STEPHEN RAYMOND HUMPHREY (NPI# 1417246257) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417246257 |
| Entity Type | Individual |
| Full Name | STEPHEN RAYMOND HUMPHREY |
| Practice Address |
9000 W Wisconsin Ave Pediatric Dermatology Milwaukee WI 53226-4874 |
| Practice Telephone | 4142661569 |
| Practice Fax Number | 4142663315 |
| Mailing Telephone | 4142661569 |
| Mailing Fax Number | 4142663315 |
| Enumeration Date | 2011-04-01 |
| Last Update Date | 2015-06-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 58250 | WI | Allopathic & Osteopathic Physicians |
| N | 207NP0225X |
Dermatology Specialization: Pediatric Dermatology |
58250 | WI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184776163 | Stephen Michael Humphrey | Psychologist | 602 New Britain Ave, Hartford, CT 06106-4033 | 2007-01-18 |
| 1154379428 | Stephen M. Humphrey | Radiology | 10614 N Port Washington Rd, Mequon, WI 53092-5013 | 2006-05-05 |
| 1235138819 | Stephen Harmes Humphrey | Internal Medicine | 1655 Bernardin Ave, Suite 220, Columbia, SC 29204-2039 | 2005-07-18 |
| 1710984570 | Stephen S Humphrey | Urology | 2145 N Fairfield Rd, Ste B, Beavercreek, OH 45431-2580 | 2005-07-07 |
| 1154605640 | Stephen Howard Humphrey | Pharmacist | 2209 Richmond Rd, Lexington, KY 40502-1306 | 2011-10-04 |
| 1689647539 | Stephen R Humphrey | Dentist | 10001 N Washington St, Thornton, CO 80229-2050 | 2006-02-10 |
| Street Address |
9000 W WISCONSIN AVE PEDIATRIC DERMATOLOGY |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53226-4874 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568466928 | Deborah Costakos | Ophthalmology | 9000 W Wisconsin Ave, Pediatric Ophthalmology, Milwaukee, WI 53226-4874 | 2005-06-13 |
| 1477154748 | Tara Anne Peloza | Registered Nurse | 9000 W Wisconsin Ave, Milwaukee, WI 53226-4874 | 2020-11-04 |
| 1518567676 | Carolyn Mcnally Scoptur | Nurse Practitioner | 9000 W Wisconsin Ave, Milwaukee, WI 53226-4874 | 2020-10-28 |
| 1053910091 | Casey Wolter | Audiologist | 9000 W Wisconsin Ave, Milwaukee, WI 53226-4874 | 2020-10-21 |
| 1558976001 | Rachel Sawdy | Nurse Practitioner | 9000 W Wisconsin Ave, Milwaukee, WI 53226-4874 | 2020-09-11 |
| 1205441128 | Kathleen Maloney | Nurse Practitioner | 9000 W Wisconsin Ave, Milwaukee, WI 53226-4874 | 2020-09-09 |
| 1992319065 | Mariia Steffeny | Nurse Practitioner | 9000 W Wisconsin Ave, Milwaukee, WI 53226-4874 | 2020-09-04 |
| 1871106575 | Elisabeth Mary Vogt | Clinical Neuropsychologist | 9000 W Wisconsin Ave, Milwaukee, WI 53226-4874 | 2020-08-24 |
| 1912517277 | Theresa Lauer Kapke | Psychologist | 9000 W Wisconsin Ave, Milwaukee, WI 53226-4874 | 2020-08-03 |
| 1003425380 | Khira Ahmed-yahia | Nurse Practitioner | 9000 W Wisconsin Ave, Milwaukee, WI 53226-4874 | 2020-07-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912511155 | Alexander Harlan | Pharmacist | 900 N 92nd St, Milwaukee, WI 53226 | 2020-09-04 |
| 1558985762 | Armghan Haider Ans | Student in an Organized Health Care Education/Training Program | 9200 W. Wisconsin Ave. Froedtert Hospital & Medical Col, Milwaukee, WI 53226 | 2020-06-03 |
| 1669001103 | Kimberly Tyler | Student in an Organized Health Care Education/Training Program | 8701 W Watertown Plank Road, Medical College of Wisconsin Dept of Internal Medicine, Wauwatosa, WI 53226 | 2020-04-06 |
| 1972131993 | Francesca Meloy Devine | Student in an Organized Health Care Education/Training Program | Medical Education Office: Children's Corporate Center, 999 N. 92nd St., Suite 730, Milwaukee, WI 53226 | 2020-03-27 |
| 1285275248 | Sharitta Alford | Technician | 12250 West North Avenue, Apartment 142b, Wauwatosa, WI 53226 | 2019-10-01 |
| 1619528023 | Linda Marie Sabatinelli | Technician | 12107 W. Woodland Ave, Wauwatosa, WI 53226 | 2019-09-26 |
| 1598310195 | Matthew Laviolette | Surgery | Medical College of Wisconsin, 8701 Watertown Plank Rd., Surgical Oncology, Milwaukee, WI 53226 | 2019-08-09 |
| 1962056432 | Lyndsey Marie Bratberg | Physician Assistant | F&mcw Clinical Cancer Center 9200 W. Wisconsin Ave., Milwaukee, WI 53226 | 2019-08-01 |
| 1659832855 | Benjamin David Seadler | Surgery | Mcw, Department of Surgery, 8701 Watertown Plank Road, Milwaukee, WI 53226 | 2019-03-29 |
| 1861953267 | Michael Dryden | Student in an Organized Health Care Education/Training Program | 8701 Watertown Plank Rd., Milwaukee, WI 53226 | 2019-03-27 |
| Find all providers in zip 53226 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205253242 | Namita Jain | Dermatology | 3003 W Good Hope Rd Ste 1-200, Milwaukee, WI 53209-2042 | 2014-03-27 |
| 1487773206 | John Starling IIi | Dermatology | 2600 N Mayfair Rd Ste 810, Milwaukee, WI 53226-1328 | 2007-03-29 |
| 1659466779 | Milwaukee Skin Center,s.c. | Dermatology | 7400 W Brown Deer Rd, Milwaukee, WI 53223-2078 | 2006-10-04 |
| 1336179340 | Jason G. Rosenberg | Dermatology | 2350 N. Lake Drive, Suite 300, Milwaukee, WI 53211-4528 | 2006-07-04 |
| 1962453787 | Matthew G Fleming | Dermatology | 9200 West Wisconsin Avenue, Froedtert & Med College Clin - West, Milwaukee, WI 53226 | 2006-05-15 |
| 1386630861 | Dermatology Associates Sc | Dermatology | 324 E Wisconsin Ave, #925, Milwaukee, WI 53202-4300 | 2005-09-21 |
| 1912990466 | Evonne Marie Winston | Dermatology | 2315 N Lake Dr, Suite 701, Milwaukee, WI 53211-4518 | 2005-08-30 |
| 1295231769 | Michael John Knabel | Dermatology | 8701 W Watertown Plank Rd, Milwaukee, WI 53226-3548 | 2018-04-03 |
| 1720510548 | Garrett N Mccoy | Dermatology | 8701 W Watertown Plank Rd, Milwaukee, WI 53226 | 2017-03-30 |
| 1669903555 | Sophia Magdeline Akhiyat | Dermatology | 8701 W Watertown Plank Rd, Milwaukee, WI 53226-3548 | 2017-03-23 |
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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.