MR. STEPHEN VIDMAR (NPI# 1205008885) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205008885 |
| Entity Type | Individual |
| Full Name | MR. STEPHEN VIDMAR |
| Credential | RN |
| Practice Address |
6200 W Bluemound Rd Milwaukee WI 53213-4145 |
| Practice Telephone | 4147715600 |
| Practice Fax Number | 4144769988 |
| Mailing Telephone | 4147715600 |
| Mailing Fax Number | 4144769988 |
| Enumeration Date | 2008-03-24 |
| Last Update Date | 2008-03-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 157404-30 | WI | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | RN STATE LICENSE | 157404-30 | 01 |
| Street Address |
6200 W BLUEMOUND RD |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53213-4145 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497768659 | Wisconsin Health Fund | Clinic/Center | 6200 W Bluemound Rd, Milwaukee, WI 53213-4145 | 2006-08-15 |
| 1972904522 | Stephanie Breslow | Nurse Practitioner | 6200 W Bluemound Rd, Milwaukee, WI 53213-4145 | 2014-09-12 |
| 1245520667 | Sara Y Al-bitar | Dentist | 6200 W Bluemound Rd, Milwaukee, WI 53213-4145 | 2011-04-19 |
| 1306150990 | Nita Singh | Dentist | 6200 W Bluemound Rd, Milwaukee, WI 53213-4145 | 2010-08-06 |
| 1639366297 | Michael J Bernklau | Dentist | 6200 W Bluemound Rd, Milwaukee, WI 53213-4145 | 2007-09-27 |
| 1598951246 | Wisconsin Health Fund | Clinic/Center | 6200 W Bluemound Rd, Milwaukee, WI 53213-4145 | 2007-09-17 |
| 1023203403 | Richard David Rittberg | Dentist | 6200 W Bluemound Rd, Milwaukee, WI 53213-4145 | 2007-09-10 |
| 1104011550 | Cheryl Marie Wood | Registered Nurse | 6200 W Bluemound Rd, Milwaukee, WI 53213-4145 | 2007-09-10 |
| 1104011584 | James Kevin Valusek | Dentist | 6200 W Bluemound Rd, Milwaukee, WI 53213-4145 | 2007-09-10 |
| 1114119237 | Don L Mcclellan | Registered Nurse | 6200 W Bluemound Rd, Milwaukee, WI 53213-4145 | 2007-08-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932682473 | Tracy A Bolton | Nurse Practitioner | 2626 N 76th St Ste 101, Wauwatosa, WI 53213 | 2018-09-11 |
| 1609309129 | Anupriya Dayal | Student in an Organized Health Care Education/Training Program | 7700 Portland Avenue, #227, Milwaukee, WI 53213 | 2017-04-11 |
| 1407202666 | Michael Lenz | Dentist | 1221 N 62nd Street, 201, Wauwatosa, WI 53213 | 2016-05-06 |
| 1164807889 | Myia Mitchell | Massage Therapist | 6012 W. North Avenue, Milwaukee, WI 53213 | 2015-07-23 |
| 1518369420 | Rachel Rakow | Speech-Language Pathologist | 1009 N 92nd St, Wauwatosa, WI 53213 | 2014-09-23 |
| 1821348335 | Mary Kathryn Maxey | Dietitian, Registered | 1515 Mower Court, Wauwatosa, WI 53213 | 2012-09-12 |
| 1134478506 | Andrea Brooke Moosreiner | Dietitian, Registered | 7220 Milwaukee Ave, Wauwatosa, WI 53213 | 2012-08-31 |
| 1467726075 | Stephanie Miller | Social Worker | 2618 N 61st St, Milwaukee, WI 53213 | 2012-02-28 |
| 1396013447 | Ng Enterprise, Inc. | Home Health | 7635 West Bluemound Road, Suite 1b, Milwaukee, WI 53213 | 2011-12-05 |
| 1184908162 | Lisa Anne Behlmer | Pharmacist | 6600 W. State St, Wauwatosa, WI 53213 | 2011-10-07 |
| Find all providers in zip 53213 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194337089 | Mary Jane De Jesus | Registered Nurse | 934 S 32nd St, Milwaukee, WI 53215-1550 | 2020-08-20 |
| 1811505191 | Krystal Martin | Registered Nurse | 6974 N 43rd St Unit C, Milwaukee, WI 53209-2270 | 2020-07-22 |
| 1851909410 | Shemiah Amughmun | Registered Nurse | 7822 W Villard Ave, Milwaukee, WI 53218-3513 | 2020-07-20 |
| 1295356988 | Brooke Schiedemeyer | Registered Nurse | 310 E Ward St Apt 309, Milwaukee, WI 53207-1374 | 2020-05-04 |
| 1639706617 | Aquilla Robertson | Registered Nurse | 5029 N 37th St, Milwaukee, WI 53209-5331 | 2020-03-27 |
| 1174159768 | Katelynne Independence Klein | Registered Nurse | 2229 W Finn Pl, Milwaukee, WI 53206-1847 | 2020-03-16 |
| 1285267278 | Jeneva Sunday | Registered Nurse | 603 N Hawley Rd, Milwaukee, WI 53213-4237 | 2020-02-18 |
| 1609407816 | Ranesha Pate | Registered Nurse | 4437 N 55th St, Milwaukee, WI 53218-5715 | 2020-01-28 |
| 1487284469 | Susan Mary Kraft | Registered Nurse | 1417 E Crawford Ave, Milwaukee, WI 53207-4037 | 2020-01-18 |
| 1255970968 | Maiko Hoye | Registered Nurse | 3615 S 60th St Apt 12, Milwaukee, WI 53220-1365 | 2019-12-27 |
| 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.