CHARLES DOMBECK (NPI# 1487163184) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1487163184 |
Entity Type | Individual |
Full Name | CHARLES DOMBECK |
Credential | APNP |
Practice Address |
949 N 9th St Milwaukee WI 53233-1422 |
Practice Telephone | (414) 226-7134 |
Mailing Telephone | 4142267134 |
Enumeration Date | 2017-09-25 |
Last Update Date | 2017-09-25 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
7850-33 | WI | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
949 N 9TH ST |
City | MILWAUKEE |
State | WI |
Zip Code | 53233-1422 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538202262 | Pamela Charlene Prince | Nurse Practitioner | 949 N 9th St, Health Services Unit, Milwaukee, WI 53233-1422 | 2007-02-14 |
1285234526 | Susan Lietz | Nurse Practitioner | 949 N 9th St, Milwaukee, WI 53233-1422 | 2020-10-27 |
1598382004 | George Vanags | Nurse Practitioner | 949 N 9th St, Milwaukee, WI 53233-1422 | 2020-06-30 |
1336775170 | Barbara Rebekah Demares | Nurse Practitioner | 949 N 9th St, Milwaukee, WI 53233-1422 | 2020-03-12 |
1053886887 | Stacy Paula Cruz | Nurse Practitioner | 949 N 9th St, Milwaukee, WI 53233-1422 | 2018-10-08 |
1659824266 | Kimberly Anne Krawczyk | Psychologist | 949 N 9th St, Milwaukee, WI 53233-1422 | 2016-07-31 |
1689929770 | Josie Lynn Veal | Nurse Practitioner | 949 N 9th St, Milwaukee, WI 53233-1422 | 2012-07-16 |
1790940963 | Michael Crispin Grebner | Family Medicine | 949 N 9th St, Health Services Unit, Milwaukee, WI 53233-1422 | 2008-07-27 |
1861615874 | Wisconsin Community Services, Inc. Drug Evaluation Laboratory | Clinical Medical Laboratory | 949 N 9th St, Room 131e, Milwaukee, WI 53233-1422 | 2007-04-10 |
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 | 363LP2300X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386252526 | Moneesha Roy | Nurse Practitioner | 9200 W. Wisconsin Ave, General Internal Medicine- Froedtert Specialty Clinics, Milwaukee, WI 53226 | 2020-07-14 |
1376185819 | Courtney Lamm | Nurse Practitioner | 3727 W Wisconsin Ave, Milwaukee, WI 53208-3182 | 2019-10-16 |
1366099632 | Megan Abramson | Nurse Practitioner | 5000 W National Ave, Milwaukee, WI 53295-0001 | 2019-08-21 |
1093282634 | Kelly Ayala | Nurse Practitioner | 9200 W Wisconsin Ave, Milwaukee, WI 53226 | 2018-11-01 |
1114417235 | Rebecca Davina Beznowski | Nurse Practitioner | 2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 | 2018-05-14 |
1962901207 | Megan Argall | Nurse Practitioner | 9200 W Wisconsin Ave, Milwaukee, WI 53226 | 2018-02-01 |
1912418468 | Molly Barbara Kortsch | Nurse Practitioner | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2017-10-23 |
1215448501 | Nygil Matthews | Nurse Practitioner | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2017-10-13 |
1588180582 | Brittany A Fasse | Nurse Practitioner | 9200 W Wisconsin Ave, Froedtert and Medical College of Wisconsin, Milwaukee, WI 53226-3522 | 2017-08-21 |
1780139022 | Samantha Marie Wojnowiak | Nurse Practitioner | 9200 W Wisconsin Ave, Hematology and Oncology, Milwaukee, WI 53226-3522 | 2016-08-16 |
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.