole Palmer | Psychiatry & Neurology | 2600 N Mayfair Rd, Suite 850, Wauwatosa, WI 53226-1309 | 2006-11-01 |
1407963820 | Barbara J Murray | Psychiatry & Neurology | 190 Gardner Ave, #3, Burlington, WI 53105-2160 | 2006-08-23 |
Find all providers with the same taxonomy |
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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.