BROOKFIELD HEART AND VASCULAR (NPI# 1336359926) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336359926 |
| Entity Type | Organization |
| Organization Name | BROOKFIELD HEART AND VASCULAR |
| Practice Address |
17000 W North Ave Suite 104-w Brookfield WI 53005-4423 |
| Mailing Address |
Po Box 341353 Milwaukee WI 53234-1353 |
| Practice Telephone | 2627851500 |
| Practice Fax Number | 4147853828 |
| Mailing Telephone | 2627851500 |
| Mailing Fax Number | 4147853828 |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DAVID K ASHPOLE (PRESIDENT) |
| Authorized Official Telephone | 4142669740 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 21275600 | 05 |
| Street Address |
17000 W NORTH AVE SUITE 104-W |
| City | BROOKFIELD |
| State | WI |
| Zip Code | 53005-4423 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548263817 | Kathy I Hwang | Ophthalmology | 17000 W North Ave, Suite 100e, Brookfield, WI 53005-4423 | 2005-05-31 |
| 1487112439 | Justin Theriault | Physical Therapist | 17000 W North Ave, Brookfield, WI 53005-4423 | 2019-03-08 |
| 1295110823 | Quad Med LLC | Clinic/Center | 17000 W North Ave, Brookfield, WI 53005 | 2015-07-24 |
| 1114354453 | Claudia S Dogan-coles | Physician Assistant | 17000 W North Ave, Suite 201e, Brookfield, WI 53005-4423 | 2013-10-01 |
| 1205260411 | Jacqueline J Bergner | Nurse Practitioner | 17000 W North Ave, 104w, Brookfield, WI 53005-4423 | 2013-08-23 |
| 1669727921 | Therese G. Kerwel | Colon & Rectal Surgery | 17000 W North Ave, Suite 107w, Brookfield, WI 53005-4423 | 2012-07-23 |
| 1235437146 | Alliance Ent and Hearing Center, Sc | Clinic/Center | 17000 W North Ave, Suite 105e, Brookfield, WI 53005-4423 | 2011-03-02 |
| 1083852255 | Susan Marie Cobb | Occupational Therapist | 17000 W North Ave, Brookfield, WI 53005-4423 | 2009-01-27 |
| 1306084538 | Claudia Pedi-stealey | Physical Therapist | 17000 W North Ave, Brookfield, WI 53005-4423 | 2009-01-26 |
| 1518105949 | Barbara Kaucic Brown | Physical Therapist | 17000 W North Ave, Brookfield, WI 53005-4423 | 2009-01-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154937621 | Nsk Precision Healing & Wellness | Acupuncturist | 17040 W. Greenfield Ave #6, Brookfield, WI 53005 | 2020-09-21 |
| 1033772124 | Dbt Consultants LLC | Social Worker | 200 S. Executive Drive, Ste. 101, Brookfield, WI 53005 | 2019-04-15 |
| 1780142588 | Ashley Wing | Registered Nurse | 405 Bishops Way, Apt 555, Brookfield, WI 53005 | 2019-03-11 |
| 1407370398 | Tombolo, LLC | Clinic/Center | 12545 W. Burleigh Rd., Suite 10, Brookfield, WI 53005 | 2017-08-01 |
| 1720509045 | Rss William Conner LLC | Dentist | 15455 W Bluemound Rd Ste 250, Brookfield, WI 53005 | 2017-06-28 |
| 1669926598 | Mackenzie Rondeau | Physical Therapist | 1905 N Calhoun Rd Ste 105, Brookfield, WI 53005 | 2016-08-09 |
| 1699159319 | Charles Alan Kass | Dentist | 12720 W. North Avenue, Brookfield, WI 53005 | 2015-07-13 |
| 1164804274 | Mary-catherine Nimphius | Counselor | 250 S. Sunny Slope Rd, #128, Brookfield, WI 53005 | 2015-06-25 |
| 1528447034 | Weighless Md, LLC | Dietitian, Registered | 14960 W. Greenfield Ave Suite 104, Brookfield, WI 53005 | 2015-05-29 |
| 1366837346 | Maegan Michelle Cook | Dentist | 13780 W Greenfield Ave Ste 780, Brookfield, WI 53005 | 2015-04-06 |
| Find all providers in zip 53005 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639402365 | Wisconsin Heart Group Associates LLC | Internal Medicine | 16650 W Bluemound Rd, Suite 200, Brookfield, WI 53005-5920 | 2009-09-14 |
| 1831228857 | Landmark Healthcare, P.C. | Internal Medicine | 2 Old New Milford Rd, Brookfield, CT 06804-2426 | 2007-03-05 |
| 1841201514 | Alexei Vasilievich Agapitov | Internal Medicine | 16650 W Bluemound Rd, Suite 200, Brookfield, WI 53005-5920 | 2006-08-10 |
| 1295777118 | Timothy R. Hess | Internal Medicine | 16650 W Bluemound Rd, Suite 200, Brookfield, WI 53005-5920 | 2006-06-12 |
| 1275575276 | David L. Groden | Internal Medicine | 16650 W Bluemound Rd, Suite 200, Brookfield, WI 53005-5920 | 2006-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215414727 | Telemedico Physicians of Wisconsin Sc | Internal Medicine | 301 S Bedford St Ste 1, Madison, WI 53703-3691 | 2018-07-26 |
| 1649682667 | James King | Internal Medicine | 4540 S Sommerset Dr, New Berlin, WI 53151-6876 | 2014-05-26 |
| 1548686470 | Cullinane Cardiovascular Consultants, Sc | Internal Medicine | 317 N Lake Rd, Oconomowoc, WI 53066-7101 | 2014-03-17 |
| 1235492455 | David James Coulter | Internal Medicine | 2025 W Oklahoma Ave Ste 105, Milwaukee, WI 53215-4455 | 2012-06-21 |
| 1619234937 | Daniel R Harland | Internal Medicine | 2801 W Kinnickinnic River Pkwy Ste 880, Milwaukee, WI 53215-3678 | 2012-04-12 |
| 1295053106 | Setu D Trivedi | Internal Medicine | 10400 75th St Ste 212, Kenosha, WI 53142 | 2010-05-17 |
| 1336467554 | Expert Care Inc | Internal Medicine | 1111 E Sumner St, Suite A, Hartford, WI 53027-1609 | 2010-05-12 |
| 1548582547 | Moe Zafarani | Internal Medicine | 3215 W Lawrence St Ste 3, Appleton, WI 54914-4274 | 2010-02-18 |
| 1073844932 | James Harry Thomsen | Internal Medicine | 7709 Twinflower Dr, Madison, WI 53719-4544 | 2010-01-15 |
| 1740419019 | Thomas James Karras | Internal Medicine | 212 S Turtle Bay, Elkhart Lake, WI 53020-1985 | 2009-07-08 |
| Find all providers with the same taxonomy | ||||
| City | BROOKFIELD |
| Zip Code | 53005 |
Please comment or provide details below to improve the information on BROOKFIELD HEART AND VASCULAR.
| 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.