DR. PETER HANS JACOBSOHN (NPI# 1386810828) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1386810828 |
Entity Type | Individual |
Full Name | DR. PETER HANS JACOBSOHN |
Credential | DDS |
Practice Address |
1801 W Wisconsin Ave Milwaukee WI 53233-2186 |
Mailing Address |
Po Box 1881 Milwaukee WI 53201-1881 |
Practice Telephone | 4142885902 |
Mailing Telephone | 4142885902 |
Mailing Fax Number | 4142886138 |
Enumeration Date | 2008-05-05 |
Last Update Date | 2008-05-05 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
1793E | WI | Dental Providers |
Street Address |
1801 W WISCONSIN AVE |
City | MILWAUKEE |
State | WI |
Zip Code | 53233-2186 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982693099 | Brian David Hodgson | Dentist | 1801 W Wisconsin Ave, Milwaukee, WI 53233-2186 | 2005-10-20 |
1114524493 | Jamie L Perugini | Student in an Organized Health Care Education/Training Program | 1801 W Wisconsin Ave, Milwaukee, WI 53233-2186 | 2020-10-08 |
1063036143 | Manasa Rao | Student in an Organized Health Care Education/Training Program | 1801 W Wisconsin Ave, Milwaukee, WI 53233-2186 | 2020-06-03 |
1265054332 | Mari Liestman | Student in an Organized Health Care Education/Training Program | 1801 W Wisconsin Ave, Milwaukee, WI 53233-2186 | 2020-05-12 |
1790307965 | Vy Nguyen | Student in an Organized Health Care Education/Training Program | 1801 W Wisconsin Ave, Milwaukee, WI 53233-2186 | 2020-05-11 |
1073135349 | Sara Jean Link | Student in an Organized Health Care Education/Training Program | 1801 W Wisconsin Ave, Milwaukee, WI 53233-2186 | 2020-05-10 |
1588285696 | Hannah Lea Bonikowske | Student in an Organized Health Care Education/Training Program | 1801 W Wisconsin Ave, Milwaukee, WI 53233-2186 | 2020-04-29 |
1932728425 | James Dentino | Student in an Organized Health Care Education/Training Program | 1801 W Wisconsin Ave, Milwaukee, WI 53233-2186 | 2020-04-14 |
1396374070 | Alexander Vaun Padalino | Student in an Organized Health Care Education/Training Program | 1801 W Wisconsin Ave, Milwaukee, WI 53233-2186 | 2020-04-05 |
1487283404 | Charles Allen Hauge | Student in an Organized Health Care Education/Training Program | 1801 W Wisconsin Ave, Milwaukee, WI 53233-2186 | 2020-04-02 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104454750 | Henok Desta Hardilo | Student in an Organized Health Care Education/Training Program | Aurora Sinai Medical Center 945 N 12th Street, Milwaukee, WI 53233 | 2020-03-30 |
1821633314 | Ann E Millard | Occupational Therapist | 560 N. 16th Street, Room 214a, Milwaukee, WI 53233 | 2019-11-08 |
1306480918 | Teng Kai Ong | Dentist | 1801 West Wisconsin Ave., Milwaukee, WI 53233 | 2019-11-06 |
1356800478 | Nebiyu Abera Tilahun | Student in an Organized Health Care Education/Training Program | Aurora Sinai Medical Center, 945 N. 12th Street, Milwaukee, WI 53233 | 2019-03-18 |
1548748387 | Emily Claire Goetz | Physical Therapist | 945 N. 12th St. Suite 1100, Milwaukee, WI 53233 | 2018-08-03 |
1801373378 | Froedtert & The Medical College of Wisconsin Community Physicians | Non-Pharmacy Dispensing Site | 1721 W Canal St, Milwaukee, WI 53233 | 2018-07-26 |
1184170706 | Lauren Troll | Physical Therapist | 925 N 12th Street, Milwaukee, WI 53233 | 2016-09-01 |
1942694401 | Iryna Nemesh | Internal Medicine | 1020 N 12th St Fl 2, Milwaukee, WI 53233 | 2015-03-23 |
1649676032 | Matina Angelopoulou | Dentist | 1801 West Winsconsin Ave, Milwaukee, WI 53233 | 2014-11-12 |
1780007831 | John Ladisa | Technician, Other | 1637 W. Wisconsin Ave, Room 311, Milwaukee, WI 53233 | 2014-01-27 |
Find all providers in zip 53233 |
Taxonomy Code | 1223S0112X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Oral and Maxillofacial Surgery |
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952717753 | Judson Charles Smith | Dentist | 2323 N Mayfair Rd Ste 102, Milwaukee, WI 53226 | 2014-07-01 |
1750443347 | Wayne Edward Witte | Dentist | 224 N 76 St, Milwaukee, WI 53213-3554 | 2006-12-14 |
1558454272 | Thomas Walter Radmer | Dentist | 1801 West Wisconsin Av, Suite 106, Milwaukee, WI 53201 | 2006-10-02 |
1033120431 | John W Schoonenberg | Dentist | 1801 W. Wisconsin Ave, Milwaukee, WI 53201-1881 | 2006-08-10 |
1518935246 | Philip L Hawkins | Dentist | 2323 N Mayfair Rd, Ste 102, Milwaukee, WI 53226-1506 | 2006-03-09 |
1538136106 | David J Gingrass | Dentist | 2323 North Mayfair Rd, Suite 102, Milwaukee, WI 53226-1506 | 2006-03-02 |
1700267408 | Alejandro Arango | Dentist | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2015-06-18 |
1023406139 | Omar Hussain | Dentist | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2014-12-26 |
1144529322 | Kyle David Smith | Dentist | 840 N 87th St, Milwaukee, WI 53226-3586 | 2011-03-27 |
1508028820 | Carolyn C Brookes | Dentist | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2008-06-27 |
Find all providers in MILWAUKEE |
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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.