HEATHER SUSAN BROWN (NPI# 1194997171) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194997171 |
| Entity Type | Individual |
| Full Name | HEATHER SUSAN BROWN |
| Other Name | HEATHER SUSAN GREIDANUS |
| Credential | MD |
| Practice Address |
717 W Moreland Blvd Prohealth Care Medical Associates Inc Waukesha WI 53188-2432 |
| Practice Telephone | 2625429100 |
| Practice Fax Number | 2625427366 |
| Mailing Telephone | 2625429100 |
| Mailing Fax Number | 2625427366 |
| Enumeration Date | 2008-03-30 |
| Last Update Date | 2014-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 54116-020 | WI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134733611 | Heather Suzanne Brown | Nurse Practitioner | 856 Silverpeak Rd, Sherwood, AR 72120-2366 | 2020-09-02 |
| 1982263562 | Heather Mae Brown | Social Worker | 5625 W 134th Pl Apt 2024, Leawood, KS 66209-4064 | 2019-06-07 |
| 1245712553 | Heather Brown | Behavior Technician | 4009 E Cedar Trail Ct, Pearland, TX 77584-1736 | 2018-09-04 |
| 1396237590 | Heather Richelle Brown | Nurse Practitioner | 1012 Highway 98 E # 100, Destin, FL 32541-2902 | 2018-06-04 |
| 1649656810 | Heather Brown | Chiropractor | 23341 N Pima Rd, #134, Scottsdale, AZ 85255-8360 | 2015-08-10 |
| 1851777601 | Heather Brown | Physical Therapy Assistant | 139 Lake Thomas Dr, Winter Haven, FL 33880-7112 | 2015-08-04 |
| 1538555859 | Heather Brown | Occupational Therapist | 1604 Bailey Rd, Wall Township, NJ 07719-3840 | 2015-04-13 |
| 1780081463 | Heather Brown | Case Manager/Care Coordinator | 581 Hwy J, Hayti, MO 63851 | 2014-11-25 |
| 1740695246 | Heather N. Brown | Physical Therapist | 2080 Withers Ave Apt 9, Monterey, CA 93940-1972 | 2014-06-24 |
| 1225442791 | Heather Brown | Physical Therapist | 305 Ne Loop 280, Tower 1, Suite 200, Hurst, TX 76053 | 2014-06-12 |
| Street Address |
717 W MORELAND BLVD PROHEALTH CARE MEDICAL ASSOCIATES INC |
| City | WAUKESHA |
| State | WI |
| Zip Code | 53188-2432 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225014236 | Shari K Villa | Physician Assistant | 717 W Moreland Blvd, Prohealth Care Medical Associates Moreland Family Medic, Waukesha, WI 53188-2432 | 2005-12-21 |
| 1043733637 | Dayken Elise Underdahl | Family Medicine | 717 W Moreland Blvd, Waukesha, WI 53188-2432 | 2017-07-25 |
| 1053865212 | Kailey C. Formella | Physician Assistant | 717 W Moreland Blvd, Waukesha, WI 53188-2432 | 2016-08-04 |
| 1164874335 | Allison Zoltak | Physician Assistant | 717 W Moreland Blvd, Waukesha, WI 53188-2432 | 2016-07-12 |
| 1891147401 | Lucas R Ebert | Physician Assistant | 717 W Moreland Blvd, Waukesha, WI 53188-2432 | 2016-07-07 |
| 1245692326 | Michelle Morgan | Family Medicine | 717 W Moreland Blvd, Waukesha, WI 53188-2432 | 2016-03-28 |
| 1669813101 | Lynn A Klem | Physical Therapist | 717 W Moreland Blvd, Waukesha, WI 53188-2432 | 2013-07-12 |
| 1073787719 | Carolyn K Day | Family Medicine | 717 W Moreland Blvd, Prohealth Care Medical Associates Inc, Waukesha, WI 53188-2432 | 2008-04-14 |
