DR. JOHN PANKIEWICZ


Address: 821 W State St, Suite 504, Milwaukee, WI 53233-1427
Phone: 4142784690

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084F0202X Psychiatry & Neurology
Specialization: Forensic Psychiatry
29288-020 WI Allopathic & Osteopathic Physicians

Office Location

Street Address 821 W STATE ST
SUITE 504
City MILWAUKEE
State WI
Zip Code 53233-1427

Providers in the same location

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

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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
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Taxonomy Information

Taxonomy Code 2084F0202X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Forensic Psychiatry

Taxonomy Definition

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]

Providers in the same taxonomy and state

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
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Competitor

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City MILWAUKEE
Zip Code 53233

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Dataset Information

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.

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