JOHN G CAULFIELD (NPI# 1174592570) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174592570 |
| Entity Type | Individual |
| Full Name | JOHN G CAULFIELD |
| Credential | PA |
| Practice Address |
2315 N Lake Dr #703 Milwaukee WI 53211 |
| Practice Telephone | 4142715119 |
| Practice Fax Number | 4142713756 |
| Mailing Telephone | 4142715119 |
| Mailing Fax Number | 4142713756 |
| Enumeration Date | 2006-03-16 |
| Last Update Date | 2008-04-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
005023 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 42906700 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548341852 | John Justin Caulfield | Specialist | 17050 Medical Center Dr, Suite 311, Baton Rouge, LA 70816-3221 | 2006-10-17 |
| Street Address |
2315 N LAKE DR #703 |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912990466 | Evonne Marie Winston | Dermatology | 2315 N Lake Dr, Suite 701, Milwaukee, WI 53211-4518 | 2005-08-30 |
| 1558557504 | Donna Mae Mullen | Audiologist-Hearing Aid Fitter | 2315 N Lake Dr, Suite 1005, Milwaukee, WI 53211-4518 | 2007-09-23 |
| 1114139409 | Keirsen Muffler | Audiologist | 2315 N Lake Dr, Suite 1005, Milwaukee, WI 53211-4518 | 2007-05-07 |
| 1700908902 | Lynn A Vice Psyd Sc | Psychologist | 2315 N Lake Dr, Milwaukee, WI 53211-4518 | 2007-04-06 |
| 1205965761 | Herslof's, Inc | Technician/Technologist | 2315 N Lake Dr, Milwaukee, WI 53211-4518 | 2007-03-02 |
| 1417086901 | Paul R Herzfeld | Optometrist | 2315 N Lake Dr, Milwaukee, WI 53211-4518 | 2007-03-02 |
| 1295876068 | Harry A. Easom | Specialist | 2315 N Lake Dr, #617, Milwaukee, WI 53211-4518 | 2007-02-12 |
| 1407994700 | Lynn A. Vice, Psy.d., S. C. | Psychologist | 2315 N Lake Dr, Suite 820, Milwaukee, WI 53211-4518 | 2007-02-01 |
| 1669518916 | Reproductive Specialty Center | Specialist | 2315 N Lake Dr, Suite 501, Milwaukee, WI 53211-4518 | 2007-01-30 |
| 1689733834 | Stephen Pallen | Spec/Tech, Cardiovascular | 2315 N Lake Dr, Suite 703, Milwaukee, WI 53211-4518 | 2006-12-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821602335 | Gabriella Caitrin Emanuele | Occupational Therapist | Harborchase of Shorewood, 1111 E Capitol Drive, Shorewood, WI 53211 | 2020-09-02 |
| 1710527783 | Sage Specialty Pharmacy Inc. | Pharmacy | 4001 N. Oakland Ave, Shorewood, WI 53211 | 2020-01-08 |
| 1861043952 | Rosina Bloomingdale Norton | Nurse Practitioner | 1921 E Harford Ave, Milwaukee, WI 53211 | 2019-09-20 |
| 1528556255 | Renee Reckelberg | Specialist/Technologist | 3409 North Downer Avenue, Pavilion, Suite 350, Milwaukee, WI 53211 | 2018-04-27 |
| 1700325602 | Wisconsin Vision, Inc. | Optometrist | 4163 N Oakland Ave, Shorewood, WI 53211 | 2017-02-13 |
| 1750827556 | Daniel Butz M.d., S.c. | Plastic Surgery | 2350 N Lake Dr Ste 304, Milwaukee, WI 53211 | 2017-01-17 |
| 1528517232 | Therese Simonis | Speech-Language Pathologist | 2390 N Lake Drive, Milwaukee, WI 53211 | 2016-09-23 |
| 1982075701 | Katie Michel | Specialist/Technologist | 3409 N. Downer Ave, Milwaukee, WI 53211 | 2015-10-20 |
| 1255776365 | Sarah Elizabeth Brill | Social Worker | 4433 N Oakland Ave Ste D, Shorewood, WI 53211 | 2013-05-02 |
| 1679814537 | Nicole Anne Parulski | Physical Therapist | 2301 North Lake Dr, Milwaukee, WI 53211 | 2013-03-01 |
| Find all providers in zip 53211 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093085664 | Abraham David Pacheco | Physician Assistant | 3246 S 35th St, Milwaukee, WI 53215-4156 | 2012-01-12 |
| 1386603439 | Harland L Cook | Physician Assistant | 2315 M Lake Drive, #703, Milwaukee, WI 53211 | 2006-03-18 |
| 1871576256 | Kristin Ann Skoraczewski | Physician Assistant | 960 N 12th St, Suite 1800, Milwaukee, WI 53233-1306 | 2005-11-21 |
| 1144704677 | Jennifer Lynn Vanderpool | Physician Assistant | 2301 N Lake Dr, Milwaukee, WI 53211-4508 | 2018-09-20 |
| 1528554292 | Andrea Rakoczy | Physician Assistant | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2018-07-06 |
| 1639665763 | Lanie E Rudie | Physician Assistant | 9200 W Wisconsin Ave, Milwaukee, WI 53226 | 2018-07-01 |
| 1154815298 | Aaron Kleinertz | Physician Assistant | 9200 W Wisconsin Ave, Milwaukee, WI 53226 | 2018-06-21 |
| 1912419953 | Krista Chipman | Physician Assistant | 9000 W Wisconsin Ave, Milwaukee, WI 53226-4874 | 2017-10-31 |
| 1578086468 | Benjamin Ingram | Physician Assistant | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2017-07-21 |
| 1225481187 | Taylor Boyle | Physician Assistant | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2016-07-15 |
| Find all providers in MILWAUKEE | ||||
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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.