DR. ROGER C MIXTER


Address: 5201 N Port Washington Rd, Milwaukee, WI 53217-4902
Phone: 4149630500

DR. ROGER C MIXTER (NPI# 1154375996) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1154375996
Entity Type Individual
Full Name DR. ROGER C MIXTER
Credential M.D.
Practice Address 5201 N Port Washington Rd
Milwaukee
WI 53217-4902
Practice Telephone 4149630500
Practice Fax Number 4149630359
Mailing Telephone 4149630500
Mailing Fax Number 4149630359
Enumeration Date 2006-05-19
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208200000X Plastic Surgery 26326 WI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
WI 30618600 05

Office Location

Street Address 5201 N PORT WASHINGTON RD
City MILWAUKEE
State WI
Zip Code 53217-4902

Providers in the same location

NPI Name Taxonomy Address Enumeration
1639739030 Mark F Blake Md, Sc Plastic Surgery 5201 N Port Washington Rd, Milwaukee, WI 53217-4902 2019-06-18
1730528027 Sarah Catherine Schmidt Physician Assistant 5201 N Port Washington Rd, Milwaukee, WI 53217-4902 2013-06-19
1932395209 Clinic of Cosmetic Surgery Sc Plastic Surgery 5201 N Port Washington Rd, Milwaukee, WI 53217-4902 2007-09-20
1912007915 Alison Brianna Levenick Physician Assistant 5201 N Port Washington Rd, Milwaukee, WI 53217-4902 2006-09-22
1225074933 Mark Francis Blake Plastic Surgery 5201 N Port Washington Rd, Milwaukee, WI 53217-4902 2006-06-21

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1922632587 Jasmine Dockery Pharmacist 5400 N Port Washington, Glendale, WI 53217 2020-02-23
1174017339 North Lakes Nursing Home Health Care Agency LLC Home Health 225 E Fairmount Ave, Milwaukee, WI 53217 2018-06-20
1083140289 Miriah Ann King, Ms, Lpc Counselor 7805 North Boyd Way, Fox Point, WI 53217 2017-05-08
1245783067 Lakesha L Jones Counselor 5235 N Ironwood Rd, Glendale, WI 53217 2016-07-28
1750783312 Ibrahim S Abouzeid Specialist/Technologist, Other 333 W Brown Deer Road, #240, Milwaukee, WI 53217 2014-09-25
1255733598 Victoria Gorodetsky Pharmacist 229 W Indian Creek Ct, Milwaukee, WI 53217 2014-09-18
1174800049 John Herman Esser Internal Medicine 1050 W Acacia Rd, Milwaukee, WI 53217 2011-11-07
1710298351 Leann M Harman Physical Therapist 5333 N Port Washington Rd Ste B, Glendale, WI 53217 2010-06-29
1306012455 Emily Marie Gallagher Speech-Language Pathologist 6700 N. Port Washington Road, Milwaukee, WI 53217 2008-05-07
1164625455 Mary Catherine Enderlin Psychologist 6110 N Port Washington Road, The Cambridge Group, Glendale, WI 53217 2007-06-06
Find all providers in zip 53217

Taxonomy Information

Taxonomy Code 208200000X
Grouping Allopathic & Osteopathic Physicians
Classification Plastic Surgery

Taxonomy Definition

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1750827556 Daniel Butz M.d., S.c. Plastic Surgery 2350 N Lake Dr Ste 304, Milwaukee, WI 53211 2017-01-17
1255307997 Lawrence A. Sterkin Plastic Surgery 2801 W Kinnickinnic River Pkwy Ste 540, Milwaukee, WI 53215-3678 2006-02-23
1639739030 Mark F Blake Md, Sc Plastic Surgery 5201 N Port Washington Rd, Milwaukee, WI 53217-4902 2019-06-18
1760914378 Miles Bichanich Plastic Surgery 1155 N Mayfair Rd, Ste. T2600- South Entry, Milwaukee, WI 53226-3462 2017-04-02
1689105397 Meng Guo Plastic Surgery 8701 W Watertown Plank Rd, Milwaukee, WI 53226-3548 2017-03-23
1134521602 Kuylhee Kim Plastic Surgery 9200 W Wisconsin Ave, Dept of Plastic Surgery, Milwaukee, WI 53226-3522 2014-09-16
1588009658 Harry S Nayar Plastic Surgery 2801 W Kinnickinnic River Pkwy, Milwaukee, WI 53215-3669 2013-05-02
1427363449 Justin R Bryant Plastic Surgery 1155 N Mayfair Rd, Milwaukee, WI 53226-3462 2010-08-13
1588985402 Aaron Morgan Plastic Surgery 1155 N Mayfair Rd, Milwaukee, WI 53226-3462 2010-06-15
1770713182 Nyama M Sillah Plastic Surgery 2801 W Kinnickinnic River Pkwy, Suite 430, Milwaukee, WI 53215-3669 2009-07-20
Find all providers in MILWAUKEE

Competitor

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City MILWAUKEE
Zip Code 53217

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Dataset Information

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.

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