BENJAMIN S GOZON MD SC (NPI# 1346378510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346378510 |
| Entity Type | Organization |
| Organization Name | BENJAMIN S GOZON MD SC |
| Other Organization Name | CAPITOL REHABILITATION CLINIC |
| Practice Address |
8518 W Capitol Dr Milwaukee WI 53222-1827 |
| Practice Telephone | 4144644888 |
| Practice Fax Number | 4144641850 |
| Mailing Telephone | 4144644888 |
| Mailing Fax Number | 4144641850 |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2011-02-24 |
| Authorized Official Name | DR. BENJAMIN S GOZON III (PRESIDENT) |
| Authorized Official Telephone | 4144644888 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
42976 | WI | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 34058300 | 05 |
| Other Name | Type Code |
|---|---|
| Capitol Rehabilitation Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669433066 | Benjamin S Gozon Md Sc | Physical Medicine & Rehabilitation | 8518 W Capitol Dr, Milwaukee, WI 53222-1827 | 2006-03-28 |
| Street Address |
8518 W CAPITOL DR |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53222-1827 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033170428 | Benjamin S Gozon IIi | Physical Medicine & Rehabilitation | 8518 W Capitol Dr, Milwaukee, WI 53222-1827 | 2006-03-28 |
| 1669433066 | Benjamin S Gozon Md Sc | Physical Medicine & Rehabilitation | 8518 W Capitol Dr, Milwaukee, WI 53222-1827 | 2006-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477101673 | Dalaina Y Holliman | Technician | 7719 W Fiebrantz Ave, Milwaukee, WI 53222 | 2019-08-30 |
| 1083183016 | Umenia Marie White | Respite Care | 7726 W. Center Street, Apt 1, Milwaukee, WI 53222 | 2018-11-20 |
| 1003399445 | For Eyes Optical Co of Pennsylvania | Eyewear Supplier (Equipment, not the service) | 11450 W. Burleigh St, Wauwatosa, WI 53222 | 2018-09-12 |
| 1558852673 | Joseph Fleming | Physical Therapist | 11450 W Burleigh St, Ste 120, Wauwatosa, WI 53222 | 2018-05-24 |
| 1942739206 | Yolanda D. Burdine | Licensed Practical Nurse | 8327 W. Center St., Apt. 2, Milwaukee, WI 53222 | 2017-06-08 |
| 1558807131 | Midwest Nephrology Associates, Sc | Clinic/Center | 7797 W Appleton Avenue, Milwaukee, WI 53222 | 2017-01-06 |
| 1477097269 | Benjamin David Kluge | Pharmacist | 11111 W Burleigh Rd, Wauwatosa, WI 53222 | 2016-12-13 |
| 1841746989 | Elissa Hornick | Physician Assistant | 2885 N. Mayfair Rd., Wauwatosa, WI 53222 | 2016-08-29 |
| 1598218562 | Riley's Residential Home Care, LLC | In Home Supportive Care | 10111 W. Capitol Dr, Wauwatosa, WI 53222 | 2016-07-26 |
| 1346696796 | Respiratory and Sleep Services LLC | Durable Medical Equipment & Medical Supplies | 6529 W Fond Du Lac Avenue, Milwaukee, WI 53222 | 2016-05-04 |
| Find all providers in zip 53222 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518334986 | Physiotherapy Associates Inc | Clinic/Center | 3910 W Lisbon Ave, Milwaukee, WI 53208-1834 | 2015-09-01 |
| 1720364045 | Kreative Connexions Therapy Services, LLC | Clinic/Center | 3111 W National Ave, Milwaukee, WI 53215-1127 | 2011-11-01 |
| 1992980403 | The Institute for Collaborative Health Interventions, Inc. | Clinic/Center | 2941 N Prospect Ave, Milwaukee, WI 53211-3345 | 2008-01-02 |
| 1710071501 | Milwaukee Center for Independence Inc | Clinic/Center | 2020 W Wells St, Milwaukee, WI 53233-2720 | 2006-10-03 |
| 1467443127 | Team Rehab, Inc. | Clinic/Center | 9450 N 107th St, Milwaukee, WI 53224-1106 | 2005-11-02 |
| 1306299466 | Milwaukee Center for Independence | Clinic/Center | 3333 S Howell Ave, Milwaukee, WI 53207-2743 | 2016-07-13 |
| 1205203726 | Physiotherapy Associates Inc | Clinic/Center | 5434 W Capitol Dr, Milwaukee, WI 53216-2298 | 2015-09-01 |
| 1255708798 | Physiotherapy Associates Inc | Clinic/Center | 2727 W Cleveland Ave, Milwaukee, WI 53215-2956 | 2015-09-01 |
| 1306213848 | Physiotherapy Associates Inc | Clinic/Center | 5231 W Villard Ave, Milwaukee, WI 53218-4368 | 2015-09-01 |
| 1922433523 | Curative Care Network | Clinic/Center | 1000 N 92nd St, Milwaukee, WI 53226-3533 | 2013-09-13 |
| 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.