MARY LUNDGREN (NPI# 1386061844) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386061844 |
| Entity Type | Individual |
| Full Name | MARY LUNDGREN |
| Credential | D.O. |
| Practice Address |
3033 W Layton Ave Greenfield WI 53221-2628 |
| Practice Telephone | 4148173936 |
| Practice Fax Number | 4148173928 |
| Mailing Telephone | 4148173936 |
| Mailing Fax Number | 4148173928 |
| Enumeration Date | 2014-03-23 |
| Last Update Date | 2020-09-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
73026-21 | WI | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3601 W 13 Mile Rd, Royal Oak, MI 48073 | 2488985000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679733851 | Mary Lundgren | Physical Therapist | 1000 Lincoln Cir Se, Suite 400, Orange City, IA 51041-1862 | 2008-06-11 |
| Street Address |
3033 W LAYTON AVE |
| City | GREENFIELD |
| State | WI |
| Zip Code | 53221-2628 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851380687 | Gina Elaine Vinz | Registered Nurse | 3033 W Layton Ave, Greenfield, WI 53221-2628 | 2005-10-14 |
| 1912173311 | Damian Carl Kosempa | Orthopaedic Surgery | 3033 W Layton Ave, Greenfield, WI 53221-2628 | 2008-05-06 |
| 1790963353 | Wendy Marie Pietz | Dentist | 3033 W Layton Ave, Suite 103, Greenfield, WI 53221-2628 | 2008-02-06 |
| 1730305657 | Thomas Louis Goddard | Dentist | 3033 W Layton Ave, Suite 203, Greenfield, WI 53221-2628 | 2007-04-18 |
| 1528115250 | Elizabeth Anne Polacheck | Physical Medicine & Rehabilitation | 3033 W Layton Ave, Ste 201, Greenfield, WI 53221-2628 | 2007-01-04 |
| 1033108212 | Lisa A. Hannes | Physical Therapist | 3033 W Layton Ave, Suite 102, Greenfield, WI 53221-2628 | 2005-10-19 |
| 1902895659 | John Arthur Schneider | Orthopaedic Surgery | 3033 W Layton Ave, Greenfield, WI 53221-2628 | 2005-10-17 |
| 1588653315 | Donald James Zoltan | Orthopaedic Surgery | 3033 W Layton Ave, Greenfield, WI 53221-2628 | 2005-10-14 |
| 1649269473 | Brian Edward Black | Orthopaedic Surgery | 3033 W Layton Ave, Greenfield, WI 53221-2628 | 2005-10-14 |
| 1164411997 | Sports Medicine & Orthopedic Center, S.c. | Orthopaedic Surgery | 3033 W Layton Ave, Suite 102, Greenfield, WI 53221-2628 | 2005-10-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487205944 | Hayat Pharmacy 20 LLC | Pharmacy | 805 W. Layton Ave., Suite B, Milwaukee, WI 53221 | 2019-09-26 |
| 1962053421 | Hayat Pharmacy 19 LLC | Pharmacy | 805 W. Layton Ave. Suite A, Milwaukee, WI 53221 | 2019-09-26 |
| 1407343965 | Informe Healthcare LLC | Counselor | 2741 W Layton Ave., Suite 106, Milwaukee, WI 53221 | 2018-04-19 |
| 1447781992 | Itamar Yaakov Gnatt | Emergency Medicine | 2900 W Oklahoma Ave, St Lukes Medical Center, Milwaukee, WI 53221 | 2017-03-27 |
| 1194277160 | Suzanne Derosier | Licensed Practical Nurse | 3910 W Bridge, Greenfield, WI 53221 | 2016-10-26 |
| 1265988117 | Obi Home Care | Clinic/Center | 4439 S 20th St, Milwaukee, WI 53221 | 2016-08-31 |
| 1427430602 | Zezenya Health Care S.c. | Pain Medicine | 5114 S 27th St # 763, Milwaukee, WI 53221 | 2015-06-24 |
| 1851771091 | Feisal J Salahadyn | Counselor | 4800 South 10th Street, Milwaukee, WI 53221 | 2015-06-03 |
| 1114312386 | Holistic Home Health Care Incorporated | Adult Companion | 3422 West Howard Ave, Greenfield, WI 53221 | 2015-04-03 |
| 1841698834 | Srt Prosthetics & Orthotics LLC | Prosthetic/Orthotic Supplier | 5220 S 27th St., Milwaukee, WI 53221 | 2014-12-08 |
| Find all providers in zip 53221 | ||||
| Taxonomy Code | 207XS0117X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Surgery of the Spine |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
| 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 |
|---|---|---|---|---|
| 1275014755 | Indiana Spine Group, PC | Orthopaedic Surgery | 1 Memorial Sq Ste 2000, Greenfield, IN 46140-2835 | 2018-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659879930 | Joint Replacement Cin of Milwaukee LLC | Orthopaedic Surgery | 310 E Buffalo St Ste 203, Milwaukee, WI 53202-5808 | 2018-01-31 |
| 1477051753 | Spine Cin of Milwaukee LLC | Orthopaedic Surgery | 310 E Buffalo St Ste 206, Milwaukee, WI 53202-5808 | 2018-01-31 |
| 1124359880 | Milwaukee Spinal Specialists, S.c. | Orthopaedic Surgery | 575 W. River Woods Pkwy, Suite 305, Milwaukee, WI 53212-1003 | 2010-01-20 |
| 1912919002 | Stephen P Delahunt | Orthopaedic Surgery | 2801 W Kinnickinnic River Pkwy Ste 355, Milwaukee, WI 53215-3695 | 2006-08-13 |
| 1104873652 | Mustafa Khan | Orthopaedic Surgery | 1218 W Kilbourn Ave Ste 301, Milwaukee, WI 53233-1325 | 2006-05-30 |
| 1003898255 | Clay Jamison Frank | Orthopaedic Surgery | 601 N 99th St, Suite 101, Wauwatosa, WI 53226-4339 | 2005-11-15 |
| 1770032765 | Waypoint Spine, S.c. | Orthopaedic Surgery | 520 Vincent St, Stevens Point, WI 54481-1848 | 2016-10-01 |
| 1306054390 | Seth K. Williams | Orthopaedic Surgery | 621 Science Dr, Madison, WI 53711-1074 | 2007-05-21 |
| 1619018819 | Midwest Spinal Center | Orthopaedic Surgery | 2015 E Newport Ave, Suite 605, Milwaukee, WI 53211-2949 | 2007-02-09 |
| 1053321620 | Neurospine Center of Wisconsin, S.c. | Orthopaedic Surgery | 5320 Michaels Dr, Appleton, WI 54913-8446 | 2006-08-08 |
| Find all providers with the same taxonomy | ||||
| City | GREENFIELD |
| Zip Code | 53221 |
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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.