DR. ELIZABETH MOBERG-WOLFF (NPI# 1184677825) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184677825 |
| Entity Type | Individual |
| Full Name | DR. ELIZABETH MOBERG-WOLFF |
| Credential | MD |
| Practice Address |
3333 N Mayfair Rd Ste 103 Wauwatosa WI 53222-3219 |
| Mailing Address |
18970 Cavendish Rd Brookfield WI 53045-8159 |
| Practice Telephone | 2625271998 |
| Practice Fax Number | 8665623609 |
| Mailing Telephone | 2625271998 |
| Mailing Fax Number | 8665623609 |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2017-12-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081P0010X |
Physical Medicine & Rehabilitation Specialization: Pediatric Rehabilitation Medicine |
32483 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 34565400 | 05 |
| Street Address |
3333 N MAYFAIR RD STE 103 |
| City | WAUWATOSA |
| State | WI |
| Zip Code | 53222-3219 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477101673 | Dalaina Y Holliman | Technician | 7719 W Fiebrantz Ave, Milwaukee, WI 53222 | 2019-08-30 |
| 1083183016 | Umenia Marie White | Respite Care | 7726 W. Center Street, Apt 1, Milwaukee, WI 53222 | 2018-11-20 |
| 1003399445 | For Eyes Optical Co of Pennsylvania | Eyewear Supplier (Equipment, not the service) | 11450 W. Burleigh St, Wauwatosa, WI 53222 | 2018-09-12 |
| 1558852673 | Joseph Fleming | Physical Therapist | 11450 W Burleigh St, Ste 120, Wauwatosa, WI 53222 | 2018-05-24 |
| 1942739206 | Yolanda D. Burdine | Licensed Practical Nurse | 8327 W. Center St., Apt. 2, Milwaukee, WI 53222 | 2017-06-08 |
| 1558807131 | Midwest Nephrology Associates, Sc | Clinic/Center | 7797 W Appleton Avenue, Milwaukee, WI 53222 | 2017-01-06 |
| 1477097269 | Benjamin David Kluge | Pharmacist | 11111 W Burleigh Rd, Wauwatosa, WI 53222 | 2016-12-13 |
| 1841746989 | Elissa Hornick | Physician Assistant | 2885 N. Mayfair Rd., Wauwatosa, WI 53222 | 2016-08-29 |
| 1598218562 | Riley's Residential Home Care, LLC | In Home Supportive Care | 10111 W. Capitol Dr, Wauwatosa, WI 53222 | 2016-07-26 |
| 1346696796 | Respiratory and Sleep Services LLC | Durable Medical Equipment & Medical Supplies | 6529 W Fond Du Lac Avenue, Milwaukee, WI 53222 | 2016-05-04 |
| Find all providers in zip 53222 | ||||
| Taxonomy Code | 2081P0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pediatric Rehabilitation Medicine |
| A physiatrist who utilizes an interdisciplinary approach and addresses the prevention, diagnosis, treatment and management of congenital and childhood-onset physical impairments including related or secondary medical, physical, functional, psychosocial and vocational limitations or conditions, with an understanding of the life course of disability. This physician is trained in the identification of functional capabilities and selection of the best of rehabilitation intervention strategies, with an understanding of the continuum of care. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate for PRM was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Early discussions underway |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629368337 | Pediatric Rehabilitation Medicine Associates LLC | Physical Medicine & Rehabilitation | 3815 N Brookfield Rd # 104-264, Brookfield, WI 53045-1964 | 2011-04-14 |
| 1023431301 | Jill Ball | Physical Medicine & Rehabilitation | 1760 Shawano Ave, Green Bay, WI 54303-3216 | 2014-01-22 |
| 1346204997 | Deborah L Mcleish | Physical Medicine & Rehabilitation | 700 S Park St, Madison, WI 53715-1830 | 2006-04-12 |
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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.