DR. ERIC MICHAEL JAKUBOWSKI (NPI# 1326266867) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326266867 |
| Entity Type | Individual |
| Full Name | DR. ERIC MICHAEL JAKUBOWSKI |
| Credential | M.D. |
| Practice Address |
6150 W Layton Ave Milwaukee WI 53220-4608 |
| Practice Telephone | 9017344816 |
| Mailing Telephone | 9017344816 |
| Enumeration Date | 2007-04-22 |
| Last Update Date | 2017-01-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207U00000X | Nuclear Medicine | 40107 | IA | Allopathic & Osteopathic Physicians |
| N | 207U00000X | Nuclear Medicine | 56046 | WI | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
40107 | IA | Allopathic & Osteopathic Physicians |
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
56046 | WI | Allopathic & Osteopathic Physicians |
| Street Address |
6150 W LAYTON AVE |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53220-4608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295752251 | Sean R Amoli | Radiology | 6150 W Layton Ave, Milwaukee, WI 53220-4608 | 2006-07-16 |
| 1942543046 | Benjamin Douglas Mcdowell | Radiology | 6150 W Layton Ave, Milwaukee, WI 53220-4608 | 2013-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871061069 | Kathleen Elizabeth White | Orthotist | 6790 W. Layton Ave, Greenfield, WI 53220 | 2018-11-06 |
| 1992284087 | Froedtert & The Medical College of Wisconsin Community Physicians | Non-Pharmacy Dispensing Site | 4859 South 60th Street, Greenfield, WI 53220 | 2018-08-09 |
| 1609394220 | Aaron Park | Speech-Language Pathologist | 3540 S. 43rd St., Milwaukee, WI 53220 | 2017-09-04 |
| 1730601675 | Rosaana Avila | Physical Therapist | 3944 S. 60th St., Milwaukee, WI 53220 | 2017-07-12 |
| 1285002667 | Casey E Reis | Nurse Practitioner | 4848 S. 76th Street, Greenfield, WI 53220 | 2015-09-02 |
| 1437539798 | Luke Robert Garceau | Physical Therapist | 6520 W. Layton Ave #101, Greenfield, WI 53220 | 2015-06-02 |
| 1295139012 | Tammy Giannopoulos, LLC | Clinic/Center | 4402 S 68th St Suite 100, Greenfield, WI 53220 | 2014-10-22 |
| 1861754244 | Lakeshore Medical Clinic | Occupational Therapist | 4444 West Loomis Road, 200, Greenfield, WI 53220 | 2012-06-12 |
| 1598083115 | Rebecca Anne Kappes | Licensed Practical Nurse | 8208 W Tripoli, Milwaukee, WI 53220 | 2010-05-06 |
| 1699941005 | Susan Marie Delaet | Physical Therapy Assistant | 5700 West Layton Ave, Greenfield, WI 53220 | 2008-05-06 |
| Find all providers in zip 53220 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669814737 | Matthew William Shore | Radiology | 8915 W Connell Ave Dept Of, Milwaukee, WI 53226-3067 | 2013-07-18 |
| 1245538636 | Moira Ferrier Schieke | Radiology | 2542 N Terrace Ave, Milwaukee, WI 53211-3820 | 2011-03-09 |
| 1811127558 | Michael Orrin Griffin Jr. | Radiology | 9200 W. Wisconsin Ave., Department of Radiology, Milwaukee, WI 53226 | 2009-07-15 |
| 1598949026 | Deidre Meredith Rippl | Radiology | 2900 Oklahoma Ave, Milwaukee, WI 53215 | 2007-12-19 |
| 1053510115 | Petre Iosif Wecsler | Radiology | 7019 N Barnett Ln, Milwaukee, WI 53217-3606 | 2007-07-17 |
| 1285858019 | William Thomas Luckey | Radiology | 1545 W Spruce Ct, Milwaukee, WI 53217-1128 | 2007-04-12 |
| 1407957491 | Ferdinand M Brutvan | Radiology | 1925 E Iron St, Milwaukee, WI 53207-2315 | 2006-09-25 |
| 1295752251 | Sean R Amoli | Radiology | 6150 W Layton Ave, Milwaukee, WI 53220-4608 | 2006-07-16 |
| 1760416994 | Enhanced Medical Imaging Milwaukee LLC | Radiology | 7523 W Oklahoma Ave, Milwaukee, WI 53219-2861 | 2006-07-11 |
| 1396784948 | John Lammers | Radiology | 10400 W North Ave, Suite 300, Milwaukee, WI 53226-2425 | 2006-06-06 |
| 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.