DR. MARK WALTER BOSBOUS (NPI# 1033203906) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033203906 |
| Entity Type | Individual |
| Full Name | DR. MARK WALTER BOSBOUS |
| Practice Address |
9200 W Wisconsin Avenue Plastic Surgery Milwaukee WI 53226-3522 |
| Practice Telephone | 4148053666 |
| Mailing Telephone | 4148053666 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2019-11-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | 49468-020 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 1033203906 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| W180n8085 Town Hall Rd, Menomonee Falls, WI 530513518 | 2622575100 | 2622537081 |
| 4805 S Moorland Rd, New Berlin, WI 531517401 | 2627987200 | 2627987201 |
| 3200 Pleasant Valley Rd, Plastic Surgery, West Bend, WI 530959274 | 2628367300 | 2628367301 |
| Street Address |
9200 W WISCONSIN AVENUE PLASTIC SURGERY |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53226-3522 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588655781 | Marc A Demoya | Surgery | 9200 W Wisconsin Avenue, Trauma Surgery, Milwaukee, WI 53226-3522 | 2005-11-04 |
| 1710531397 | Jessica Rose Gaddy | Nurse Practitioner | 9200 W Wisconsin Avenue, Milwaukee, WI 53226-3522 | 2019-07-31 |
| 1285163931 | Rachel Nordstrom | Emergency Medicine | 9200 W Wisconsin Avenue, 1p, Milwaukee, WI 53226 | 2017-06-07 |
| 1861856734 | Yiwen Cui | Obstetrics & Gynecology | 9200 W Wisconsin Avenue, Department of Obstetrics and Gynecology, Milwaukee, WI 53226-3522 | 2016-04-07 |
| 1033589635 | Supatra A Agarwal | Anesthesiologist Assistant | 9200 W Wisconsin Avenue, Department of Anesthesiology, Milwaukee, WI 53226-3522 | 2015-09-25 |
| 1386012060 | Megan Neperud | Physician Assistant | 9200 W Wisconsin Avenue, Milwaukee, WI 53226-3522 | 2015-09-11 |
| 1659758050 | Ariel Kleman | Internal Medicine | 9200 W Wisconsin Avenue, Milwaukee, WI 53207-2141 | 2015-05-05 |
| 1912317983 | Adam Levin | Internal Medicine | 9200 W Wisconsin Avenue, Department of Internal Medicine, Milwaukee, WI 53226-3522 | 2014-04-30 |
| 1801216478 | Chad Wenzel | Internal Medicine | 9200 W Wisconsin Avenue, Dept of Internal Medicine, Milwaukee, WI 53226-3522 | 2014-04-22 |
| 1376961870 | Brian William Quinn | Internal Medicine | 9200 W Wisconsin Avenue, Department of Internal Medicine, Milwaukee, WI 53226-3522 | 2014-04-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912511155 | Alexander Harlan | Pharmacist | 900 N 92nd St, Milwaukee, WI 53226 | 2020-09-04 |
| 1558985762 | Armghan Haider Ans | Student in an Organized Health Care Education/Training Program | 9200 W. Wisconsin Ave. Froedtert Hospital & Medical Col, Milwaukee, WI 53226 | 2020-06-03 |
| 1669001103 | Kimberly Tyler | Student in an Organized Health Care Education/Training Program | 8701 W Watertown Plank Road, Medical College of Wisconsin Dept of Internal Medicine, Wauwatosa, WI 53226 | 2020-04-06 |
| 1972131993 | Francesca Meloy Devine | Student in an Organized Health Care Education/Training Program | Medical Education Office: Children's Corporate Center, 999 N. 92nd St., Suite 730, Milwaukee, WI 53226 | 2020-03-27 |
| 1285275248 | Sharitta Alford | Technician | 12250 West North Avenue, Apartment 142b, Wauwatosa, WI 53226 | 2019-10-01 |
| 1619528023 | Linda Marie Sabatinelli | Technician | 12107 W. Woodland Ave, Wauwatosa, WI 53226 | 2019-09-26 |
| 1598310195 | Matthew Laviolette | Surgery | Medical College of Wisconsin, 8701 Watertown Plank Rd., Surgical Oncology, Milwaukee, WI 53226 | 2019-08-09 |
| 1962056432 | Lyndsey Marie Bratberg | Physician Assistant | F&mcw Clinical Cancer Center 9200 W. Wisconsin Ave., Milwaukee, WI 53226 | 2019-08-01 |
| 1659832855 | Benjamin David Seadler | Surgery | Mcw, Department of Surgery, 8701 Watertown Plank Road, Milwaukee, WI 53226 | 2019-03-29 |
| 1861953267 | Michael Dryden | Student in an Organized Health Care Education/Training Program | 8701 Watertown Plank Rd., Milwaukee, WI 53226 | 2019-03-27 |
| Find all providers in zip 53226 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750827556 | Daniel Butz M.d., S.c. | Plastic Surgery | 2350 N Lake Dr Ste 304, Milwaukee, WI 53211 | 2017-01-17 |
| 1154375996 | Roger C Mixter | Plastic Surgery | 5201 N Port Washington Rd, Milwaukee, WI 53217-4902 | 2006-05-19 |
| 1255307997 | Lawrence A. Sterkin | Plastic Surgery | 2801 W Kinnickinnic River Pkwy Ste 540, Milwaukee, WI 53215-3678 | 2006-02-23 |
| 1639739030 | Mark F Blake Md, Sc | Plastic Surgery | 5201 N Port Washington Rd, Milwaukee, WI 53217-4902 | 2019-06-18 |
| 1760914378 | Miles Bichanich | Plastic Surgery | 1155 N Mayfair Rd, Ste. T2600- South Entry, Milwaukee, WI 53226-3462 | 2017-04-02 |
| 1689105397 | Meng Guo | Plastic Surgery | 8701 W Watertown Plank Rd, Milwaukee, WI 53226-3548 | 2017-03-23 |
| 1134521602 | Kuylhee Kim | Plastic Surgery | 9200 W Wisconsin Ave, Dept of Plastic Surgery, Milwaukee, WI 53226-3522 | 2014-09-16 |
| 1588009658 | Harry S Nayar | Plastic Surgery | 2801 W Kinnickinnic River Pkwy, Milwaukee, WI 53215-3669 | 2013-05-02 |
| 1427363449 | Justin R Bryant | Plastic Surgery | 1155 N Mayfair Rd, Milwaukee, WI 53226-3462 | 2010-08-13 |
| 1588985402 | Aaron Morgan | Plastic Surgery | 1155 N Mayfair Rd, Milwaukee, WI 53226-3462 | 2010-06-15 |
| Find all providers in MILWAUKEE | ||||
Please comment or provide details below to improve the information on DR. MARK WALTER BOSBOUS.
| 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.