| 1457476897 | Karen Breit | Nurse Practitioner | 717 W Moreland Blvd, Prohealth Care Medical Associates Moreland Family Medic, Waukesha, WI 53188-2432 | 2007-03-21 |
| 1124154737 | John Szivecz | Physical Therapist | 717 W Moreland Blvd, Prohealth Care Medical Associates Moreland Family Medic, Waukesha, WI 53188-2432 | 2007-02-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336787126 | Nicole Lee Berg-johnson | Nurse Practitioner | 820 Crestwood Dr., Waukesha, WI 53188 | 2019-12-12 |
| 1013475706 | Rachel Mueller | Occupational Therapist | 29667 Summit Ave, S11, Waukesha, WI 53188 | 2019-03-12 |
| 1861962649 | Emily Elizabeth Seefeld | Occupational Therapy Assistant | 29667 Summit Ave S11, Waukesha, WI 53188 | 2018-12-05 |
| 1003393307 | Ashley Susan Callahan | Dental Hygienist | 711 W. Moreland Blvd., Suite 204, Waukesha, WI 53188 | 2018-07-19 |
| 1245741321 | Melissa Weir | Case Manager/Care Coordinator | 514 Riverview Avenue, Waukesha, WI 53188 | 2017-10-17 |
| 1093233629 | Patricia Marie Sombrio | Dental Hygienist | 711 Moreland Blvd 204, Waukesha, WI 53188 | 2017-09-04 |
| 1134660244 | Bdg of Wisconsin, Inc. | Behavioral Analyst | N19w2309 Riverwood Drive, Suite 350 Pmb 314, Waukesha, WI 53188 | 2017-03-09 |
| 1255888731 | Lynne Sarah Alva | Dental Hygienist | 711 Moreland Blvd, Suite 204, Waukesha, WI 53188 | 2016-09-01 |
| 1881069730 | Michelle Koch | Occupational Therapist | 29667 Summit Ave. S11, Waukesha, WI 53188 | 2015-12-03 |
| 1952711012 | Rhonda Schroeder | Dental Hygienist | W286 N991 Shepherds Way, Waukesha, WI 53188 | 2014-04-29 |
| Find all providers in zip 53188 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306376314 | Eric Paul Kuehn | Family Medicine | 210 Nw Barstow St Ste 210, Waukesha, WI 53188-3771 | 2017-06-13 |
| 1427504802 | Paladina Health, LLC | Family Medicine | 402 Travis Ln, #67, Waukesha, WI 53189-5011 | 2016-08-26 |
| 1720440019 | Heather Koch Harrison | Family Medicine | 210 Nw Barstow St Ste 201, Waukesha, WI 53188-3771 | 2016-03-24 |
| 1174535470 | Punnoose Mackiel | Family Medicine | 1240 Ridge Rd, Waukesha, WI 53186-1425 | 2006-08-13 |
| 1851300933 | Glenn Toth | Family Medicine | 403 N Grand Ave, Waukesha, WI 53186-4913 | 2006-08-06 |
| 1689647406 | Caryn A. Brownell | Family Medicine | 2130 Big Bend Road, Prohealth Care Medical Associates, Inc., Waukesha, WI 53189-7624 | 2006-02-10 |
| 1902879737 | Madelyn C Sieraski | Family Medicine | Prohealth Care Medical Centers-south, 2130 Big Bend Road, Waukesha, WI 53189 | 2006-02-10 |
| 1699747394 | Sandra G Amadon | Family Medicine | 240 Maple Ave, Prohealth Care Medical Associates Inc., Waukesha, WI 53149-8475 | 2006-02-06 |
| 1669457214 | Eduardo Scholcoff | Family Medicine | 210 Nw Barstow St, Suite 201, Waukesha, WI 53188-3771 | 2005-12-07 |
| 1710971668 | Robert J Beaumont | Family Medicine | 237 Wisconsin Ave, Waukesha, WI 53186-4955 | 2005-09-07 |
| Find all providers in WAUKESHA | ||||
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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.