HARRY A. EASOM (NPI# 1295876068) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295876068 |
| Entity Type | Individual |
| Full Name | HARRY A. EASOM |
| Credential | M.D. |
| Practice Address |
2315 N Lake Dr #617 Milwaukee WI 53211-4518 |
| Practice Telephone | 4142717200 |
| Practice Fax Number | 4142717278 |
| Mailing Telephone | 4142717200 |
| Mailing Fax Number | 4142717278 |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 14484 | WI | Other Service Providers |
| Street Address |
2315 N LAKE DR #617 |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53211-4518 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912990466 | Evonne Marie Winston | Dermatology | 2315 N Lake Dr, Suite 701, Milwaukee, WI 53211-4518 | 2005-08-30 |
| 1558557504 | Donna Mae Mullen | Audiologist-Hearing Aid Fitter | 2315 N Lake Dr, Suite 1005, Milwaukee, WI 53211-4518 | 2007-09-23 |
| 1114139409 | Keirsen Muffler | Audiologist | 2315 N Lake Dr, Suite 1005, Milwaukee, WI 53211-4518 | 2007-05-07 |
| 1700908902 | Lynn A Vice Psyd Sc | Psychologist | 2315 N Lake Dr, Milwaukee, WI 53211-4518 | 2007-04-06 |
| 1205965761 | Herslof's, Inc | Technician/Technologist | 2315 N Lake Dr, Milwaukee, WI 53211-4518 | 2007-03-02 |
| 1417086901 | Paul R Herzfeld | Optometrist | 2315 N Lake Dr, Milwaukee, WI 53211-4518 | 2007-03-02 |
| 1407994700 | Lynn A. Vice, Psy.d., S. C. | Psychologist | 2315 N Lake Dr, Suite 820, Milwaukee, WI 53211-4518 | 2007-02-01 |
| 1669518916 | Reproductive Specialty Center | Specialist | 2315 N Lake Dr, Suite 501, Milwaukee, WI 53211-4518 | 2007-01-30 |
| 1689733834 | Stephen Pallen | Spec/Tech, Cardiovascular | 2315 N Lake Dr, Suite 703, Milwaukee, WI 53211-4518 | 2006-12-06 |
| 1124187356 | Michael Berg | Spec/Tech, Cardiovascular | 2315 N Lake Dr, Suite 703, Milwaukee, WI 53211-4518 | 2006-12-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821602335 | Gabriella Caitrin Emanuele | Occupational Therapist | Harborchase of Shorewood, 1111 E Capitol Drive, Shorewood, WI 53211 | 2020-09-02 |
| 1710527783 | Sage Specialty Pharmacy Inc. | Pharmacy | 4001 N. Oakland Ave, Shorewood, WI 53211 | 2020-01-08 |
| 1861043952 | Rosina Bloomingdale Norton | Nurse Practitioner | 1921 E Harford Ave, Milwaukee, WI 53211 | 2019-09-20 |
| 1528556255 | Renee Reckelberg | Specialist/Technologist | 3409 North Downer Avenue, Pavilion, Suite 350, Milwaukee, WI 53211 | 2018-04-27 |
| 1700325602 | Wisconsin Vision, Inc. | Optometrist | 4163 N Oakland Ave, Shorewood, WI 53211 | 2017-02-13 |
| 1750827556 | Daniel Butz M.d., S.c. | Plastic Surgery | 2350 N Lake Dr Ste 304, Milwaukee, WI 53211 | 2017-01-17 |
| 1528517232 | Therese Simonis | Speech-Language Pathologist | 2390 N Lake Drive, Milwaukee, WI 53211 | 2016-09-23 |
| 1982075701 | Katie Michel | Specialist/Technologist | 3409 N. Downer Ave, Milwaukee, WI 53211 | 2015-10-20 |
| 1255776365 | Sarah Elizabeth Brill | Social Worker | 4433 N Oakland Ave Ste D, Shorewood, WI 53211 | 2013-05-02 |
| 1679814537 | Nicole Anne Parulski | Physical Therapist | 2301 North Lake Dr, Milwaukee, WI 53211 | 2013-03-01 |
| Find all providers in zip 53211 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982161048 | Natalia Roman | Specialist | 725 W Lapham Blvd Apt 17, Milwaukee, WI 53204-3447 | 2019-02-25 |
| 1598231524 | Shanel Marie Jordan | Specialist | 4827 N 76th St, Milwaukee, WI 53218-3826 | 2018-10-17 |
| 1598143455 | Donisha Nesbitt | Specialist | 4717 N 38th St, Milwaukee, WI 53209-5949 | 2015-05-12 |
| 1851625735 | Kenneth Raskin Md Sc | Specialist | 115 S 84th St, Suite 175, Milwaukee, WI 53214-1472 | 2009-09-25 |
| 1518195726 | Gina Marie Williams | Specialist | Jewish Home and Care Center:therapy Department, 1414 N Prospect Ave, Milwaukee, WI 53202-3018 | 2009-06-25 |
| 1982856670 | Jeannette E Brasseur | Specialist | 4158 N Stowell Ave, Milwaukee, WI 53211-1744 | 2008-10-14 |
| 1437306172 | Gerald R. Zupnik | Specialist | 8689 N Seneca Rd, Milwaukee, WI 53217-2331 | 2008-08-25 |
| 1316114317 | Leslie M Cannestra | Specialist | 7823 W Verona Ct, Milwaukee, WI 53219-3861 | 2008-05-09 |
| 1538335138 | Linda Jean Gaalaas | Specialist | 2715 N Summit Ave, Milwaukee, WI 53211-3855 | 2008-05-02 |
| 1710157078 | Isaac Melguizo-gavilanes | Specialist | 2801 W Kinnickinnic River Pkwy Ste 925, Milwaukee, WI 53215-3689 | 2008-03-03 |
| 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.