DENNIS GALEN VINCENT (NPI# 1386835080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1386835080 |
Entity Type | Individual |
Full Name | DENNIS GALEN VINCENT |
Credential | MD |
Practice Address |
14555 W National Ave Ste 175 New Berlin WI 53151-4494 |
Mailing Address |
3003 W Good Hope Rd Milwaukee WI 53209-2042 |
Practice Telephone | 2628273144 |
Practice Fax Number | 2628273150 |
Mailing Telephone | 4143523100 |
Enumeration Date | 2007-08-07 |
Last Update Date | 2010-12-29 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208600000X | Surgery | 29313-020 | WI | Allopathic & Osteopathic Physicians |
N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
29313-020 | WI | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | 31409900 | 05 |
Street Address |
14555 W NATIONAL AVE STE 175 |
City | NEW BERLIN |
State | WI |
Zip Code | 53151-4494 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962495978 | Richard D. Basile | Internal Medicine | 14555 W National Ave, Suite 170, New Berlin, WI 53151-4494 | 2005-08-24 |
1629685110 | Courtney Amborn | Physical Therapist | 14555 W National Ave, New Berlin, WI 53151-4494 | 2020-09-28 |
1629613799 | Daniel Delach | Physical Therapist | 14555 W National Ave, New Berlin, WI 53151-4494 | 2019-11-13 |
1730604935 | Courtney Malina Kinney | Physical Therapist | 14555 W National Ave, New Berlin, WI 53151-4494 | 2017-08-08 |
1942741756 | Gena Scales | Physical Therapist | 14555 W National Ave, New Berlin, WI 53151-4494 | 2017-03-13 |
1578014601 | Maria Cook | Physical Therapist | 14555 W National Ave, Suite 195, New Berlin, WI 53151-4494 | 2016-10-24 |
1427501014 | Jeeyoon Kristy Kang | Pharmacist | 14555 W National Ave, New Berlin, WI 53151-4494 | 2016-07-29 |
1639575442 | Karen Heintz | Pharmacist | 14555 W National Ave, New Berlin, WI 53151-4494 | 2014-11-06 |
1992107163 | Weizhong Song | Physician Assistant | 14555 W National Ave, Suite 120, New Berlin, WI 53151-4494 | 2014-09-19 |
1487074910 | Leah Probst | Internal Medicine | 14555 W National Ave, New Berlin, WI 53151-4494 | 2014-04-23 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629527486 | Natural Look Salon and Wigs LLC | Durable Medical Equipment & Medical Supplies | 4805 S. Moorland Rd, New Berlin, WI 53151 | 2016-09-22 |
1396193033 | New Berlin Medical Services, LLC | Clinic/Center | 15324 W Beloit Road, New Berlin, WI 53151 | 2016-06-02 |
1063899680 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 15300 West Grange Avenue, New Berlin, WI 53151 | 2015-05-04 |
1871970368 | Mary Spath | Physical Therapy Assistant | 2810 South Acredale Road, New Berlin, WI 53151 | 2015-05-04 |
1669885471 | Wauwatosa Prescription Center, Inc. | Pharmacy | 4855 S Moorland Road, New Berlin, WI 53151 | 2014-06-09 |
1750711446 | Pure Family Chiropractic LLC | Chiropractor | 3504 S. Moorland Road, New Berlin, WI 53151 | 2013-11-18 |
1336578202 | Hamilton John Dowden | Chiropractor | 3504 S Moorland Rd, New Berlin, WI 53151 | 2013-11-01 |
1053653618 | Danielle Lynn Lucio | Acupuncturist | 15807 W. National Ave., New Berlin, WI 53151 | 2013-03-21 |
1306195110 | Marlena J Friedrich | Registered Nurse | 1709 S. 171st Street, New Berlin, WI 53151 | 2012-09-07 |
1548519176 | Patricia M Friedrich | Licensed Practical Nurse | 1709 So. 171st Street, New Berlin, WI 53151 | 2012-08-29 |
Find all providers in zip 53151 |
Taxonomy Code | 208600000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083865703 | Arthur Eugene Angove | Surgery | 21501 W Cleveland Ave, New Berlin, WI 53146-1928 | 2008-10-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598310195 | Matthew Laviolette | Surgery | Medical College of Wisconsin, 8701 Watertown Plank Rd., Surgical Oncology, Milwaukee, WI 53226 | 2019-08-09 |
1659832855 | Benjamin David Seadler | Surgery | Mcw, Department of Surgery, 8701 Watertown Plank Road, Milwaukee, WI 53226 | 2019-03-29 |
1861969149 | Watertown Physician Practices LLC | Surgery | 123 Hospital Dr Ste 2009, Watertown, WI 53098-3320 | 2018-10-25 |
1356847644 | Laura K Krecko | Surgery | Uw Hospital and Clinics 600 Highland Avenue, Madison, WI 53792-0001 | 2018-04-04 |
1447785332 | Patrick Beard Schwartz | Surgery | Uw Hopsitals and Clinics, 600 Highland Ave., Madison, WI 53792-0001 | 2017-04-27 |
1700263720 | Marianna Dubovska | Surgery | 902 Riverside Dr Ste 201, Waupaca, WI 54981-1992 | 2015-04-28 |
1366833394 | Beaver Dam Community Hospitals, Inc | Surgery | 705 S University Ave Ste 350, Beaver Dam, WI 53916 | 2015-02-12 |
1972901262 | The Healthy Vein, Sc | Surgery | N79w14684 Appleton Ave, Menomonee Falls, WI 53051-4308 | 2014-12-18 |
1326453200 | Chey V Collura | Surgery | 2700 W 9th Ave Ste 310, Oshkosh, WI 54904 | 2014-06-30 |
1538570338 | Nicholas Sich | Surgery | 2901 W Kinnickinnic River Pkwy Dept Ste 540, Milwaukee, WI 53215-3677 | 2014-05-14 |
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City | NEW BERLIN |
Zip Code | 53151 |
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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.