DR. MICHAEL JOSEF SLIMACK (NPI# 1356558464) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356558464 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL JOSEF SLIMACK |
| Credential | D.O. |
| Practice Address |
7401 104th Ave Suite 110 Kenosha WI 53142-7845 |
| Practice Telephone | 2627645595 |
| Practice Fax Number | 2627649314 |
| Mailing Telephone | 2627645595 |
| Mailing Fax Number | 2627649314 |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2015-03-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | 58000956 | OH | Allopathic & Osteopathic Physicians |
| Y | 207XS0114X |
Orthopaedic Surgery Specialization: Adult Reconstructive Orthopaedic Surgery |
51760 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 37580900 | 05 |
| Street Address |
7401 104TH AVE SUITE 110 |
| City | KENOSHA |
| State | WI |
| Zip Code | 53142-7845 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235110255 | Jonathan D Main | Orthopaedic Surgery | 7401 104th Ave, Suite 110, Kenosha, WI 53142-7845 | 2005-11-08 |
| 1700174125 | Nyssa Slimack | Registered Nurse | 7401 104th Ave, Suite 110, Kenosha, WI 53142-7845 | 2011-07-19 |
| 1306016654 | Rheumatology and Immunotherapy Center | Internal Medicine | 7401 104th Ave, Suite 110, Kenosha, WI 53142 | 2008-03-03 |
| 1053520544 | Amber D Devine | Physician Assistant | 7401 104th Ave, Suite 110, Kenosha, WI 53142-7845 | 2007-05-21 |
| 1023112588 | Michael Aaron Engel | Podiatrist | 7401 104th Ave, Suite 110, Kenosha, WI 53142-7845 | 2006-09-12 |
| 1922030030 | Thomas S Werbie | Orthopaedic Surgery | 7401 104th Ave, Suite 110, Kenosha, WI 53142-7845 | 2006-07-07 |
| 1215983622 | Eleanor Jane Figuerres | Obstetrics & Gynecology | 7401 104th Ave, Suite 110, Kenosha, WI 53142-7845 | 2006-05-26 |
| 1376597229 | Michael J Nute | Podiatrist | 7401 104th Ave, Suite 110, Kenosha, WI 53142-7845 | 2006-05-22 |
| 1295717445 | Comprehensive Orthopaedics Sc | Family Medicine | 7401 104th Ave, Suite 110, Kenosha, WI 53142-7845 | 2005-11-15 |
| 1750362208 | Karen J Stevens | Physician Assistant | 7401 104th Ave, Suite 110, Kenosha, WI 53142-7845 | 2005-11-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588297816 | Caring Hearts Home Health Care | In Home Supportive Care | 6021-57th Ave, Suite C103, Kenosha, WI 53142 | 2020-02-14 |
| 1144785395 | Michael L Wrzesinski | Counselor | 4109 67th Street, Kenosha, WI 53142 | 2019-02-01 |
| 1720538499 | David Smith | Counselor | 10900 67th Street, Kenosha, WI 53142 | 2016-10-06 |
| 1326404641 | Smile Doctors Ltd | Dentist | 7003 39th Ave, Kenosha, WI 53142 | 2016-01-04 |
| 1225409485 | Antonia Marie Decker | Physician Assistant | 10400 75th St. Ste 204, Kenosha, WI 53142 | 2015-10-14 |
| 1780060582 | Joshua Haas | Pharmacist | 7701 Green Bay Road, Kenosha, IL 53142 | 2015-08-04 |
| 1811379225 | Dana Mary Stout | Registered Nurse | 7401 104th Avenue, Suite 110, Comprehensive Orthopaedics, S.c., Kenosha, WI 53142 | 2015-06-22 |
| 1669815569 | Joshua Knute Elson | Radiology | 6811 118th Ave, Kenosha, WI 53142 | 2013-04-10 |
| 1356610166 | Michael J Gallo | Pharmacist | 7535 North Greenbay Rd, Kenosha, WI 53142 | 2011-12-22 |
| 1720357999 | Orest Carnevale | Registered Nurse | 7316 155th Ct, Kenosha, WI 53142 | 2011-12-18 |
| Find all providers in zip 53142 | ||||
| Taxonomy Code | 207XS0114X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Adult Reconstructive Orthopaedic Surgery |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053385104 | Rusty Christopher Brand | Orthopaedic Surgery | 1400 Bellinger Street, Eau Claire, WI 54702-1510 | 2006-02-15 |
| 1831194448 | Blount Orthopaedic Associates, S.c. | Orthopaedic Surgery | 525 W. River Woods Parkway, Suite 100, Glendale, WI 53212-1010 | 2005-06-20 |
| 1013279082 | Adam Isaac Edelstein | Orthopaedic Surgery | 9200 W Wisconsin Ave, Milwaukee, WI 53226 | 2012-06-14 |
| 1508938606 | Blount Orthopaedic Associates, S.c. | Orthopaedic Surgery | N54w6135 Mill St, Suite 200, Cedarburg, WI 53012-2021 | 2006-11-14 |
| 1518971340 | James B Stiehl | Orthopaedic Surgery | 575 W River Woods Pkwy, Milw, WI 53212 | 2006-07-28 |
| 1295769321 | Orthopedic Surgeons of Wisconsin, S.c. | Orthopaedic Surgery | 3077 N Mayfair Rd Ste 305, Wauwatosa, WI 53222-4305 | 2006-07-11 |
| 1831141506 | Edward M Nelsen-freund | Orthopaedic Surgery | 9200 W Wisconsin Ave, Dept of Orthopaedic Surgery, Milwaukee, WI 53226-3522 | 2006-05-17 |
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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.