MILWAUKEE ORTHOPEDIC SPECIALISTS, S.C. (NPI# 1407820244) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407820244 |
| Entity Type | Organization |
| Organization Name | MILWAUKEE ORTHOPEDIC SPECIALISTS, S.C. |
| Practice Address |
1575 N Rivercenter Dr Suite 160 Milwaukee WI 53212-3978 |
| Practice Telephone | 4142747220 |
| Practice Fax Number | 4142747227 |
| Mailing Telephone | 4142747220 |
| Mailing Fax Number | 4142747227 |
| Enumeration Date | 2006-02-16 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. RACHAEL POLZIN (CLINIC ADMINISTRATOR) |
| Authorized Official Telephone | 4142747220 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 32841500 | 05 |
| Street Address |
1575 N RIVERCENTER DR SUITE 160 |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53212-3978 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427032960 | Debesh Chandra Mazumdar | Internal Medicine | 1575 N Rivercenter Dr, Suite 104, Milwaukee, WI 53212-3978 | 2005-11-29 |
| 1740817204 | Haille Damaris Newell | Massage Therapist | 1575 N Rivercenter Dr, Milwaukee, WI 53212-3978 | 2020-03-25 |
| 1073143921 | Sarah C Flynn | Pharmacist | 1575 N Rivercenter Dr, Milwaukee, WI 53212-3978 | 2020-01-20 |
| 1639645740 | Taylor Catherine Villwock | Nurse Practitioner | 1575 N Rivercenter Dr, Milwaukee, WI 53212-3978 | 2018-10-16 |
| 1265968655 | Crystal E Rayon | Family Medicine | 1575 N Rivercenter Dr, Milwaukee, WI 53212-3978 | 2017-05-04 |
| 1487198008 | Christine Tjernagel | Physical Therapist | 1575 N Rivercenter Dr, Rehabilitation/therapy Dept, Milwaukee, WI 53212-3978 | 2016-12-16 |
| 1891159612 | Shane Breeze-baldauf | Family Medicine | 1575 N Rivercenter Dr, Milwaukee, WI 53212 | 2016-04-07 |
| 1487029351 | Aurora Pharmacy | Pharmacy | 1575 N Rivercenter Dr, Milwaukee, WI 53212-3978 | 2015-12-03 |
| 1013354661 | Michael Holyoke | Student in an Organized Health Care Education/Training Program | 1575 N Rivercenter Dr, Milwaukee, WI 53212-3978 | 2013-05-22 |
| 1477802148 | Razieh Hadian Jazi | Family Medicine | 1575 N Rivercenter Dr, #160, Milwaukee, WI 53212-3978 | 2012-09-10 |
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| 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 | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982161048 | Natalia Roman | Specialist | 725 W Lapham Blvd Apt 17, Milwaukee, WI 53204-3447 | 2019-02-25 |
| 1598231524 | Shanel Marie Jordan | Specialist | 4827 N 76th St, Milwaukee, WI 53218-3826 | 2018-10-17 |
| 1598143455 | Donisha Nesbitt | Specialist | 4717 N 38th St, Milwaukee, WI 53209-5949 | 2015-05-12 |
| 1851625735 | Kenneth Raskin Md Sc | Specialist | 115 S 84th St, Suite 175, Milwaukee, WI 53214-1472 | 2009-09-25 |
| 1518195726 | Gina Marie Williams | Specialist | Jewish Home and Care Center:therapy Department, 1414 N Prospect Ave, Milwaukee, WI 53202-3018 | 2009-06-25 |
| 1982856670 | Jeannette E Brasseur | Specialist | 4158 N Stowell Ave, Milwaukee, WI 53211-1744 | 2008-10-14 |
| 1437306172 | Gerald R. Zupnik | Specialist | 8689 N Seneca Rd, Milwaukee, WI 53217-2331 | 2008-08-25 |
| 1316114317 | Leslie M Cannestra | Specialist | 7823 W Verona Ct, Milwaukee, WI 53219-3861 | 2008-05-09 |
| 1538335138 | Linda Jean Gaalaas | Specialist | 2715 N Summit Ave, Milwaukee, WI 53211-3855 | 2008-05-02 |
| 1710157078 | Isaac Melguizo-gavilanes | Specialist | 2801 W Kinnickinnic River Pkwy Ste 925, Milwaukee, WI 53215-3689 | 2008-03-03 |
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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.