ELIZABETH UDOVICH (NPI# 1144788381) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144788381 |
| Entity Type | Individual |
| Full Name | ELIZABETH UDOVICH |
| Credential | DPT |
| Practice Address |
21700 Intertech Dr Brookfield WI 53045-5197 |
| Mailing Address |
1707 Coldwater Creek Dr Waukesha WI 53188-8029 |
| Practice Telephone | 2625328628 |
| Enumeration Date | 2019-03-06 |
| Last Update Date | 2019-03-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251N0400X |
Physical Therapist Specialization: Neurology |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
21700 INTERTECH DR |
| City | BROOKFIELD |
| State | WI |
| Zip Code | 53045-5197 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326010026 | Patrick T Fitzgerald | Internal Medicine | 21700 Intertech Dr, Brookfield, WI 53045-5197 | 2006-02-06 |
| 1396247789 | Amanda Hallquist | Nurse Practitioner | 21700 Intertech Dr, Brookfield, WI 53045-5197 | 2018-03-01 |
| 1154874352 | Froedtert & The Medical College of Wisconsin Community Physicians, Inc | Durable Medical Equipment & Medical Supplies | 21700 Intertech Dr, Brookfield, WI 53045-5197 | 2016-07-25 |
| 1750720439 | Brian R Fischer | Podiatrist | 21700 Intertech Dr, Brookfield, WI 53045 | 2013-06-17 |
| 1669634820 | Mark Obermyer | Internal Medicine | 21700 Intertech Dr, Springdale Health Center, Brookfield, WI 53045-5197 | 2008-06-30 |
| 1356529804 | Michael Cada | Internal Medicine | 21700 Intertech Dr, Springdale Health Center, Brookfield, WI 53045-5197 | 2008-02-07 |
| 1073790804 | Anna B Edlebeck | Internal Medicine | 21700 Intertech Dr, Springdale Health Center, Brookfield, WI 53045-5197 | 2008-01-23 |
| 1558448100 | Andrea Leigh Woodard | Internal Medicine | 21700 Intertech Dr, Springdale Health Center, Brookfield, WI 53045-5197 | 2006-11-01 |
| 1376597419 | Anthony Hoang | Obstetrics & Gynecology | 21700 Intertech Dr, Springdale Health Center, Brookfield, WI 53045-5197 | 2006-05-22 |
| 1407809130 | Kathleen B Sawasky | Internal Medicine | 21700 Intertech Dr, Springdale Health Center, Brookfield, WI 53045-5197 | 2006-05-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801436159 | Jeannie Spoon | Behavioral Analyst | 200 N. Patrick Blvd. Ste 250, Brookfield, WI 53045 | 2020-01-14 |
| 1629635313 | Hallie Mackenzie Ritchay | Speech-Language Pathologist | Greenfield Rehabilitation Agency 19395 W Capitol Dr, Ste 200, Brookfield, WI 53045 | 2019-05-29 |
| 1427535038 | Kimberly Ann Beres | Registered Nurse | 2253 Norhardt Dr, Brookfield, WI 53045 | 2018-07-26 |
| 1265927768 | Brady Frederick Bachmann | Physical Therapist | 275 Regency Ct., Suite 200, Brookfield, WI 53045 | 2018-06-27 |
| 1841792603 | Wisconsin Renal Care Group, L.L.C. | Clinic/Center | 17500 W Capitol Drive, Brookfield, WI 53045 | 2018-03-07 |
| 1750828299 | Nanette Marie Kloth | Nurse Practitioner | 18110 W Bluemond Rd, Brookfield, WI 53045 | 2017-01-23 |
| 1144772013 | Saida Reifenrath | Acupuncturist | 240 Regency Court, Suite 102, Brookfield, WI 53045 | 2016-10-26 |
| 1437545951 | Kylee Stevenson | Chiropractor | 19555 W Bluemound Rd Ste 6, Brookfield, WI 53045 | 2015-04-10 |
| 1548659725 | Patricia Ann Kender | Nurse Practitioner | 17495 W. Capitol Dr., Brookfield, WI 53045 | 2015-01-12 |
| 1568882793 | Kassandra E Holzem | Dermatology | 195 Discovery Dr, Brookfield, WI 53045 | 2014-04-28 |
| Find all providers in zip 53045 | ||||
| Taxonomy Code | 2251N0400X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Neurology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871134072 | Stephanie Semerda | Physical Therapist | 5000 W National Ave, Milwaukee, WI 53295-0001 | 2019-09-30 |
| 1902275399 | Codi William Halbur | Physical Therapist | 6630 University Ave, Middleton, WI 53562-3036 | 2015-09-16 |
| 1912388125 | Tina Stoeckmann | Physical Therapist | 604 N 16th St Rm 215, Milwaukee, WI 53233-2117 | 2015-06-12 |
| 1285013953 | Lisa J Truttschel | Physical Therapist | 744 S Webster Ave, Green Bay, WI 54301-3505 | 2015-05-27 |
| 1528316668 | Stacie Sauer Tierney | Physical Therapist | 202 S Park St, Madison, WI 53715-1507 | 2012-08-21 |
| 1295987220 | Cynthia Marie Teske | Physical Therapist | 1540 Heritage Blvd, West Salem, WI 54669-1417 | 2008-10-22 |
| 1275728040 | Paula Sorensen | Physical Therapist | 130 2nd St, Neenah, WI 54956-2883 | 2007-09-13 |
| 1316005150 | Margaret Cooper | Physical Therapist | 202 S Park St, Madison, WI 53715-1507 | 2006-12-05 |
| 1700944550 | Charlene Renee Puskala | Physical Therapist | 202 S Park St, Madison, WI 53715-1507 | 2006-12-05 |
| 1548328388 | Linda Muller | Physical Therapist | 202 S Park St, Madison, WI 53715-1507 | 2006-12-05 |
| Find all providers with the same taxonomy | ||||
| City | BROOKFIELD |
| Zip Code | 53045 |
Please comment or provide details below to improve the information on ELIZABETH UDOVICH.
| 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.