ALICJA D LISAK (NPI# 1295737823) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295737823 |
| Entity Type | Individual |
| Full Name | ALICJA D LISAK |
| Credential | MD |
| Practice Address |
W129n7055 Northfield Dr Menomonee Falls WI 53051-0538 |
| Practice Telephone | 2622535400 |
| Mailing Telephone | 2622535400 |
| Enumeration Date | 2005-08-12 |
| Last Update Date | 2014-08-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 204136 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 1295737823 | 05 |
| Street Address |
W129N7055 NORTHFIELD DR |
| City | MENOMONEE FALLS |
| State | WI |
| Zip Code | 53051-0538 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366043051 | Gary Homeier | Registered Nurse | W129n7055 Northfield Dr, Menomonee Falls, WI 53051-0538 | 2020-11-08 |
| 1871126805 | Olivia Diedrick | Social Worker | W129n7055 Northfield Dr, Menomonee Falls, WI 53051-0538 | 2020-02-18 |
| 1760982763 | Mark Mueller | Nurse Practitioner | W129n7055 Northfield Dr, Menomonee Falls, WI 53051-0538 | 2018-02-15 |
| 1518484344 | Kathryn Schlotthauer | Registered Nurse | W129n7055 Northfield Dr, Menomonee Falls, WI 53051-0538 | 2017-08-23 |
| 1013450006 | Froedtert Memorial Lutheran Hospital | General Acute Care Hospital | W129n7055 Northfield Dr, Menomonee Falls, WI 53051-0538 | 2016-11-23 |
| 1346619384 | Kristin Lerner | Physical Therapist | W129n7055 Northfield Dr, Menomonee Falls, WI 53051-0538 | 2015-09-21 |
| 1023486305 | Daniel Bruss | Physical Therapist | W129n7055 Northfield Dr, Menomonee Falls, WI 53051-0538 | 2015-09-03 |
| 1326435868 | Rebecca Mallow | Physical Therapist | W129n7055 Northfield Dr, Menomonee Falls, WI 53051-0538 | 2015-04-22 |
| 1336534056 | Whitney Anne Potharla | Nurse Practitioner | W129n7055 Northfield Dr, Building A, Suite 203, Menomonee Falls, WI 53051-0538 | 2015-03-31 |
| 1831514710 | Shari Fehrenbach | Nurse Practitioner | W129n7055 Northfield Dr, Menomonee Falls, WI 53051-0538 | 2014-02-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356968002 | Marisa Hiley | Nurse Practitioner | W129 N7055 Northfield Drive, Menomonee Falls, WI 53051 | 2020-06-29 |
| 1225687940 | Andres Sercovich | Pharmacist | W12501 Leatherwood Ct N74, Menomonee Falls, WI 53051 | 2019-09-05 |
| 1699329193 | Athletico Ltd | Physical Therapist | N88w15562 Main St, Menomonee Falls, WI 53051 | 2019-08-01 |
| 1386103059 | Aegis Group Practice LLC | Occupational Therapist | N48w14250 W Hampton Ave, Menomonee Falls, WI 53051 | 2019-03-13 |
| 1962969220 | Paladina Health, LLC | Family Medicine | Paladina Health Menomonee Falls, N84 W15787 Menomonee Avenue Suite 6, Menomonee Falls, WI 53051 | 2019-02-22 |
| 1053814772 | Waukesha County Community Dental Clinic, Inc. | Clinic/Center | N81w15062 Appleton Ave, Menomonee Falls, WI 53051 | 2018-03-09 |
| 1942753314 | Kelly Schmidt | Pharmacist | 200 Woodland Prime Ste 300, Menomonee Falls, WI 53051 | 2016-08-02 |
| 1386027548 | Generations Family Dental Care Menomonee Falls, LLC | Dentist | N48 W14170 Hampton Ave., Menomonee Falls, WI 53051 | 2015-07-07 |
| 1184007551 | Monjot Kaur Kang | Pharmacist | N82 W15882 Appleton Ave, Menomonee Falls, WI 53051 | 2015-07-03 |
| 1417334038 | Costco Wholesale Corporation | Hearing Aid Equipment | 9235 Pershing Avenue, Menomonee Falls, WI 53051 | 2015-05-04 |
| Find all providers in zip 53051 | ||||
| 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 |
|---|---|---|---|---|
| 1962969220 | Paladina Health, LLC | Family Medicine | Paladina Health Menomonee Falls, N84 W15787 Menomonee Avenue Suite 6, Menomonee Falls, WI 53051 | 2019-02-22 |
| 1699707877 | Robert L Schwarz | Family Medicine | N91w21030 Hillview Dr, Menomonee Falls, WI 53051-1106 | 2006-07-07 |
| 1568494706 | Daniel J Heyrman | Family Medicine | N 84 W16889 Menomonee Ave, Menomonee Falls, WI 53051 | 2006-07-07 |
| 1447281852 | Karen M Hegmann | Family Medicine | N84w16889 Menomonee Avenue, Menomonee Falls, WI 53051 | 2006-07-05 |
| 1942207741 | June Constantza Moldvan-jacobs | Family Medicine | N84w16889 Menomonee Ave, Menomonee Falls, WI 53051-2810 | 2005-07-07 |
| 1023635869 | Neil Hyde | Family Medicine | W180n8000 Town Hall Rd, Menomonee Falls, WI 53051-4002 | 2020-06-27 |
| 1811514656 | Shirin Pilakka Kandakkil | Family Medicine | W180n8000 Town Hall Rd, Menomonee Falls, WI 53051-4002 | 2020-06-27 |
| 1831665876 | Erica Karek | Family Medicine | W129n7055 Northfield Dr Bldg A, Menomonee Falls, WI 53051-0538 | 2018-10-17 |
| 1962935478 | Stephanie J Thurman | Family Medicine | N84w16889 Menomonee Ave, Menomonee Falls, WI 53051-2810 | 2017-04-11 |
| 1952841868 | Community Memorial Hospital of Menomonee Falls, Inc | Family Medicine | W180n8000 Town Hall Rd, Menomonee Falls, WI 53051-4002 | 2017-02-27 |
| Find all providers in MENOMONEE FALLS | ||||
| City | MENOMONEE FALLS |
| Zip Code | 53051 |
Please comment or provide details below to improve the information on ALICJA D LISAK.
| 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.