DR. BRENT FOSSUM JONES (NPI# 1275777260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1275777260 |
Entity Type | Individual |
Full Name | DR. BRENT FOSSUM JONES |
Credential | M.D. |
Practice Address |
788 N Jefferson St Suite 201 Milwaukee WI 53202-3718 |
Mailing Address |
788 N Jefferson St Suite 300 Milwaukee WI 53202-3718 |
Practice Telephone | 4142264010 |
Practice Fax Number | 4142746270 |
Mailing Telephone | 4142728950 |
Mailing Fax Number | 4142252929 |
Enumeration Date | 2009-04-22 |
Last Update Date | 2016-11-09 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
63122-20 | WI | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | 1275777260 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851893259 | Brent Jones | Nursing Home Administrator | 1 Walker Ave, Hamilton, NJ 08629-1444 | 2018-03-02 |
1912229170 | Brent M Jones | Pharmacist | 200 Capital Ave Sw, Suite 200, Battle Creek, MI 49037-8665 | 2010-02-15 |
1508971052 | Brent Robert Jones | Dentist | 2348 Iowa Street, Lawrence, KS 66046 | 2006-08-21 |
1891809406 | Brent W Jones | Optometrist | 472 W Poplar Ave Ste 102, Collierville, TN 38017-2595 | 2006-08-19 |
1730563289 | Brent Leonardo Jones | Counselor | 7801 York Rd, Suite 215, Towson, MD 21204-7446 | 2015-07-15 |
1063708550 | Brent M Jones | Family Medicine | 117 E Clark St, Harrisburg, IL 62946-2702 | 2011-06-22 |
1558685107 | Brent Edward Jones | Emergency Medicine | 1906 Belleview Ave Se, Roanoke, VA 24014-1838 | 2010-03-24 |
1962627240 | Brent C Jones | Dentist | 1336 E Hunter Pl, Moses Lake, WA 98837-2449 | 2007-04-13 |
1487644282 | Brent Elwood Jones | Emergency Medicine | 1000 E 100 N, Payson, UT 84651-1600 | 2005-10-24 |
Street Address |
788 N JEFFERSON ST SUITE 201 |
City | MILWAUKEE |
State | WI |
Zip Code | 53202-3718 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417938556 | Maria Revina Ochoa Ignacio Vitug | Internal Medicine | 788 N Jefferson St, Suite 300, Milwaukee, WI 53202-3718 | 2005-11-07 |
1710330725 | Major Dental Clinics of Milwaukee S.c. | Dentist | 788 N Jefferson St, Suite 880, Milwaukee, WI 53202-3718 | 2016-07-14 |
1174939409 | Lorraine Witt | Physician Assistant | 788 N Jefferson St, Suite 401, Milwaukee, WI 53202-3718 | 2014-07-08 |
1548332752 | Cynthia A Koopmeiners | Physician Assistant | 788 N Jefferson St, Suite 401, Milwaukee, WI 53202-3718 | 2006-11-14 |
1134234776 | Abraham Varghese | Internal Medicine | 788 N Jefferson St, Suite 300, Milwaukee, WI 53202-3718 | 2006-08-21 |
1871501593 | Antoni Jan Gofron | Internal Medicine | 788 N Jefferson St, Suite 201, Milwaukee, WI 53202-3718 | 2006-08-05 |
1700809928 | Ellen Menefee | Physician Assistant | 788 N Jefferson St, Suite 401, Milwaukee, WI 53202-3718 | 2006-07-26 |
1659399194 | John R Betz | Internal Medicine | 788 N Jefferson St, Suite 300, Milwaukee, WI 53202-3718 | 2006-07-17 |
1023042249 | Aurora Pharmacy Inc | Pharmacy | 788 N Jefferson St, Milwaukee, WI 53202-3718 | 2006-07-11 |
1588695746 | Madison Medical Affiliates, Inc. | General Practice | 788 N Jefferson St, Suite 300/attn. Kaaren Butzen, Milwaukee, WI 53202-3718 | 2006-07-06 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053958298 | Melanie Ann Pare | Occupational Therapist | 1414 N. Prospect Ave., Milwaukee, WI 53202 | 2019-12-06 |
1568921278 | Sword Health Inc | Health Educator | 1020 North Broadway, Milwaukee, WI 53202 | 2019-03-13 |
1619446408 | First Priority Home Care, LLC | Home Health | 342 W. Water Street, Suite 600, Milwaukee, WI 53202 | 2018-11-21 |
1346747169 | Creative Counseling of Milwaukee | Counselor | 2266 E Prospect Ave, Suite 304, Milwaukee, WI 53202 | 2018-04-09 |
1043692700 | Matthew Weinlander | Psychiatry & Neurology | 827 N Cass St # 9, Milwaukee, WI 53202 | 2015-06-18 |
1437572831 | Pathfinder Medical Group | Family Medicine | 216 Milwaukee St, Suite 2d, Milwaukee, WI 53202 | 2014-01-22 |
1669819785 | Kate Savage Anzia | Counselor | 2266 North Prospect Avenue, Suite 326, Ravenswood Clinic, Milwaukee, WI 53202 | 2013-05-30 |
1164773222 | Rutell Counseling Services, L.L.C. | Counselor | 759 N. Milwaukee St., Suite 600, Milwaukee, WI 53202 | 2012-09-28 |
1548563760 | Susan Rose Westergren | Pharmacist | 1400 E. Brady St, Walgreens, Milwaukee, WI 53202 | 2010-12-09 |
1174848816 | Brian D Eiche | Emergency Medicine | 111 E. Wisconsin Ave. Ste 2100, Infinity Healthcare, Milwaukee, WI 53202 | 2010-04-06 |
Find all providers in zip 53202 |
Taxonomy Code | 207RE0101X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Endocrinology, Diabetes & Metabolism |
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184897357 | Eshraq Al-jaghbeer | Internal Medicine | 2801 W Kinnickinnic River Pkwy Ste 245, Milwaukee, WI 53215-3678 | 2008-04-09 |
1205028487 | Jolita Satkus | Internal Medicine | 2801 W Kinnickinnic River Pkwy Ste 260, Milwaukee, WI 53215 | 2007-08-13 |
1306906664 | Hak-joong Kim | Internal Medicine | 5757 W Oklahoma Ave, Suite 101, Milwaukee, WI 53219-4303 | 2006-12-09 |
1699020602 | Jenna Lynne Sarvaideo | Internal Medicine | 9200 W Wisconsin Avenue, Division of Endocrinology, Milwaukee, WI 53226-3522 | 2012-07-16 |
1023378445 | Betiel F Voss | Internal Medicine | 2801 W Kinnickinnic River Pkwy Ste 245, Milwaukee, WI 53215 | 2012-05-18 |
1174817746 | Lisa Shah | Internal Medicine | 3003 W Good Hope Rd, Milwaukee, WI 53209-2042 | 2011-06-01 |
1558674523 | Scott Gerold Ahl | Internal Medicine | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2010-07-20 |
1194968313 | Anil Chandel | Internal Medicine | 2801 W Kinnickinnic River Pkwy, Ste 245, Milwaukee, WI 53215-3669 | 2009-04-17 |
1992864334 | Batul Valika | Internal Medicine | 2801 W Kinnickinnic River Pkwy, #245, Milwaukee, WI 53215-3669 | 2006-12-08 |
1376614446 | Srividya Kidambi | Internal Medicine | 9200 W Wisconsin Ave, Division of Endocrinology, Milwaukee, WI 53226-3522 | 2006-11-12 |
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.