MATTHEW ERIC STAUFFER (NPI# 1497066732) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497066732 |
| Entity Type | Individual |
| Full Name | MATTHEW ERIC STAUFFER |
| Credential | MD |
| Practice Address |
9555 76th St Pleasant Prairie WI 53158-1984 |
| Mailing Address |
111 E Wisconsin Ave Suite 2000 Milwaukee WI 53202-4815 |
| Practice Telephone | 4142906720 |
| Practice Fax Number | 4142906755 |
| Mailing Telephone | 4142906720 |
| Enumeration Date | 2010-07-01 |
| Last Update Date | 2015-05-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 61053-20 | WI | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | 4301097287 | MI | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | 4301097287 | MI | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 1497066732 | 05 | |
| WI | MEDICARE RAILROAD | P01269460 | 01 |
| IL | 1497066732 | 05 | |
| WI | MEDICARE RAILROAD | P01319713 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730639246 | Matthew Stauffer | Social Worker | 227 Mill Street, Springfield, MA 01108-1007 | 2016-10-07 |
| 1255429452 | Matthew C Stauffer | Physical Therapist | 3905 Beacon Ave, Fremont, CA 94538-1405 | 2006-10-11 |
| Street Address |
9555 76TH ST |
| City | PLEASANT PRAIRIE |
| State | WI |
| Zip Code | 53158-1984 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518915073 | United Occupational Medicine and Walk In Services, LLC | Emergency Medicine | 9555 76th St, Pleasant Prairie, WI 53158-1984 | 2006-05-05 |
| 1558971051 | Josephine Kristiansen | Pharmacist | 9555 76th St, Pleasant Prairie, WI 53158-1984 | 2020-08-09 |
| 1932727641 | Amy Ann Giese | Dietitian, Registered | 9555 76th St, Pleasant Prairie, WI 53158-1984 | 2020-07-09 |
| 1205453404 | Meghan Keefer | Nurse Practitioner | 9555 76th St, Pleasant Prairie, WI 53158-1984 | 2020-07-03 |
| 1396375762 | Sherri Lynn O'shea | Dietitian, Registered | 9555 76th St, Pleasant Prairie, WI 53158-1984 | 2020-01-24 |
| 1083179238 | Ihc-wound Care Services LLC | Emergency Medicine | 9555 76th St, Pleasant Prairie, WI 53158-1984 | 2019-02-01 |
| 1093292625 | Shannon L Yow | Nurse Practitioner | 9555 76th St, Pleasant Prairie, WI 53158-1984 | 2018-07-26 |
| 1447746805 | Jordon W. Thomsen | Physician Assistant | 9555 76th St, Pleasant Prairie, WI 53158-1984 | 2018-07-09 |
| 1780177048 | Rachel E Garnett | Physician Assistant | 9555 76th St, Pleasant Prairie, WI 53158-1984 | 2018-06-12 |
| 1750803474 | Matthew D Peterson | Physician Assistant | 9555 76th St, Pleasant Prairie, WI 53158-1984 | 2017-07-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497393516 | Aurora Surgery Centers, LLC | Clinic/Center | 12500 Aurora Drive, Pleasant Prairie, WI 53158 | 2019-12-19 |
| 1770144297 | Jill Plaisted | Counselor | 8503 75th Street, Suite A, Pleasant Prairie, WI 53158 | 2019-06-25 |
| 1427593847 | Douglas Marion Mcdaniel | Physical Therapy Assistant | 5932 85th St, Pleasant Prairie, WI 53158 | 2016-12-20 |
| 1477095602 | Molly Weber | Speech-Language Pathologist | 8717 82nd St, Apartment 109, Pleasant Prairie, WI 53158 | 2016-11-04 |
| 1568919165 | Nicole Taylor | Specialist/Technologist | 9321 8th Avenue, Pleasant Prairie, WI 53158 | 2016-09-01 |
| 1578980165 | Forefront Dermatology, S.c. | Dermatology | 9020 76th St, Suite E, Pleasant Prairie, WI 53158 | 2014-03-21 |
| 1750603130 | Shelley L Johnson | Nurse Practitioner | 9697 Saint Catherines Dr # 300, Pleasant Prairie, WI 53158 | 2010-02-25 |
| 1194054981 | Jennifer S Stevens | Behavioral Analyst | 10450 72nd Ave, Pleasant Prairie, WI 53158 | 2009-12-08 |
| 1932273398 | Pamela Anderson | Registered Nurse | 11202 79 Street, Pleasant Prairie, WI 53158 | 2006-11-20 |
| 1033205562 | Holly Seidman | Pharmacist | 1309 110th Street, Pleasant Prairie, WI 53158 | 2006-10-04 |
| Find all providers in zip 53158 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518915073 | United Occupational Medicine and Walk In Services, LLC | Emergency Medicine | 9555 76th St, Pleasant Prairie, WI 53158-1984 | 2006-05-05 |
| 1437538196 | Natalia Stasior | Emergency Medicine | 9555 76th St, Pleasant Prairie, WI 53158 | 2015-05-27 |
| 1083059604 | Kenneth J Heidle | Emergency Medicine | 9555 76th St, Pleasant Prairie, WI 53158-1984 | 2013-05-09 |
| 1396779286 | James C Foster | Emergency Medicine | 9555 76th St, Pleasant Prairie, WI 53158-1984 | 2006-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275012171 | Kathleen Ray Price | Emergency Medicine | 146 Old Orchard Ln, Neenah, WI 54956-4954 | 2018-08-10 |
| 1043730690 | Jonathan Weseman | Emergency Medicine | 3003 University Dr, Marinette, Marinette, WI 54143 | 2017-06-25 |
| 1780115634 | Sean Anthony Mackman | Emergency Medicine | 9200 W Wisconsin Ave # 1p, Milwaukee, WI 53226-3522 | 2017-03-22 |
| 1114375367 | Arthur How Jen Chiu | Emergency Medicine | 1726 Chadbourne Ave, Madison, WI 53726-4108 | 2016-05-28 |
| 1912352873 | Glenn Thiel | Emergency Medicine | N20015 Echo Lake Rd, Niagra, WI 54151 | 2016-04-28 |
| 1437512613 | Jacob Tyler Clark | Emergency Medicine | 1035 Kepler Dr, Green Bay, WI 54311-8320 | 2016-04-04 |
| 1639532526 | Rinal Patel | Emergency Medicine | 9200 W Loomis Rd Ste 212, Franklin, WI 53132 | 2016-03-30 |
| 1871955187 | Scott Erickson | Emergency Medicine | 4876 N Sheffield Ave, Whitefish Bay, WI 53217-5962 | 2016-03-25 |
| 1992166821 | Nicholas W Hawley | Emergency Medicine | 3003 W Good Hope Rd # Bcm320, Milwaukee, WI 53209-2042 | 2016-03-20 |
| 1164802138 | Adam Nicholson | Emergency Medicine | 600 Highlanc Ave, Madison, WI 53792-0001 | 2015-06-04 |
| Find all providers with the same taxonomy | ||||
| City | PLEASANT PRAIRIE |
| Zip Code | 53158 |
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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.