FORWARD MEDICAL WEIGHT LOSS LLC (NPI# 1114356029) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114356029 |
Entity Type | Organization |
Organization Name | FORWARD MEDICAL WEIGHT LOSS LLC |
Practice Address |
N112w15568 Mequon Rd # 6 Germantown WI 53022-3413 |
Practice Telephone | 2623138375 |
Practice Fax Number | 2622551482 |
Mailing Telephone | 2623138375 |
Mailing Fax Number | 2622551482 |
Enumeration Date | 2013-11-01 |
Last Update Date | 2013-11-01 |
Authorized Official Name | LINDSAY ANN CARMODY (APNP) |
Authorized Official Telephone | 4143506807 |
Authorized Official Credential | APNP |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
3690-033 | WI | Ambulatory Health Care Facilities |
Street Address |
N112W15568 MEQUON RD # 6 |
City | GERMANTOWN |
State | WI |
Zip Code | 53022-3413 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831669407 | Margaret Jo Mulder | Chiropractor | W164 N11269 Squire Drive Suite B, Germantown, WI 53022 | 2018-11-27 |
1316441579 | Community Home Care Services | Home Health | N112 W16298 Mequon Rd, 127, Germantown, WI 53022 | 2018-03-22 |
1811426224 | Wi-care LLC | In Home Supportive Care | W175n11163 Stonewood Drive Ste 220, Germantown, WI 53022 | 2017-06-08 |
1134675358 | Kojo Bempong | Anesthesiologist Assistant | Ahcmg Anesthesiology, 4025 North 92nd Street, Wauwatosa, WI 53022 | 2016-08-28 |
1336501915 | Ashley Russell | Occupational Therapist | W175 N11117 Stonewood Drive, Suite 100, Germantown, WI 53022 | 2016-03-23 |
1134535735 | Erin Therese Grueneberg | Nurse Practitioner | W153 N9990 Neptune Drive, Germantown, WI 53022 | 2014-07-03 |
1306286836 | Kyle W Mcmahon | Occupational Therapist | W175 N1117 Stonewood Drive, Suite 100, Germantown, Wi, WI 53022 | 2013-06-28 |
1326354713 | Brittany Skogg | Physical Therapist | W175 W11117 Stonewood Dr., Suite 100, Germantown, WI 53022 | 2010-08-24 |
1669635066 | Joseph D Deguzman Dds Ms Sc | Clinic/Center | W172 N9723 Division Road, Suite A, Germantown, WI 53022 | 2008-07-07 |
1457513988 | Rustin A. West | Dentist | W172 N9723 Division Road Suite A, Germantown, WI 53022 | 2008-06-26 |
Find all providers in zip 53022 |
Taxonomy Code | 261QH0100X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Health Service |
Definition to come... |
Notes: [7/1/2006: modified title] |
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1619589082 | Domanika Morbley | Clinic/Center | 2544 N 11th St, Milwaukee, WI 53206-3127 | 2020-08-18 |
1184234163 | Weber Health Logistics, LLC | Clinic/Center | 333 Front St N, La Crosse, WI 54601-3220 | 2020-08-05 |
1427674860 | Shanice Williams | Clinic/Center | 3950 N 74th St, Milwaukee, WI 53216-1971 | 2020-06-22 |
1639721871 | Shifting Healthcare, LLC | Clinic/Center | 1702 Scheuring Rd, De Pere, WI 54115-9567 | 2019-07-09 |
1699334441 | Mvmt Performance & Rehabilitation | Clinic/Center | 2866 Gentle Hills Dr, De Pere, WI 54115-8157 | 2019-06-06 |
1114379310 | East Meets West Therapeutics Sc | Clinic/Center | 136 N Main St Ste 305, Thiensville, WI 53092-1606 | 2016-07-12 |
1912358128 | Achieve Wellness, LLC | Clinic/Center | 3300 Birch St Ste 1b, Eau Claire, WI 54703-2297 | 2016-06-29 |
1003276841 | Mobile Medical Diagnostic Services LLC | Clinic/Center | 5205 S 13th St, Unit E, Milwaukee, WI 53221-3648 | 2016-03-04 |
1821458811 | Kutaiba Al Ithawi | Clinic/Center | 5205 S 13th St Unit E, Milwaukee, WI 53221-3648 | 2016-03-03 |
Find all providers with the same taxonomy |
City | GERMANTOWN |
Zip Code | 53022 |
Please comment or provide details below to improve the information on FORWARD MEDICAL WEIGHT LOSS LLC.
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.