DR. WILLIAM D BORKON (NPI# 1417934605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417934605 |
| Entity Type | Individual |
| Full Name | DR. WILLIAM D BORKON |
| Credential | MD |
| Practice Address |
402 W Lake St Friendship WI 53934-9699 |
| Practice Telephone | 6083393331 |
| Mailing Telephone | 6083393331 |
| Enumeration Date | 2005-12-28 |
| Last Update Date | 2017-06-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 67361-20 | WI | Allopathic & Osteopathic Physicians |
| N | 208800000X | Urology | 25147 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 304505600 | 05 |
| Street Address |
402 W LAKE ST |
| City | FRIENDSHIP |
| State | WI |
| Zip Code | 53934-9699 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467446492 | Stephen Charles Paulk | Specialist | 402 W Lake St, Friendship, WI 53934-9699 | 2005-09-06 |
| 1336621440 | Jessica Marie Johnson | Nurse Practitioner | 402 W Lake St, Friendship, WI 53934-9699 | 2018-09-05 |
| 1235646654 | Deena Marie Kedrowski | Pharmacist | 402 W Lake St, Friendship, WI 53934-9699 | 2018-01-08 |
| 1104374867 | Virginia Lee Batie | Registered Nurse | 402 W Lake St, Friendship, WI 53934-9699 | 2016-09-12 |
| 1740733617 | Barbara Theisen | Registered Nurse | 402 W Lake St, Friendship, WI 53934-9699 | 2016-07-27 |
| 1861879462 | Heather Jean Greiling | Nurse Practitioner | 402 W Lake St, Friendship, WI 53934-9699 | 2015-05-03 |
| 1184966509 | David L Rebedew | Family Medicine | 402 W Lake St, Friendship, WI 53934-9699 | 2013-03-24 |
| 1093051617 | Mile Bluff Medical Center Inc | Durable Medical Equipment & Medical Supplies | 402 W Lake St, Friendship, WI 53934-9699 | 2012-12-31 |
| 1992968291 | Danielle M Hill | Family Medicine | 402 W Lake St, Friendship, WI 53934-9699 | 2008-07-07 |
| 1255513529 | Perry S Damian | Family Medicine | 402 W Lake St, Friendship, WI 53934-9699 | 2007-11-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396234837 | Gundersen Clinic Ltd | Optometrist | 402a W Lake St, Friendship, WI 53934 | 2018-05-09 |
| 1780972174 | Emily Burzynski Clark | Speech-Language Pathologist | 210 S. Park St, Friendship, WI 53934 | 2011-07-19 |
| 1942492459 | Gene P. Wegner, Sc | Radiology | 302 W Lake Street, Friendship, WI 53934 | 2007-08-17 |
| 1962560334 | Moundview Memorial Hospital & Clinics, Inc. | Clinic/Center | 402 W. Lake St., Friendship, WI 53934 | 2006-12-05 |
| 1982770723 | Sheryl J. Obernberger | Nurse Practitioner | 402 West Lake St., Friendship, WI 53934 | 2006-11-24 |
| 1992894927 | Robert J Schindlbeck | Dentist | 320 W Lake St, Friendship, WI 53934 | 2006-10-11 |
| 1336173095 | Roche A Cri Clinic Sc | Family Medicine | 302 W. Lake St., Friendship, WI 53934 | 2006-07-10 |
| 1174514699 | Ann M Anderson | Nurse Practitioner | 302 West Lake St, Friendship, WI 53934 | 2005-11-03 |
| 1801881388 | Mark E Hatton | Family Medicine | 402 West Lake Street, Friendship, WI 53934 | 2005-09-12 |
| 1780064956 | Andrew Schmitz | Counselor | 302 W Lake St, Friendship, WI 53934 | 2015-06-03 |
| Find all providers in zip 53934 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649520180 | George Leonard Apfelbach Jr. | Urology | 4098 Main St, Fish Creek, WI 54212-0067 | 2012-09-12 |
| 1346505708 | Kenneth Lowell Day | Urology | 2603 Teal Ave (residence), Wausau, WI 54401-7162 | 2012-07-11 |
| 1356601587 | Fox Valley Urological Associates Sc | Urology | 2700 E Enterprise Ave Ste A, Appleton, WI 54913-7656 | 2012-05-22 |
| 1730445255 | Anand Patel | Urology | 2424 S 90th St Fl 3, West Allis, WI 53227-2455 | 2012-04-10 |
| 1831486117 | Mary Hallman Leikness | Urology | 358 S. Oxford Street, Pob 207, Wautoma, WI 54982-0000 | 2011-07-07 |
| 1710293105 | Charles Copland Smith | Urology | 674 Sunset Circle, Green Bay, WI 54301 | 2010-08-24 |
| 1689991200 | Sean Brady Mcadams | Urology | 720 S Vanburen Street, Suite 301, Green Bay, WI 54301 | 2010-04-21 |
| 1730404385 | Robert J Hartman Jr. | Urology | 10400 75th St Ste 204, Kenosha, WI 53142-7884 | 2010-04-06 |
| 1588998538 | Gary Melvin Licklider | Urology | 5002 Prairie Rose Ct, Middleton, WI 53562-2385 | 2009-09-23 |
| 1376793240 | Raymond Harkavy | Urology | 9440 N. Broadmoor Road, Milwaukee, WI 53217-1309 | 2008-09-26 |
| Find all providers with the same taxonomy | ||||
| City | FRIENDSHIP |
| Zip Code | 53934 |
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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.