PERRY S DAMIAN (NPI# 1255513529) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255513529 |
| Entity Type | Individual |
| Full Name | PERRY S DAMIAN |
| Practice Address |
402 W Lake St Friendship WI 53934-9699 |
| Mailing Address |
332 N Trade St Matthews NC 28105-1728 |
| Practice Telephone | 6083393331 |
| Enumeration Date | 2007-11-28 |
| Last Update Date | 2020-05-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 662 | WI | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 2018-02028 | NC | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 332 N Trade St, Suite 2000, Matthews, NC 281051728 | 7043028500 |
| Street Address |
402 W LAKE ST |
| City | FRIENDSHIP |
| State | WI |
| Zip Code | 53934-9699 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467446492 | Stephen Charles Paulk | Specialist | 402 W Lake St, Friendship, WI 53934-9699 | 2005-09-06 |
| 1336621440 | Jessica Marie Johnson | Nurse Practitioner | 402 W Lake St, Friendship, WI 53934-9699 | 2018-09-05 |
| 1235646654 | Deena Marie Kedrowski | Pharmacist | 402 W Lake St, Friendship, WI 53934-9699 | 2018-01-08 |
| 1104374867 | Virginia Lee Batie | Registered Nurse | 402 W Lake St, Friendship, WI 53934-9699 | 2016-09-12 |
| 1740733617 | Barbara Theisen | Registered Nurse | 402 W Lake St, Friendship, WI 53934-9699 | 2016-07-27 |
| 1861879462 | Heather Jean Greiling | Nurse Practitioner | 402 W Lake St, Friendship, WI 53934-9699 | 2015-05-03 |
| 1184966509 | David L Rebedew | Family Medicine | 402 W Lake St, Friendship, WI 53934-9699 | 2013-03-24 |
| 1093051617 | Mile Bluff Medical Center Inc | Durable Medical Equipment & Medical Supplies | 402 W Lake St, Friendship, WI 53934-9699 | 2012-12-31 |
| 1992968291 | Danielle M Hill | Family Medicine | 402 W Lake St, Friendship, WI 53934-9699 | 2008-07-07 |
| 1407043458 | Alicia-maria Fernandez | Internal Medicine | 402 W Lake St, Friendship, WI 53934-9699 | 2007-10-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396234837 | Gundersen Clinic Ltd | Optometrist | 402a W Lake St, Friendship, WI 53934 | 2018-05-09 |
| 1780972174 | Emily Burzynski Clark | Speech-Language Pathologist | 210 S. Park St, Friendship, WI 53934 | 2011-07-19 |
| 1942492459 | Gene P. Wegner, Sc | Radiology | 302 W Lake Street, Friendship, WI 53934 | 2007-08-17 |
| 1962560334 | Moundview Memorial Hospital & Clinics, Inc. | Clinic/Center | 402 W. Lake St., Friendship, WI 53934 | 2006-12-05 |
| 1982770723 | Sheryl J. Obernberger | Nurse Practitioner | 402 West Lake St., Friendship, WI 53934 | 2006-11-24 |
| 1992894927 | Robert J Schindlbeck | Dentist | 320 W Lake St, Friendship, WI 53934 | 2006-10-11 |
| 1336173095 | Roche A Cri Clinic Sc | Family Medicine | 302 W. Lake St., Friendship, WI 53934 | 2006-07-10 |
| 1174514699 | Ann M Anderson | Nurse Practitioner | 302 West Lake St, Friendship, WI 53934 | 2005-11-03 |
| 1801881388 | Mark E Hatton | Family Medicine | 402 West Lake Street, Friendship, WI 53934 | 2005-09-12 |
| 1780064956 | Andrew Schmitz | Counselor | 302 W Lake St, Friendship, WI 53934 | 2015-06-03 |
| Find all providers in zip 53934 | ||||
| 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 |
|---|---|---|---|---|
| 1336173095 | Roche A Cri Clinic Sc | Family Medicine | 302 W. Lake St., Friendship, WI 53934 | 2006-07-10 |
| 1801881388 | Mark E Hatton | Family Medicine | 402 West Lake Street, Friendship, WI 53934 | 2005-09-12 |
| 1184966509 | David L Rebedew | Family Medicine | 402 W Lake St, Friendship, WI 53934-9699 | 2013-03-24 |
| 1992968291 | Danielle M Hill | Family Medicine | 402 W Lake St, Friendship, WI 53934-9699 | 2008-07-07 |
| 1962607978 | Richie-ann Soriano Rodriguez | Family Medicine | 402 West Lake Street, Friendship, WI 53934 | 2007-06-19 |
| 1689657827 | Paul A Kornaus | Family Medicine | 402 W Lake St, Friendship, WI 53934-9699 | 2005-11-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104426477 | St Gianna Molla Clinic, Inc | Family Medicine | 20 Pinewild Ct, Appleton, WI 54913-7127 | 2020-10-27 |
| 1962015552 | Callie Lund | Family Medicine | 418 Lotus St, Mosinee, WI 54455-1728 | 2020-08-25 |
| 1275159998 | Beam Healthcare, Sc | Family Medicine | 25 W Main St Fl 5, Madison, WI 53703-3399 | 2020-06-18 |
| 1487283503 | Enitza Damaris George | Family Medicine | 1906 Brackett Ave, Eau Claire, WI 54701-5042 | 2020-04-02 |
| 1093341380 | Tia Marie Vaccaro | Family Medicine | 1275 Judd Rd, Oregon, WI 53575-2573 | 2020-03-18 |
| 1134753411 | Proactive Md Sc,p.a. | Family Medicine | Brakebush Health Center, N4993 6th Dr., Westfield, WI 53964 | 2020-02-26 |
| 1790323608 | Solidaritus Health Wisconsin Sc | Family Medicine | 1476 Blazing Star Blvd Ste 4, Altoona, WI 54720-4002 | 2019-12-11 |
| 1255974952 | Integrative Health Center of Central Wisconsin LLC | Family Medicine | 3205 E Washington Ave Ste A, Madison, WI 53704-4332 | 2019-10-25 |
| 1962969220 | Paladina Health, LLC | Family Medicine | Paladina Health Menomonee Falls, N84 W15787 Menomonee Avenue Suite 6, Menomonee Falls, WI 53051 | 2019-02-22 |
| 1942767298 | Paladina Health, LLC | Family Medicine | Paladina Health Sussex Beer Capitol Clinic, W222 N5700 Miller Way, Sussex, WI 53069 | 2019-02-22 |
| Find all providers with the same taxonomy | ||||
| City | FRIENDSHIP |
| Zip Code | 53934 |
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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.