DR. MICHAEL C DUSSAULT (NPI# 1285749440) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285749440 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL C DUSSAULT |
| Credential | MD |
| Practice Address |
248 Mchenry St Burlington WI 53105-1828 |
| Mailing Address |
3301 W Forest Home Ave Milwaukee WI 53215-2843 |
| Practice Telephone | 2627678256 |
| Practice Fax Number | 2627678212 |
| Mailing Telephone | 4146476326 |
| Mailing Fax Number | 4146718860 |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 21659 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 30248900 | 05 | |
| DEA NUMBER | AD8402036 | 01 |
| Street Address |
248 MCHENRY ST |
| City | BURLINGTON |
| State | WI |
| Zip Code | 53105-1828 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295731529 | Carol Ann Seitz | Registered Nurse | 248 Mchenry St, Burlington, WI 53105-1828 | 2005-06-22 |
| 1598310468 | Shelly L P Glascock | Nurse Practitioner | 248 Mchenry St, Burlington, WI 53105-1828 | 2019-08-07 |
| 1649740614 | Kirby Curby-warner | Midwife | 248 Mchenry St, Burlington, WI 53105-1828 | 2018-12-03 |
| 1487150629 | Michael Mesirow | Physician Assistant | 248 Mchenry St, Burlington, WI 53105 | 2018-04-05 |
| 1588181523 | Leroy Spurlock | Physician Assistant | 248 Mchenry St, Burlington, WI 53105-1828 | 2017-08-29 |
| 1447791363 | Desiree A Mengo | Nurse Practitioner | 248 Mchenry St, Burlington, WI 53105 | 2017-03-10 |
| 1184075053 | Corina E Beck | Nurse Practitioner | 248 Mchenry St, Burlington, WI 53105-1828 | 2016-06-22 |
| 1528492469 | Kristina J Krogstad | Nurse Practitioner | 248 Mchenry St, Burlington, WI 53105-1828 | 2013-08-28 |
| 1952666554 | Kora Lane Adam | Physician Assistant | 248 Mchenry St, Burlington, WI 53105-1828 | 2012-07-10 |
| 1831452226 | Danielle D Storm | Physician Assistant | 248 Mchenry St, Burlington, WI 53105-1828 | 2012-06-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720574288 | Wisconsin Pain Management Specialists, LLC | Pain Medicine | 1050 S. Milwaukee Avenue, Suite 102, Burlington, WI 53105 | 2018-07-09 |
| 1952845679 | Jennifer Vozel | Registered Nurse | 40036 Bloomfield Rd, Burlington, WI 53105 | 2016-12-14 |
| 1356884613 | Labadie Family Dentistry, S.c. | Clinic/Center | 5019 Mormon Rd., Burlington, WI 53105 | 2016-11-18 |
| 1043654288 | Maureen Ann Mcnulty | Acupuncturist | 148 East State Street, Suite A, Burlington, WI 53105 | 2013-04-18 |
| 1003166349 | Jessica Robinson | Licensed Practical Nurse | 7656 Highland Ave, Burlington, WI 53105 | 2012-09-13 |
| 1063677334 | Douglas Armin Wild Sr. | Dentist | 2545 Partridge Wds. Ct., Burlington, WI 53105 | 2008-07-25 |
| 1346408945 | William Henry Basil | Dentist | 222 Adams St, Burlington, WI 53105 | 2008-05-30 |
| 1912108689 | Debra Jean Studey Leffelman | Midwife, Lay | 5617 Spring Valley Rd., Burlington, WI 53105 | 2007-05-30 |
| 1215142955 | Michelle Marie Mehring | Licensed Practical Nurse | 541 Kearney Rd, Burlington, WI 53105 | 2007-05-14 |
| 1003982802 | Alan Dean Meike | Chiropractor | 196 W Chestnut Street, Burlington, WI 53105 | 2006-11-27 |
| Find all providers in zip 53105 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164513065 | Nurhan George Kasparyan | Orthopaedic Surgery | Lahey Clinic 41mall Rd, Burlington, MA 01805-0001 | 2006-09-27 |
| 1134138753 | James R Bowers | Orthopaedic Surgery | 1111 Huffman Mill Rd, Burlington, NC 27215-8862 | 2006-08-05 |
| 1871573170 | Rancocas Orthopedic Associates, Pa | Orthopaedic Surgery | 2103 Burlington Mount Holly Rd, Burlington, NJ 08016-4157 | 2006-01-20 |
| 1760486690 | Coffey County Medical Center | Orthopaedic Surgery | 309 Sanders St, Burlington, KS 66839-2616 | 2005-06-09 |
| 1174137285 | Healthone Clinic Services - Orthopedic Specialists LLC | Orthopaedic Surgery | 286 16th St, Burlington, CO 80807-1651 | 2020-09-04 |
| 1396186920 | Brian T Samuelsen | Orthopaedic Surgery | Lahey Hospital & Medical Center, 41 Mall Road, Burlington, MA 01805 | 2013-07-11 |
| 1932460235 | Brian W Clair | Orthopaedic Surgery | Lahey Hospital & Medical Center, 41 Mall Road, Burlington, MA 01805-0001 | 2012-06-04 |
| 1043539943 | Lourdes Medical Associates, Pa | Orthopaedic Surgery | 2103 Burlington Mount Holly Rd, Burlington, NJ 08016-4157 | 2010-05-18 |
| 1225352743 | Alexia Marie Hernandez-soria | Orthopaedic Surgery | 1236 Huffman Mill Rd Ste 1300, Burlington, NC 27215-8700 | 2010-03-26 |
| 1538397732 | Stephen Austin Klinge | Orthopaedic Surgery | Lahey Hospital & Medical Center, 41 Mall Road, Burlington, MA 01805 | 2009-06-25 |
| Find all providers in BURLINGTON | ||||
| City | BURLINGTON |
| Zip Code | 53105 |
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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.