HARRY A. EASOM, M.D., S.C. (NPI# 1306022116) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306022116 |
| Entity Type | Organization |
| Organization Name | HARRY A. EASOM, M.D., S.C. |
| Practice Address |
377 W River Woods Pkwy Suite 115 Glendale WI 53212-1088 |
| Practice Telephone | 4142717200 |
| Practice Fax Number | 4142717278 |
| Mailing Telephone | 4142717200 |
| Mailing Fax Number | 4142717278 |
| Enumeration Date | 2008-01-11 |
| Last Update Date | 2008-06-04 |
| Authorized Official Name | DR. HARRY A EASOM (PRESIDENT) |
| Authorized Official Telephone | 4142717200 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 14484 | WI | Allopathic & Osteopathic Physicians |
| Street Address |
377 W RIVER WOODS PKWY SUITE 115 |
| City | GLENDALE |
| State | WI |
| Zip Code | 53212-1088 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255389581 | Health Dynamics, LLC | Physician Assistant | 377 W River Woods Pkwy, Suite 225, Glendale, WI 53212-1088 | 2006-05-05 |
| 1114589538 | Michelle Herum | Speech-Language Pathologist | 377 W River Woods Pkwy, Glendale, WI 53212-1088 | 2019-07-05 |
| 1790248326 | Kyle Kirst | Occupational Therapist | 377 W River Woods Pkwy, Glendale, WI 53212-1088 | 2019-04-10 |
| 1760528640 | Karen S. Shimshak Md Sc | Ophthalmology | 377 W River Woods Pkwy, #115, Glendale, WI 53212-1088 | 2007-01-29 |
| 1932136652 | Thomas A Reminga | Emergency Medicine | 377 W River Woods Pkwy, Suite 377, Glendale, WI 53212-1088 | 2006-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609481001 | Beth Leanna | Counselor | Benedict Center 1849 N Dr. Marin Luther King Dr., Suite 101, Milwaukee, WI 53212 | 2020-09-11 |
| 1326683749 | A.b.d.h. Counseling Services LLC | Clinic/Center | 518 E Concordia Avenue, Milwaukee, WI 53212 | 2019-11-08 |
| 1467095703 | Ifrah Hameed | Psychologist | 1849 N Doctor M.l.k. Jr Dr# 101, Milwaukee, WI 53212 | 2019-10-18 |
| 1386293330 | Rachel Mae Nelson Bagha | Student in an Organized Health Care Education/Training Program | 1849 N Doctor M.l.k. Jr Dr #101, Milwaukee, WI 53212 | 2019-09-11 |
| 1164085205 | Mary Sue Daase Bowen | Counselor | 2821 N 4th Street, Milwaukee, WI 53212 | 2019-04-15 |
| 1649733189 | Stacey King | Counselor | Rivershore Comprehensive Treatment Facility, 3703 N Richards St, Milwaukee Wi, Milwaukee, WI 53212 | 2019-04-11 |
| 1710447701 | Scott William Stauder | Student in an Organized Health Care Education/Training Program | 1121 E. North Ave., Milwaukee, WI 53212 | 2019-03-25 |
| 1821561168 | Lydia Ann Mendez | Counselor | 3703 N Richards St, Milwaukee, WI 53212 | 2019-01-09 |
| 1851863302 | Glen Victor Fleming | Counselor | 2821 North 4th Street Suite 210, Milwaukee, WI 53212 | 2018-12-21 |
| 1093285140 | Megan Marie Volp | Advanced Practice Midwife | 2555 N Doctor M.l.k. Jr Dr, Milwaukee, WI 53212 | 2018-12-03 |
| Find all providers in zip 53212 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| 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 Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
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| 1780199034 | Hratch D Kourouyan Md Inc | Ophthalmology | 1540 W Glenoaks Blvd Ste 101, Glendale, CA 91201-3153 | 2017-12-08 |
| 1518480615 | Retina Institute of Ca | Ophthalmology | 435 Arden Ave # 430-435, Glendale, CA 91203-1130 | 2017-07-20 |
| 1609279165 | Anew Vision Eye Specialists, Pllc | Ophthalmology | 20325 N 51st Ave Ste 130, Glendale, AZ 85308-5677 | 2014-09-29 |
| 1447696539 | Neda Esmaili Md Sc | Ophthalmology | 377 West Riverwoods Parkway, Suite 115, Glendale, WI 53212 | 2013-05-15 |
| 1497084958 | Elda Aghaian, Md Inc | Ophthalmology | 1560 E Chevy Chase Dr Ste 220, Glendale, CA 91206-4140 | 2009-12-12 |
| 1023287489 | Elsa Aghaian | Ophthalmology | 607 N. Central Ave., Suite 204, Glendale, CA 91203-1808 | 2008-02-29 |
| 1013105048 | Eye Care First, A Medical Group,inc. | Ophthalmology | 610 N Central Ave Ste 103, Glendale, CA 91203-1419 | 2007-10-03 |
| 1134315757 | Samuel A Mcconkey IIi Md PC | Ophthalmology | 5830 W Thunderbird Rd, Suite B5, Glendale, AZ 85306-4654 | 2007-09-18 |
| 1306996541 | Valley Retina Surgeons LLC | Ophthalmology | 20118 N 67th Ave, Suite 300-240, Glendale, AZ 85308-4621 | 2007-01-11 |
| 1598849846 | Sahag Aram Baghdassarian | Ophthalmology | 1310 S Central Ave, Glendale, CA 91204-2506 | 2006-10-24 |
| Find all providers in GLENDALE | ||||
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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.