LYLE G. HENRY MD SC (NPI# 1063611820) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1063611820 |
Entity Type | Organization |
Organization Name | LYLE G. HENRY MD SC |
Practice Address |
2015 E Newport Ave Ste 305 Milwaukee WI 53211-2949 |
Practice Telephone | 4149612120 |
Practice Fax Number | 4149610335 |
Mailing Telephone | 4149612120 |
Mailing Fax Number | 4149610335 |
Enumeration Date | 2007-07-12 |
Last Update Date | 2007-07-12 |
Authorized Official Name | DR. LYLE GENE HENRY (PRESIDENT) |
Authorized Official Telephone | 4149612120 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208600000X | Surgery | 18454 | WI | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | 30888100 | 05 |
Street Address |
2015 E NEWPORT AVE STE 305 |
City | MILWAUKEE |
State | WI |
Zip Code | 53211-2949 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700085537 | Bradley W. Mays, M.d., S.c. | Surgery | 2015 E Newport Ave Ste 305, Milwaukee, WI 53211-2949 | 2007-07-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821602335 | Gabriella Caitrin Emanuele | Occupational Therapist | Harborchase of Shorewood, 1111 E Capitol Drive, Shorewood, WI 53211 | 2020-09-02 |
1710527783 | Sage Specialty Pharmacy Inc. | Pharmacy | 4001 N. Oakland Ave, Shorewood, WI 53211 | 2020-01-08 |
1861043952 | Rosina Bloomingdale Norton | Nurse Practitioner | 1921 E Harford Ave, Milwaukee, WI 53211 | 2019-09-20 |
1528556255 | Renee Reckelberg | Specialist/Technologist | 3409 North Downer Avenue, Pavilion, Suite 350, Milwaukee, WI 53211 | 2018-04-27 |
1700325602 | Wisconsin Vision, Inc. | Optometrist | 4163 N Oakland Ave, Shorewood, WI 53211 | 2017-02-13 |
1750827556 | Daniel Butz M.d., S.c. | Plastic Surgery | 2350 N Lake Dr Ste 304, Milwaukee, WI 53211 | 2017-01-17 |
1528517232 | Therese Simonis | Speech-Language Pathologist | 2390 N Lake Drive, Milwaukee, WI 53211 | 2016-09-23 |
1982075701 | Katie Michel | Specialist/Technologist | 3409 N. Downer Ave, Milwaukee, WI 53211 | 2015-10-20 |
1255776365 | Sarah Elizabeth Brill | Social Worker | 4433 N Oakland Ave Ste D, Shorewood, WI 53211 | 2013-05-02 |
1679814537 | Nicole Anne Parulski | Physical Therapist | 2301 North Lake Dr, Milwaukee, WI 53211 | 2013-03-01 |
Find all providers in zip 53211 |
Taxonomy Code | 208600000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598310195 | Matthew Laviolette | Surgery | Medical College of Wisconsin, 8701 Watertown Plank Rd., Surgical Oncology, Milwaukee, WI 53226 | 2019-08-09 |
1659832855 | Benjamin David Seadler | Surgery | Mcw, Department of Surgery, 8701 Watertown Plank Road, Milwaukee, WI 53226 | 2019-03-29 |
1538570338 | Nicholas Sich | Surgery | 2901 W Kinnickinnic River Pkwy Dept Ste 540, Milwaukee, WI 53215-3677 | 2014-05-14 |
1629312467 | Meredith Witten | Surgery | 945 N 12th St # 2110, Milwaukee, WI 53233 | 2012-11-17 |
1013203397 | Nicole M Zaremba | Surgery | 2801 W Kinnickinnic River Pkwy Ste 165, Milwaukee, WI 53215-3699 | 2011-06-24 |
1073803391 | Ryan Berg | Surgery | 3070 N 51st St Ste 207, Milwaukee, WI 53210-1661 | 2011-04-08 |
1417119769 | Sheldon Morris Solochek | Surgery | 3316 N Lake Dr, Milwaukee, WI 53211-2907 | 2008-06-27 |
1194906982 | Muhammad Yousof Khan | Surgery | 1218 W Kilbourn Ave Ste 409, Milwaukee, WI 53233-1325 | 2007-11-20 |
1083789663 | Aaron L Rogaczewski | Surgery | 2111 N 60th St, Milwaukee, WI 53208-1043 | 2006-11-21 |
1356420889 | Thomas Schneider | Surgery | 2311 N Prospect Ave., Milwaukee, WI 53211 | 2006-11-03 |
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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.