UROLOGY INSTITUTE OF WAUKESHA SC (NPI# 1053591990) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053591990 |
| Entity Type | Organization |
| Organization Name | UROLOGY INSTITUTE OF WAUKESHA SC |
| Practice Address |
1111 Delafield St Ste 12 Waukesha WI 53188-3431 |
| Practice Telephone | 2625429707 |
| Practice Fax Number | 2625429708 |
| Mailing Telephone | 2625429707 |
| Mailing Fax Number | 2625429708 |
| Enumeration Date | 2007-11-08 |
| Last Update Date | 2007-11-08 |
| Authorized Official Name | DR. W PATRICK FLANAGAN JR. (OWNER/PHYSICIAN) |
| Authorized Official Telephone | 2625429707 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2088P0231X |
Urology Specialization: Pediatric Urology |
Allopathic & Osteopathic Physicians | ||
| Y | 208800000X | Urology | 29199020 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 31395600 | 05 |
| Street Address |
1111 DELAFIELD ST STE 12 |
| City | WAUKESHA |
| State | WI |
| Zip Code | 53188-3431 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336787126 | Nicole Lee Berg-johnson | Nurse Practitioner | 820 Crestwood Dr., Waukesha, WI 53188 | 2019-12-12 |
| 1013475706 | Rachel Mueller | Occupational Therapist | 29667 Summit Ave, S11, Waukesha, WI 53188 | 2019-03-12 |
| 1861962649 | Emily Elizabeth Seefeld | Occupational Therapy Assistant | 29667 Summit Ave S11, Waukesha, WI 53188 | 2018-12-05 |
| 1003393307 | Ashley Susan Callahan | Dental Hygienist | 711 W. Moreland Blvd., Suite 204, Waukesha, WI 53188 | 2018-07-19 |
| 1245741321 | Melissa Weir | Case Manager/Care Coordinator | 514 Riverview Avenue, Waukesha, WI 53188 | 2017-10-17 |
| 1093233629 | Patricia Marie Sombrio | Dental Hygienist | 711 Moreland Blvd 204, Waukesha, WI 53188 | 2017-09-04 |
| 1134660244 | Bdg of Wisconsin, Inc. | Behavioral Analyst | N19w2309 Riverwood Drive, Suite 350 Pmb 314, Waukesha, WI 53188 | 2017-03-09 |
| 1255888731 | Lynne Sarah Alva | Dental Hygienist | 711 Moreland Blvd, Suite 204, Waukesha, WI 53188 | 2016-09-01 |
| 1881069730 | Michelle Koch | Occupational Therapist | 29667 Summit Ave. S11, Waukesha, WI 53188 | 2015-12-03 |
| 1952711012 | Rhonda Schroeder | Dental Hygienist | W286 N991 Shepherds Way, Waukesha, WI 53188 | 2014-04-29 |
| Find all providers in zip 53188 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346240959 | W. Patrick Flanagan Jr. | Urology | 1111 Delafield St, Suite 12, Waukesha, WI 53188-3417 | 2005-07-26 |
| 1316035637 | Urology Associates Ltd Sc | Urology | 1111 Delafield Street, Suite 207, Waukesha, WI 53188 | 2006-10-11 |
| 1861592172 | Douglas M Dewire | Urology | 1111 Delafield St, Suite 207, Waukesha, WI 53188-3417 | 2006-09-25 |
| 1598708646 | Greg N Womack | Urology | 1111 Delafield St Ste 207, Urology Associates Ltd Sc, Waukesha, WI 53188-3403 | 2006-06-14 |
| 1093758195 | Brian P Butler | Urology | 1111 Delafield St Ste 207, Urology Associates Ltd Sc, Waukesha, WI 53188-3403 | 2006-06-14 |
| 1225071475 | Jon J Auger | Urology | 1111 Delafield St Ste 207, Urology Associates Ltd Sc, Waukesha, WI 53188-3403 | 2006-06-14 |
| 1396788543 | John F Pope | Urology | 1111 Delafield St Ste 207, Urology Associates Ltd Sc, Waukesha, WI 53188-3403 | 2006-06-14 |
| 1780677633 | Waukesha Urology Associates Sc | Urology | 721 American Ave, Suite 402, Waukesha, WI 53188-5071 | 2005-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649520180 | George Leonard Apfelbach Jr. | Urology | 4098 Main St, Fish Creek, WI 54212-0067 | 2012-09-12 |
| 1346505708 | Kenneth Lowell Day | Urology | 2603 Teal Ave (residence), Wausau, WI 54401-7162 | 2012-07-11 |
| 1356601587 | Fox Valley Urological Associates Sc | Urology | 2700 E Enterprise Ave Ste A, Appleton, WI 54913-7656 | 2012-05-22 |
| 1730445255 | Anand Patel | Urology | 2424 S 90th St Fl 3, West Allis, WI 53227-2455 | 2012-04-10 |
| 1831486117 | Mary Hallman Leikness | Urology | 358 S. Oxford Street, Pob 207, Wautoma, WI 54982-0000 | 2011-07-07 |
| 1710293105 | Charles Copland Smith | Urology | 674 Sunset Circle, Green Bay, WI 54301 | 2010-08-24 |
| 1689991200 | Sean Brady Mcadams | Urology | 720 S Vanburen Street, Suite 301, Green Bay, WI 54301 | 2010-04-21 |
| 1730404385 | Robert J Hartman Jr. | Urology | 10400 75th St Ste 204, Kenosha, WI 53142-7884 | 2010-04-06 |
| 1588998538 | Gary Melvin Licklider | Urology | 5002 Prairie Rose Ct, Middleton, WI 53562-2385 | 2009-09-23 |
| 1376793240 | Raymond Harkavy | Urology | 9440 N. Broadmoor Road, Milwaukee, WI 53217-1309 | 2008-09-26 |
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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.