DR. JOHN R WUSSOW (NPI# 1073725586) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073725586 |
| Entity Type | Individual |
| Full Name | DR. JOHN R WUSSOW |
| Credential | D.D.S. |
| Practice Address |
10225 W. Capitol Dr Wauwatosa WI 53222 |
| Practice Telephone | 4144635800 |
| Mailing Telephone | 4144635800 |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
1316E | WI | Dental Providers |
| Street Address |
10225 W. CAPITOL DR |
| City | WAUWATOSA |
| State | WI |
| Zip Code | 53222 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477101673 | Dalaina Y Holliman | Technician | 7719 W Fiebrantz Ave, Milwaukee, WI 53222 | 2019-08-30 |
| 1083183016 | Umenia Marie White | Respite Care | 7726 W. Center Street, Apt 1, Milwaukee, WI 53222 | 2018-11-20 |
| 1003399445 | For Eyes Optical Co of Pennsylvania | Eyewear Supplier (Equipment, not the service) | 11450 W. Burleigh St, Wauwatosa, WI 53222 | 2018-09-12 |
| 1558852673 | Joseph Fleming | Physical Therapist | 11450 W Burleigh St, Ste 120, Wauwatosa, WI 53222 | 2018-05-24 |
| 1942739206 | Yolanda D. Burdine | Licensed Practical Nurse | 8327 W. Center St., Apt. 2, Milwaukee, WI 53222 | 2017-06-08 |
| 1558807131 | Midwest Nephrology Associates, Sc | Clinic/Center | 7797 W Appleton Avenue, Milwaukee, WI 53222 | 2017-01-06 |
| 1477097269 | Benjamin David Kluge | Pharmacist | 11111 W Burleigh Rd, Wauwatosa, WI 53222 | 2016-12-13 |
| 1841746989 | Elissa Hornick | Physician Assistant | 2885 N. Mayfair Rd., Wauwatosa, WI 53222 | 2016-08-29 |
| 1598218562 | Riley's Residential Home Care, LLC | In Home Supportive Care | 10111 W. Capitol Dr, Wauwatosa, WI 53222 | 2016-07-26 |
| 1346696796 | Respiratory and Sleep Services LLC | Durable Medical Equipment & Medical Supplies | 6529 W Fond Du Lac Avenue, Milwaukee, WI 53222 | 2016-05-04 |
| Find all providers in zip 53222 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588131163 | Shiloh Joshua Golden | Dentist | 10625 W North Ave Ste 320, Wauwatosa, WI 53226-2315 | 2018-10-31 |
| 1699205336 | Patrick T Clancy | Dentist | 11904 W North Ave Ste 105, Wauwatosa, WI 53226-2062 | 2017-06-15 |
| 1396190476 | Katharine Nelson Suwalski | Dentist | 7626 Warren Ave, Wauwatosa, WI 53213-2258 | 2016-04-26 |
| 1538360086 | Leonard R. Machi | Dentist | 12217 W North Ave, Wauwatosa, WI 53226-2056 | 2007-05-31 |
| 1508084245 | John L Scheels | Dentist | 6803 W Wells St, Wauwatosa, WI 53213-3811 | 2007-04-20 |
| 1447375431 | Timothy Richard Kirkpatrick | Dentist | 11040 W Bluemound Rd, Suite 201, Wauwatosa, WI 53226 | 2007-03-20 |
| 1518011485 | Geoffrey L. Mykleby | Dentist | 8700 W Watertown Plank Rd Ste 11, Wauwatosa, WI 53226-3595 | 2007-01-22 |
| 1316004864 | Robin Ann Gorman | Dentist | 6101 W Vliet St, Suite 101, Wauwatosa, WI 53213-2485 | 2007-01-03 |
| 1376608257 | Tom Tongas | Dentist | 2380 N 124th St, Wauwatosa, WI 53226-1071 | 2006-12-22 |
| 1679631550 | David G Lloyd | Dentist | 10425 W North Ave Ste 236, Wauwatosa, WI 53226-2416 | 2006-12-05 |
| Find all providers in WAUWATOSA | ||||
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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.