MRS. ILDIKO MAGDA DOMANICO (NPI# 1255682688) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1255682688 |
Entity Type | Individual |
Full Name | MRS. ILDIKO MAGDA DOMANICO |
Practice Address |
5000 W National Ave Milwaukee WI 53295-0001 |
Practice Telephone | 4143842000 |
Mailing Telephone | 4143842000 |
Enumeration Date | 2012-09-25 |
Last Update Date | 2016-05-17 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163WW0000X |
Registered Nurse Specialization: Wound Care |
114484 | WI | Nursing Service Providers |
Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
6914-33 | WI | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
5000 W NATIONAL AVE |
City | MILWAUKEE |
State | WI |
Zip Code | 53295-0001 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790787943 | Laura Tobon | Registered Nurse | 5000 W National Ave, Milwaukee, WI 53295-0001 | 2005-06-01 |
1356942445 | John F Rose | Recreation Therapist | 5000 W National Ave, Milwaukee, WI 53295-0001 | 2020-11-04 |
1306447487 | Alan Newell Hoenk | Recreation Therapist | 5000 W National Ave, Milwaukee, WI 53295-0001 | 2020-11-04 |
1659972008 | David Escamilla | Pharmacist | 5000 W National Ave, Milwaukee, WI 53295-0001 | 2020-11-03 |
1720689086 | Inez Elizabeth Pabian | Pharmacist | 5000 W National Ave, Milwaukee, WI 53295-0001 | 2020-11-03 |
1043810302 | Kristine Kulas | Art Therapist | 5000 W National Ave, Milwaukee, WI 53295-0001 | 2020-10-27 |
1336749753 | Marisa Ann Straub | Art Therapist | 5000 W National Ave, Milwaukee, WI 53295-0001 | 2020-10-26 |
1720687221 | Courtney Zeller | Recreation Therapist | 5000 W National Ave, Milwaukee, WI 53295-0001 | 2020-10-26 |
1174122964 | Kari Slawson | Dietitian, Registered | 5000 W National Ave, Milwaukee, WI 53295-0001 | 2020-10-22 |
1245839356 | Makenzie Kojis | Music Therapist | 5000 W National Ave, Milwaukee, WI 53295-0001 | 2020-10-20 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457858573 | Nina Sathasivam-rueckert | Psychologist | Zablocki Va Medical Center 5000 West National Avenue, Milwaukee, WI 53295 | 2018-04-06 |
1306350269 | Nicole Marien Van Horn | Clinical Nurse Specialist | Milwaukee Va Medical Center (zablocki), 5000 W. National Ave, Milwaukee, WI 53295 | 2017-11-29 |
1275829582 | Emily Rose Allred | Registered Nurse | 500 National Ave, Milwaukee, WI 53295 | 2011-06-24 |
1104912666 | Steve Eigen | Social Worker | 5000 W. National, Milwaukee, WI 53295 | 2006-10-04 |
1225121700 | Vicki L Nelson | Social Worker | 5000 W.national Ave, Milwaukee, WI 53295 | 2006-10-02 |
1003908617 | Beth Ayers | Physical Therapist | 5000 W National Ave., Milwaukee, WI 53295 | 2006-09-29 |
1730286295 | Regina Robin Anderson-spann | Social Worker | 5000 W. National Avenue, Milwaukee, WI 53295 | 2006-09-19 |
1891723904 | Allyn J Coleman | Dentist | Clement J. Zablocki Va Medical Center, 5000 W National Avenue, Milwaukee, WI 53295 | 2006-06-29 |
1356347686 | Wendy R. Janssen | Nurse Practitioner | 5000 W. National Ave, Milwaukee, WI 53295 | 2005-06-22 |
1629073507 | Susan Kathlenn Kartes | Nurse Practitioner | 5000 West National Avenue, Milwaukee, WI 53295 | 2005-06-16 |
Find all providers in zip 53295 |
Taxonomy Code | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457640948 | Angela Marie Pelzek | Nurse Practitioner | 1555 N River Center Dr Ste 206, Milwaukee, WI 53212-3958 | 2011-04-05 |
1275719411 | Teresa Marie Skora | Nurse Practitioner | 2555 N. Dr. Martin L. King Jr. Dr, Milwaukee, WI 53212-2709 | 2008-01-17 |
1942296215 | Sarah Packman | Nurse Practitioner | 1702 W Walnut St, Milwaukee, WI 53205-1616 | 2005-09-22 |
1356347686 | Wendy R. Janssen | Nurse Practitioner | 5000 W. National Ave, Milwaukee, WI 53295 | 2005-06-22 |
1598769911 | Ann Elizabeth Wittwer | Nurse Practitioner | 5000 West National Ave, Yellow Clinic, Milwaukee, WI 53295 | 2005-06-13 |
1275536625 | Cynthia Festge | Nurse Practitioner | 3351 N Downer Ave, Milwaukee, WI 53211-2954 | 2005-05-31 |
1043817877 | Jacqueline Jordan Morgan | Nurse Practitioner | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2020-10-05 |
1427609148 | Kathryn Anne Lochmann | Nurse Practitioner | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2019-09-24 |
1760966170 | Michael Frank Potnek | Nurse Practitioner | 210 W Capitol Dr, Milwaukee, WI 53212-1123 | 2018-09-20 |
1588144315 | Mary Rodgers | Nurse Practitioner | 9200 W Wisconsin Ave, Milwaukee, WI 53226 | 2018-08-21 |
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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.