DR. ELDON J SWENSON (NPI# 1063496131) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063496131 |
| Entity Type | Individual |
| Full Name | DR. ELDON J SWENSON |
| Credential | M.D. |
| Practice Address |
620 S 76th St Suite 240 Milwaukee WI 53214-1599 |
| Practice Telephone | 4149886350 |
| Mailing Telephone | 4149886350 |
| Enumeration Date | 2005-12-02 |
| Last Update Date | 2011-08-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 20106-20 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 310013700 | 05 |
| Street Address |
620 S 76TH ST SUITE 240 |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53214-1599 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255958468 | Melissa Nicole Allen | Counselor | 620 S 76th St, Milwaukee, WI 53214-1599 | 2020-07-03 |
| 1699391490 | Margo Elaine Diamond-robertson | Social Worker | 620 S 76th St, Milwaukee, WI 53214-1599 | 2020-06-18 |
| 1497378947 | Georgia Rose Black | Counselor | 620 S 76th St, Milwaukee, WI 53214-1599 | 2020-05-19 |
| 1629607726 | Pamela Ramsey | Counselor | 620 S 76th St, Milwaukee, WI 53214-1599 | 2020-04-02 |
| 1558993105 | Melanie Waschbisch | Counselor | 620 S 76th St, Milwaukee, WI 53214-1599 | 2020-02-11 |
| 1265901045 | Alecia Corbett | Social Worker | 620 S 76th St, Milwaukee, WI 53214-1599 | 2018-11-21 |
| 1205327814 | Meagan Elizabeth Langfield | Counselor | 620 S 76th St, Milwaukee, WI 53214-1599 | 2018-05-21 |
| 1669980017 | Elizabeth A Mcdaris | Social Worker | 620 S 76th St, Milwaukee, WI 53214-1599 | 2018-01-19 |
| 1477069458 | Rebecca Rae Breitrick | Counselor | 620 S 76th St, Milwaukee, WI 53214-1599 | 2017-12-28 |
| 1619420833 | Myra Werner | Social Worker | 620 S 76th St, 120, Milwaukee, WI 53214-1599 | 2016-07-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740740208 | Melanie Figueroa | Counselor | West Milwaukee Ctc, 1610 Miller Park Way, West Milwaukee, WI 53214 | 2019-03-21 |
| 1619403011 | Lea Salome Denny | Counselor | 8626b W Greenfield Ave, Suite B300, West Allis, WI 53214 | 2017-05-04 |
| 1891148318 | West Allis Prescription Center Inc | Pharmacy | 6737 W Washington Ave, Suite 1100, West Allis, WI 53214 | 2016-07-20 |
| 1316390495 | Kristina Overlee | Nurse Practitioner | 6737 W. Washington Street, Suite 2150, West Allis, WI 53214 | 2016-07-13 |
| 1801239843 | Daniel Anthony Cichy | Pharmacist | 10101 W Greenfield Ave Ste 130, West Allis, WI 53214 | 2013-04-09 |
| 1295072544 | Wisconsin Vision, Inc. | Optometrist | 1220 Miller Park Way, West Milwaukee, WI 53214 | 2013-01-07 |
| 1831457720 | Kevin Konieczka | Physical Therapist | 1224 Miller Parkway, Milwaukee, WI 53214 | 2012-04-27 |
| 1497031843 | Jill Elizabeth Gerou | Registered Nurse | 8420 West Greenfield Ave, Apartment #7, West Allis, WI 53214 | 2011-10-31 |
| 1700176815 | Carolyn Hasek | Counselor | 1126 S 70th St Ste 112-113, West Allis, WI 53214 | 2011-04-10 |
| 1972802775 | Barbara Smith | Licensed Practical Nurse | 651 S 63 St, Apt1, Milwaukee, WI 53214 | 2011-03-18 |
| Find all providers in zip 53214 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871769919 | Richard Winston Meyers | General Practice | 11050 Liberty Dr, Milwaukee, WI 53224-3630 | 2008-05-07 |
| 1144492273 | Amanda Courtney Reiswig | General Practice | 1233 N Mayfair Rd Ste 208, Milwaukee, WI 53226-3255 | 2008-03-28 |
| 1467093864 | Der Yang | General Practice | 5800 W Burleigh St, Milwaukee, WI 53210-1516 | 2019-10-07 |
| 1821559550 | Kamal Sammy Al-shalby | General Practice | 8701 W Watertown Plank Rd, Milwaukee, WI 53226-3548 | 2019-03-26 |
| 1659831816 | Rachel Louise Feltman-frank | General Practice | 8701 W Watertown Plank Rd, Milwaukee, WI 53226-3548 | 2019-03-23 |
| 1518427145 | Zabrina Leann Ebert | General Practice | 8701 Watertown Plank Road, Milwaukee, WI 53226-0509 | 2019-03-20 |
| 1104323765 | Kayla Jean Schenheit | General Practice | 8701 W Watertown Plank Rd, Milwaukee, WI 53226-3548 | 2018-04-10 |
| 1831621341 | Peter Devries | General Practice | 8701 W Watertown Plank Rd, Milwaukee, WI 53226-3548 | 2017-04-03 |
| 1962934265 | Hannah M Reiland | General Practice | 8701 W Watertown Plank Rd, Department of Psychiatry and Behavioral Medicine, Milwaukee, WI 53226-3548 | 2017-03-28 |
| 1538690995 | Codie Jordan Vassar | General Practice | 8701 W Watertown Plank Rd, Milwaukee, WI 53226-3548 | 2017-03-27 |
| Find all providers in MILWAUKEE | ||||
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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.