SEAN KEANE M.D. S.C. (NPI# 1316968423) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316968423 |
| Entity Type | Organization |
| Organization Name | SEAN KEANE M.D. S.C. |
| Practice Address |
2315 N Lake Dr Suite 803 Milwaukee WI 53211-4518 |
| Practice Telephone | 4142771115 |
| Practice Fax Number | 4142771126 |
| Mailing Telephone | 4142771115 |
| Mailing Fax Number | 4142771126 |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | SEAN KEANE (OWNER) |
| Authorized Official Telephone | 4142771115 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 17123-020 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 30941800 | 05 |
| Street Address |
2315 N LAKE DR SUITE 803 |
| 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 |
| 1295876068 | Harry A. Easom | Specialist | 2315 N Lake Dr, #617, Milwaukee, WI 53211-4518 | 2007-02-12 |
| 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 |
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| 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 | 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 |
|---|---|---|---|---|
| 1700486602 | Butler Orthopedics, LLP | Orthopaedic Surgery | 3237 S 16th St Ste 210, Milwaukee, WI 53215-4526 | 2020-10-29 |
| 1013270644 | Brent Witten | Orthopaedic Surgery | 2801 W Kinnickinnic River Pkwy Ste 370, Milwaukee, WI 53215 | 2012-06-19 |
| 1730445230 | Jesse E Bauwens | Orthopaedic Surgery | 2500 N Mayfair Rd Ste 500, Milwaukee, WI 53226-1415 | 2012-04-09 |
| 1598912248 | Paul A Jacobs | Orthopaedic Surgery | 4641 N Lake Dr, Milwaukee, WI 53211-1255 | 2008-08-25 |
| 1164556684 | Michael Franklin Iossi | Orthopaedic Surgery | 2801 W Kinnickinnic River Pkwy Ste 345, Milwaukee, WI 53215-3693 | 2007-03-15 |
| 1417056979 | Gregory J. Gnadt | Orthopaedic Surgery | 2315 N Lake Dr Ste 901, Milwaukee, WI 53211-4522 | 2006-09-21 |
| 1285685016 | Mark E Hodgson | Orthopaedic Surgery | 2500 N Mayfair Rd Ste 670, Suite 670, Milwaukee, WI 53226-1444 | 2006-05-15 |
| 1720049653 | Lawrence Lee Foster | Orthopaedic Surgery | 5233 W. Morgan Ave, Suite #102, Milwaukee, WI 53220 | 2006-03-30 |
| 1285695395 | Mark Randall Aschliman | Orthopaedic Surgery | 3970 N Oakland Ave, #501, Milwaukee, WI 53211 | 2006-03-29 |
| 1922086032 | James Allen Rydlewicz | Orthopaedic Surgery | 5233 W Morgan Ave, Ste 102, Milwaukee, WI 53220 | 2006-01-09 |
| 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.