RGN FAMILY BEHAVIORAL HEALTH, LLC (NPI# 1356907133) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1356907133 |
Entity Type | Organization |
Organization Name | RGN FAMILY BEHAVIORAL HEALTH, LLC |
Practice Address |
6917 W Oklahoma Ave Milwaukee WI 53219-2973 |
Practice Telephone | 4145457425 |
Mailing Telephone | 4145457425 |
Enumeration Date | 2019-05-16 |
Last Update Date | 2019-05-16 |
Authorized Official Name | MR. DAVID JOHN GUMAN (CREDENTIALING COORDINATE) |
Authorized Official Telephone | 4144340908 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
Street Address |
6917 W OKLAHOMA AVE |
City | MILWAUKEE |
State | WI |
Zip Code | 53219-2973 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760428825 | Raymond Wui Moy | Family Medicine | 6917 W Oklahoma Ave, Milwaukee, WI 53219-2973 | 2006-06-20 |
1386157733 | Rachel Hintz | Nurse Practitioner | 6917 W Oklahoma Ave, Ste 2, Milwaukee, WI 53219-2973 | 2017-11-08 |
1063820447 | Lina's Home Care LLC | Home Health | 6917 W Oklahoma Ave, Ste 2, Milwaukee, WI 53219-2973 | 2014-07-29 |
1740469873 | Raymond W. Moy Md Sc | Psychiatry & Neurology | 6917 W Oklahoma Ave, Milwaukee, WI 53219-2973 | 2007-10-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588262323 | Tammi T Wisniewski | Hearing Instrument Specialist | 4847 W. Forest Home Avenue, Greenfield, WI 53219 | 2020-10-14 |
1174052344 | Adam Blaha | Physical Therapy Assistant | 2622 South 66th Street, Milwaukee, WI 53219 | 2017-06-09 |
1700281920 | Mary Beth Menarek | Counselor | 6574 W. Beloit Road, West Allis, WI 53219 | 2014-10-30 |
1780959767 | James Stanley Ziolkowski | Electrodiagnostic Medicine | 9330 W. Lincln Ave, West Allis, WI 53219 | 2012-03-09 |
1568752707 | Carey M Kromarek | Social Worker | 5757 W. Oklahoma Ave, Suite 203, Milwaukee, WI 53219 | 2011-04-08 |
1275834988 | Debra L Felzer | Registered Nurse | 7123 W Stuth Place, West Allis, WI 53219 | 2010-11-11 |
1528290327 | Miguel Angel Bautista | Acupuncturist | 4318 W. Foresthowe Ave., Milwaukee, WI 53219 | 2009-08-13 |
1629211487 | Ruth Irene Young | Physical Therapy Assistant | 2027 S. 79th Street, West Allis, WI 53219 | 2009-04-09 |
1053591818 | Linda St. Louis | Nurse Practitioner | 6030 W. Oklahoma Avenue, Milwaukee, WI 53219 | 2007-11-09 |
1811185812 | John Stuart Lanham | Podiatrist | 5720 W Oklahoma Avenue, Milwaukee, WI 53219 | 2007-10-04 |
Find all providers in zip 53219 |
Taxonomy Code | 261QM1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Multi-Specialty |
Definition to come... |
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1497768659 | Wisconsin Health Fund | Clinic/Center | 6200 W Bluemound Rd, Milwaukee, WI 53213-4145 | 2006-08-15 |
1912484635 | Comprehensive Occupational Medical Associates of Connecticut P C | Clinic/Center | 633 E Mason St, Milwaukee, WI 53202-3813 | 2018-07-25 |
1073801395 | Shalem Healing | Clinic/Center | 800 E Locust St, Milwaukee, WI 53212-2634 | 2011-07-20 |
1083755177 | Curative Care Network, Inc. | Clinic/Center | 1000 N 92nd St, Milwaukee, WI 53226-3533 | 2007-02-09 |
1922164656 | Procare Medical Group Sc | Clinic/Center | 1218 W Kilbourn Ave, Suite 124, Milwaukee, WI 53233-1330 | 2006-12-28 |
1225071491 | Columbia St. Mary's Hospital Milwaukee Inc | Clinic/Center | 2323 N Lake Dr, Milwaukee, WI 53211-4508 | 2006-06-14 |
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1881182889 | Allure Medical of Wisconsin Pllc | Clinic/Center | 1930 W Bluemound Rd Ste 340, Waukesha, WI 53186 | 2018-04-25 |
1811412091 | H2o:health Hydration Oasis | Clinic/Center | 17110 W Greenfield Ave Ste 6, Brookfield, WI 53005-6899 | 2017-08-08 |
1003336884 | 3d Brows and Wellness LLC | Clinic/Center | 801 Hoffman Rd Ste 106, Green Bay, WI 54301-1462 | 2017-06-22 |
1437529120 | Quad/med, LLC | Clinic/Center | W227 N6103 Sussex Rd, Sussex, WI 53089 | 2015-10-07 |
1891106092 | Wisconsin Wellness Clinic | Clinic/Center | 280 Regency Ct, Suite 100, Brookfield, WI 53045-6165 | 2014-05-11 |
1437317708 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | 1160 Service Rd, Kiel, WI 53042 | 2008-05-23 |
1679731954 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | 1128 E Parkway Ave, Oshkosh, WI 54901 | 2008-05-23 |
1669639142 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | N9642 County Rd N, Appleton, WI 54915 | 2008-05-21 |
1265699748 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | 1531 S Madison St Fl 4, Appleton, WI 54915 | 2008-05-21 |
1073770558 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | 1531 S Madison St Ste 580, Appleton, WI 54915 | 2008-05-21 |
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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.