MR. KONRAD JOESEPH HAASE (NPI# 1164992194) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164992194 |
| Entity Type | Individual |
| Full Name | MR. KONRAD JOESEPH HAASE |
| Practice Address |
3153 Rudolph Dr Racine WI 53406-1548 |
| Practice Telephone | 2623075220 |
| Mailing Telephone | 2623075220 |
| Enumeration Date | 2018-12-03 |
| Last Update Date | 2018-12-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
Suppliers |
| Street Address |
3153 RUDOLPH DR |
| City | RACINE |
| State | WI |
| Zip Code | 53406-1548 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578164349 | Lynn Huynh | Pharmacist | 5695 Washington Ave, Racine, WI 53406 | 2020-11-06 |
| 1659920049 | Carol Jean Cornejo | Technician | 6528 Heritage Avenue, Mt Pleasant, WI 53406 | 2019-09-09 |
| 1265913958 | Mary Goldbeck | Social Worker | 1775 Newman Rd, Mt Pleasant, WI 53406 | 2018-08-22 |
| 1669963344 | Kelly Nicole Nelson | Registered Nurse | 8800 Washington Ave Ste 200, Mount Pleasant, WI 53406 | 2018-05-29 |
| 1891212163 | Ilona Agata Pryomski | Nurse Practitioner | 9201 Washington Ave, Racine, WI 53406 | 2017-08-27 |
| 1386185106 | Margaret M. Abaogye Dds | Dentist | 4340 Newman Rd., Racine, WI 53406 | 2017-03-13 |
| 1508309212 | Rebecca Koeppen | Dietitian, Registered | 8400 Washington Ave., Racine, WI 53406 | 2016-11-29 |
| 1386194371 | Forefront Dermatology, S.c. | Dermatology | 7200 Washington Ave, Suite 100, Mount Pleasant, WI 53406 | 2016-10-13 |
| 1356891402 | Forefront Dermatology, S.c. | Dermatology | 1515 S Green Bay Rd, Racine, WI 53406 | 2016-10-12 |
| 1861841470 | Leah Marie Johnson | Dentist | 1101 South Airline Road, Racine, WI 53406 | 2016-06-06 |
| Find all providers in zip 53406 | ||||
| Taxonomy Code | 332BC3200X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Customized Equipment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619519923 | Baby Express Wellness Center | Durable Medical Equipment & Medical Supplies | 2913 Durand Ave, Racine, WI 53403-3969 | 2019-10-09 |
| 1124042726 | Morfey's Prosthetic Center Inc | Durable Medical Equipment & Medical Supplies | 6226 Bankers Rd, Suite 2, Racine, WI 53403-9799 | 2006-07-27 |
| 1922355684 | Michael R Westman Dds Ms Sc | Durable Medical Equipment & Medical Supplies | 4944 Charles St, Racine, WI 53402-2536 | 2012-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700402401 | Retinal Recovery LLC | Durable Medical Equipment & Medical Supplies | 9036 S Carollton Dr, Oak Creek, WI 53154-4128 | 2020-06-18 |
| 1811512437 | Stuart Kuntzelman | Durable Medical Equipment & Medical Supplies | W2678 Town Center Rd, Juda, WI 53550-9565 | 2020-06-09 |
| 1487289716 | Hale Healthcare Products & Services LLC | Durable Medical Equipment & Medical Supplies | 2441 W Monroe St, Milwaukee, WI 53206-1063 | 2020-03-06 |
| 1801429121 | Advent Dme LLC | Durable Medical Equipment & Medical Supplies | 8500 75th St Ste 101, Kenosha, WI 53142-8213 | 2020-02-14 |
| 1184288896 | Thomas Carl Jonson | Durable Medical Equipment & Medical Supplies | 9036 S Carollton Dr., Oak Creek, WI 53154 | 2019-04-29 |
| 1164986717 | Rxlink Medical | Durable Medical Equipment & Medical Supplies | N922 Tower View Dr Ste 202, Greenville, WI 54942 | 2019-01-29 |
| 1225592199 | Lisa R Wenger | Durable Medical Equipment & Medical Supplies | W244n4850 Swan Rd, Pewaukee, WI 53072-1402 | 2019-01-24 |
| 1720555196 | Facedown Rental, LLC | Durable Medical Equipment & Medical Supplies | W188n11770 Maple Rd # Door4, Germantown, WI 53022-2410 | 2018-10-24 |
| 1316444219 | John M Korolewski Dds LLC | Durable Medical Equipment & Medical Supplies | 1407 N 8th St Ste 101, Sheboygan, WI 53081-3400 | 2018-04-09 |
| 1467826479 | Thomas Wesley | Durable Medical Equipment & Medical Supplies | S82w22885 Parkwood Trl, Big Bend, WI 53103-9453 | 2015-11-15 |
| Find all providers with the same taxonomy | ||||
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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.