ROGER AXTELL


Address: 2875 S 171st St, New Berlin, WI 53151-3511
Phone: 2627863107

ROGER AXTELL (NPI# 1215958178) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1215958178
Entity Type Individual
Full Name ROGER AXTELL
Credential M.D.
Practice Address 2875 S 171st St
New Berlin
WI 53151-3511
Practice Telephone 2627863107
Practice Fax Number 2627800442
Mailing Telephone 2627863107
Mailing Fax Number 2627800442
Enumeration Date 2006-07-23
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
37946 WI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
WI 33330500 05

Office Location

Street Address 2875 S 171ST ST
City NEW BERLIN
State WI
Zip Code 53151-3511

Providers in the same location

NPI Name Taxonomy Address Enumeration
1225072721 Mack Karnes Radiology 2875 S 171st St, New Berlin, WI 53151-3511 2006-06-15
1427293182 Aurora Medical Group, Inc. Radiology 2875 S 171st St, New Berlin, WI 53151-3511 2008-12-10
1730202987 Joseph Schmidt Radiology 2875 S 171st St, New Berlin, WI 53151-3511 2007-04-10
1982798450 Scott Matthew Reabe Radiology 2875 S 171st St, New Berlin, WI 53151-3511 2006-10-02
1487755476 Werner Kordas Radiology 2875 S 171st St, New Berlin, WI 53151-3511 2006-09-25
1174532626 Jeffery Scherer Radiology 2875 S 171st St, New Berlin, WI 53151-3511 2006-08-05
1255345823 Joseph Rhett Whitnah Radiology 2875 S 171st St, New Berlin, WI 53151-3511 2006-07-28
1144234766 Thomas Calvy Radiology 2875 S 171st St, New Berlin, WI 53151-3511 2006-07-28
1104840636 Nancy Blankenship Radiology 2875 S 171st St, New Berlin, WI 53151-3511 2006-07-27
1154345072 Keith Bernard Radiology 2875 S 171st St, New Berlin, WI 53151-3511 2006-07-26
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1629527486 Natural Look Salon and Wigs LLC Durable Medical Equipment & Medical Supplies 4805 S. Moorland Rd, New Berlin, WI 53151 2016-09-22
1396193033 New Berlin Medical Services, LLC Clinic/Center 15324 W Beloit Road, New Berlin, WI 53151 2016-06-02
1063899680 Costco Wholesale Corporation Eyewear Supplier (Equipment, not the service) 15300 West Grange Avenue, New Berlin, WI 53151 2015-05-04
1871970368 Mary Spath Physical Therapy Assistant 2810 South Acredale Road, New Berlin, WI 53151 2015-05-04
1669885471 Wauwatosa Prescription Center, Inc. Pharmacy 4855 S Moorland Road, New Berlin, WI 53151 2014-06-09
1750711446 Pure Family Chiropractic LLC Chiropractor 3504 S. Moorland Road, New Berlin, WI 53151 2013-11-18
1336578202 Hamilton John Dowden Chiropractor 3504 S Moorland Rd, New Berlin, WI 53151 2013-11-01
1053653618 Danielle Lynn Lucio Acupuncturist 15807 W. National Ave., New Berlin, WI 53151 2013-03-21
1306195110 Marlena J Friedrich Registered Nurse 1709 S. 171st Street, New Berlin, WI 53151 2012-09-07
1548519176 Patricia M Friedrich Licensed Practical Nurse 1709 So. 171st Street, New Berlin, WI 53151 2012-08-29
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Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1285781773 Douglas Robert Conners Radiology 1910 S Parkwood Ln, New Berlin, WI 53151-2456 2007-01-05
1225072721 Mack Karnes Radiology 2875 S 171st St, New Berlin, WI 53151-3511 2006-06-15
1427293182 Aurora Medical Group, Inc. Radiology 2875 S 171st St, New Berlin, WI 53151-3511 2008-12-10
1730202987 Joseph Schmidt Radiology 2875 S 171st St, New Berlin, WI 53151-3511 2007-04-10
1982798450 Scott Matthew Reabe Radiology 2875 S 171st St, New Berlin, WI 53151-3511 2006-10-02
1487755476 Werner Kordas Radiology 2875 S 171st St, New Berlin, WI 53151-3511 2006-09-25
1174532626 Jeffery Scherer Radiology 2875 S 171st St, New Berlin, WI 53151-3511 2006-08-05
1255345823 Joseph Rhett Whitnah Radiology 2875 S 171st St, New Berlin, WI 53151-3511 2006-07-28
1144234766 Thomas Calvy Radiology 2875 S 171st St, New Berlin, WI 53151-3511 2006-07-28
1104840636 Nancy Blankenship Radiology 2875 S 171st St, New Berlin, WI 53151-3511 2006-07-27
Find all providers in NEW BERLIN

Competitor

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City NEW BERLIN
Zip Code 53151

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Dataset Information

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.

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