JESSE VEGAFRIA (NPI# 1386699528) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386699528 |
| Entity Type | Individual |
| Full Name | JESSE VEGAFRIA |
| Credential | MD |
| Practice Address |
422 Meadowbrook Dr West Bend WI 53090-2416 |
| Mailing Address |
4555 W Schroeder Dr Suite 170 Milwaukee WI 53223-1475 |
| Practice Telephone | 2623358025 |
| Practice Fax Number | 2626772550 |
| Mailing Telephone | 4143653210 |
| Mailing Fax Number | 4143653225 |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2011-10-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 171100000X | Acupuncturist | 17088-020 | WI | Other Service Providers |
| Y | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
17088 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 31208800 | 05 |
| Street Address |
422 MEADOWBROOK DR |
| City | WEST BEND |
| State | WI |
| Zip Code | 53090-2416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033130927 | Medical Acupuncture & Pain Clinic Sc | Acupuncturist | 422 Meadowbrook Dr, West Bend, WI 53090-2416 | 2006-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891286043 | Rebekah Lynn Wolff | Counselor | 400 W River Road, West Bend, WI 53090 | 2018-05-23 |
| 1558746990 | Kristi Sheffield | Specialist/Technologist | 3235 Dubin Circle, West Bend, WI 53090 | 2015-07-28 |
| 1508110420 | Vicky Ellen Patten | Occupational Therapy Assistant | 2124 Northwestern Avenue, West Bend, WI 53090 | 2012-10-30 |
| 1801142732 | Andrew Russell Bordeaux | Speech-Language Pathologist | 1624 Barton Ave, West Bend, WI 53090 | 2012-07-30 |
| 1104150549 | Mary Davis | Registered Nurse | 6660 Eastwood Court, West Bend, WI 53090 | 2009-10-01 |
| 1457492282 | Barton Dental Clinic Sc | Dentist | 1542 Barton Ave, West Bend, WI 53090 | 2007-02-12 |
| 1821136037 | Lisa A Tieglman Koepp | Counselor | 1615 Barton Avenue, Northshore Clinic & Consultants Inc, West Bend, WI 53090 | 2007-02-01 |
| 1184760894 | Christopher Allan Buck | Dentist | 1713 N Main Street, West Bend, WI 53090 | 2007-01-29 |
| 1669556601 | Michelle Lee Mccormack | Chiropractor | 519 Shepherds Drive, West Bend, WI 53090 | 2006-10-25 |
| 1831298215 | Sara E Rehring | Social Worker | 400 W River Drive, West Bend, WI 53090 | 2006-09-21 |
| Find all providers in zip 53090 | ||||
| Taxonomy Code | 208VP0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Pain Medicine |
| Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient’s pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies. |
| Notes: Source: American Academy of Pain Medicine, www.painmed.org - Additional Resources:The American Board of Pain Medicine provides Board Certification. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720574288 | Wisconsin Pain Management Specialists, LLC | Pain Medicine | 1050 S. Milwaukee Avenue, Suite 102, Burlington, WI 53105 | 2018-07-09 |
| 1598201964 | Baycare Clinic, LLP | Pain Medicine | 2411 Holmgren Way, Green Bay, WI 54304-5224 | 2017-01-10 |
| 1427430602 | Zezenya Health Care S.c. | Pain Medicine | 5114 S 27th St # 763, Milwaukee, WI 53221 | 2015-06-24 |
| 1023307105 | Peggy Young Kim | Pain Medicine | 215 S Century Ave Apt 113, Waunakee, WI 53597-1249 | 2011-03-29 |
| 1003889130 | Milwaukee Pain Treatment Services | Pain Medicine | 2300 N. Mayfaird Rd, Suite 425, Milwaukee, WI 53226 | 2006-02-09 |
| 1255699450 | Kwadwo Achampong | Pain Medicine | 700 S Park St Ste A, Madison, WI 53715-1830 | 2012-04-25 |
| 1235417486 | Integrated Pain and Health Center, Sc | Pain Medicine | 5261 N Port Washington Rd, Suite 101, Glendale, WI 53217-4903 | 2011-07-21 |
| 1972835551 | Holistic Pain Management & Wellness Center Sc | Pain Medicine | 10945 N Port Washington Rd, Ste 100, Mequon, WI 53092-5078 | 2010-02-05 |
| 1851528624 | Keth Mackenzie Pride | Pain Medicine | Uw Hospital and Clinics, 600 Highland Ave, H4/831, Madison, WI 53792 | 2009-06-18 |
| 1578706255 | Brett Jonathan Malo | Pain Medicine | 3021 Voyager Dr, Green Bay, WI 54311-8303 | 2009-04-11 |
| 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.