DR. MANISH J. GHARIA (NPI# 1376565267) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376565267 |
| Entity Type | Individual |
| Full Name | DR. MANISH J. GHARIA |
| Credential | MD |
| Practice Address |
375 W River Woods Pkwy Glendale WI 53212-1080 |
| Mailing Address |
788 N. Jefferson Street Suite 300/ Attn. Kaaren Butzen Milwaukee WI 53202-3710 |
| Practice Telephone | 4143261514 |
| Practice Fax Number | 4143261574 |
| Mailing Telephone | 4142728950 |
| Mailing Fax Number | 4142720859 |
| Enumeration Date | 2006-07-23 |
| Last Update Date | 2016-11-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207N00000X | Dermatology | 39577 | WI | Allopathic & Osteopathic Physicians |
| Y | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
39577 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 1376565267 | 05 |
| Street Address |
375 W RIVER WOODS PKWY |
| City | GLENDALE |
| State | WI |
| Zip Code | 53212-1080 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275506081 | Thorsteinn Skulason | Dermatology | 375 W River Woods Pkwy, Suite 116, Glendale, WI 53212-1080 | 2006-02-10 |
| 1194330712 | Columbia St. Mary's Hospital Milwaukee, Inc | Family Medicine | 375 W River Woods Pkwy, Glendale, WI 53212-1080 | 2020-09-10 |
| 1992160626 | Ihc-urgent Care Services LLC | Physician Assistant | 375 W River Woods Pkwy, Glendale, WI 53212-1080 | 2015-12-23 |
| 1346330826 | Mary D Washburne | Family Medicine | 375 W River Woods Pkwy, Glendale, WI 53212-1080 | 2006-10-13 |
| 1558462036 | Leah Taylor Donovan | Nurse Practitioner | 375 W River Woods Pkwy, Suite 205, Glendale, WI 53212-1080 | 2006-09-26 |
| 1649378969 | Noelle C Kisting | Family Medicine | 375 W River Woods Pkwy, Glendale, WI 53212-1080 | 2006-09-20 |
| 1215980941 | Valerie B. Lyon | Dermatology | 375 W River Woods Pkwy, Suite 116, Glendale, WI 53212-1080 | 2006-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609481001 | Beth Leanna | Counselor | Benedict Center 1849 N Dr. Marin Luther King Dr., Suite 101, Milwaukee, WI 53212 | 2020-09-11 |
| 1326683749 | A.b.d.h. Counseling Services LLC | Clinic/Center | 518 E Concordia Avenue, Milwaukee, WI 53212 | 2019-11-08 |
| 1467095703 | Ifrah Hameed | Psychologist | 1849 N Doctor M.l.k. Jr Dr# 101, Milwaukee, WI 53212 | 2019-10-18 |
| 1386293330 | Rachel Mae Nelson Bagha | Student in an Organized Health Care Education/Training Program | 1849 N Doctor M.l.k. Jr Dr #101, Milwaukee, WI 53212 | 2019-09-11 |
| 1164085205 | Mary Sue Daase Bowen | Counselor | 2821 N 4th Street, Milwaukee, WI 53212 | 2019-04-15 |
| 1649733189 | Stacey King | Counselor | Rivershore Comprehensive Treatment Facility, 3703 N Richards St, Milwaukee Wi, Milwaukee, WI 53212 | 2019-04-11 |
| 1710447701 | Scott William Stauder | Student in an Organized Health Care Education/Training Program | 1121 E. North Ave., Milwaukee, WI 53212 | 2019-03-25 |
| 1821561168 | Lydia Ann Mendez | Counselor | 3703 N Richards St, Milwaukee, WI 53212 | 2019-01-09 |
| 1851863302 | Glen Victor Fleming | Counselor | 2821 North 4th Street Suite 210, Milwaukee, WI 53212 | 2018-12-21 |
| 1093285140 | Megan Marie Volp | Advanced Practice Midwife | 2555 N Doctor M.l.k. Jr Dr, Milwaukee, WI 53212 | 2018-12-03 |
| Find all providers in zip 53212 | ||||
| Taxonomy Code | 207ND0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | MOHS-Micrographic Surgery |
| The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. |
| Notes: Source: American College of Mohs Surgery, 2007 [1/1/2008: added definition, added source] Additional Resources: Additional Resources: http://www.mohscollege.org/; American Board of Dermatology, 2007. http://www.abderm.org/ |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922360601 | Lara E. Rosenbaum | Dermatology | 6316 W Union Hills Dr Ste 200, Glendale, AZ 85308-1001 | 2012-06-08 |
| 1942212857 | Samantha Fay Ghiselli | Dermatology | 501 S Cherry St Ste 310, Glendale, CO 80246-1322 | 2006-08-12 |
| 1629071907 | Julio Hernandez | Dermatology | 6525 W Sack Dr, Ste 307, Glendale, AZ 85308-7107 | 2005-05-31 |
| 1245506971 | Forefront Dermatology, S.c. | Dermatology | 7040 N Port Washington Rd, Suite 404, Glendale, WI 53217 | 2012-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922605880 | Forefront Dermatology Sc | Dermatology | W7713 Johnson Ct, Wautoma, WI 54982-5274 | 2020-10-05 |
| 1023482569 | Forefront Dermatology, S.c. | Dermatology | 1320 Pabst Farms Cir, Suite 180, Oconomowoc, WI 53066 | 2015-11-20 |
| 1417105545 | Forefront Dermatology, S.c. | Dermatology | 3515 Murray Street, Marinette, WI 54143 | 2008-09-03 |
| 1588857247 | Forefront Dermatology, S.c. | Dermatology | 1400 Scheuring Road, De Pere, WI 54115 | 2007-08-24 |
| 1083768253 | Forefront Dermatology, S.c. | Dermatology | 3935 N Lightning Dr, Appleton, WI 54913 | 2007-01-23 |
| 1003356692 | Forefront Dermatology, S.c. | Dermatology | 17100 W North Ave, Suite 200, Brookfield, WI 53005 | 2017-03-01 |
| 1477001956 | Forefront Dermatology, S.c. | Dermatology | 8501 75th St, Suite J, Kenosha, WI 53142 | 2016-09-14 |
| 1215483201 | Forefront Dermatology, S.c. | Dermatology | 10500 W Loomis Rd, Suite 110, Franklin, WI 53132 | 2016-08-30 |
| 1275913006 | Maxim Alexandrovich Polansky | Dermatology | 1000 N Oak Ave, Marshfield, WI 54449-5703 | 2015-06-06 |
| 1013350958 | New Dermatology Group Ltd | Dermatology | 704 S Webster Ave, Green Bay, WI 54301-3528 | 2013-04-10 |
| Find all providers with the same taxonomy | ||||
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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.