DONALD J BACCUS (NPI# 1538152962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538152962 |
| Entity Type | Individual |
| Full Name | DONALD J BACCUS |
| Credential | M.D. |
| Practice Address |
17280 W North Ave Suite 200 Brookfield WI 53045-4366 |
| Practice Telephone | 2627548000 |
| Practice Fax Number | 2627548008 |
| Mailing Telephone | 2627548000 |
| Mailing Fax Number | 2627548008 |
| Enumeration Date | 2005-08-31 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
21134 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 32666500 | 05 | |
| WI | 30313100 | 05 |
| Street Address |
17280 W NORTH AVE SUITE 200 |
| City | BROOKFIELD |
| State | WI |
| Zip Code | 53045-4366 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740273770 | Milwaukee Eye Care Associates S.c. #2 | Ophthalmology | 17280 W North Ave, Suite 100, Brookfield, WI 53045-4366 | 2005-08-24 |
| 1306493846 | Chelsea Renee Swanson | Physical Therapist | 17280 W North Ave, Brookfield, WI 53045-4366 | 2019-08-20 |
| 1811474257 | Ashley Nicole Borkenhagen | Physical Therapy Assistant | 17280 W North Ave, Brookfield, WI 53045-4366 | 2018-07-27 |
| 1073015665 | Donna Lavae Pankratz | Physical Therapy Assistant | 17280 W North Ave, Brookfield, WI 53045-4366 | 2018-02-28 |
| 1043667868 | Patricia King | Physical Therapy Assistant | 17280 W North Ave, Brookfield, WI 53045-4366 | 2016-05-22 |
| 1366819161 | Mallory Lytle | Physical Therapist | 17280 W North Ave, Suite 104, Brookfield, WI 53045-4366 | 2015-08-27 |
| 1518334754 | Dana Miller | Occupational Therapy Assistant | 17280 W North Ave, Suite 104, Brookfield, WI 53045-4366 | 2015-08-24 |
| 1740664267 | Jessica Bruns | Speech-Language Pathologist | 17280 W North Ave, Suite 104, Brookfield, WI 53045-4366 | 2015-07-14 |
| 1659779684 | Joleen Tichelaar | Occupational Therapist | 17280 W North Ave, Brookfield, WI 53045-4366 | 2014-12-08 |
| 1821490467 | Katie Zenner | Physical Therapist | 17280 W North Ave, Suite 104, Brookfield, WI 53045-4366 | 2014-09-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801436159 | Jeannie Spoon | Behavioral Analyst | 200 N. Patrick Blvd. Ste 250, Brookfield, WI 53045 | 2020-01-14 |
| 1629635313 | Hallie Mackenzie Ritchay | Speech-Language Pathologist | Greenfield Rehabilitation Agency 19395 W Capitol Dr, Ste 200, Brookfield, WI 53045 | 2019-05-29 |
| 1427535038 | Kimberly Ann Beres | Registered Nurse | 2253 Norhardt Dr, Brookfield, WI 53045 | 2018-07-26 |
| 1265927768 | Brady Frederick Bachmann | Physical Therapist | 275 Regency Ct., Suite 200, Brookfield, WI 53045 | 2018-06-27 |
| 1841792603 | Wisconsin Renal Care Group, L.L.C. | Clinic/Center | 17500 W Capitol Drive, Brookfield, WI 53045 | 2018-03-07 |
| 1750828299 | Nanette Marie Kloth | Nurse Practitioner | 18110 W Bluemond Rd, Brookfield, WI 53045 | 2017-01-23 |
| 1144772013 | Saida Reifenrath | Acupuncturist | 240 Regency Court, Suite 102, Brookfield, WI 53045 | 2016-10-26 |
| 1437545951 | Kylee Stevenson | Chiropractor | 19555 W Bluemound Rd Ste 6, Brookfield, WI 53045 | 2015-04-10 |
| 1548659725 | Patricia Ann Kender | Nurse Practitioner | 17495 W. Capitol Dr., Brookfield, WI 53045 | 2015-01-12 |
| 1568882793 | Kassandra E Holzem | Dermatology | 195 Discovery Dr, Brookfield, WI 53045 | 2014-04-28 |
| Find all providers in zip 53045 | ||||
| Taxonomy Code | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790741494 | William Earl Martens | Obstetrics & Gynecology | 19475 W North Ave, Suite 400, Brookfield, WI 53045-4199 | 2006-04-22 |
| 1053376210 | Robert Paul Reik | Obstetrics & Gynecology | 19475 W North Ave, Suite 400, Brookfield, WI 53045-4199 | 2006-04-19 |
| 1548254709 | Paul V Digrazia | Obstetrics & Gynecology | 300 Federal Rd, Brookfield, CT 06804-2412 | 2005-09-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750899357 | Helen Manning | Obstetrics & Gynecology | University of Wisconsin Gynecology 600 Highland Avenue, Madison, WI 53792-0001 | 2018-01-17 |
| 1326427824 | Kathleen P Penzenstadler | Obstetrics & Gynecology | 4202 W Oakwood Park Ct Ste 120, Franklin, WI 53132-9565 | 2015-05-29 |
| 1508187949 | Jessica Love Thomason | Obstetrics & Gynecology | 4914 W Parkview Dr, Mequon, WI 53092-2027 | 2010-06-21 |
| 1669703195 | Ik Hak Bae | Obstetrics & Gynecology | 2116 Craig Rd., Eau Claire, WI 54701 | 2010-01-22 |
| 1104091685 | Cara Robinson King | Obstetrics & Gynecology | 1528 Vilas Ave, Madison, WI 53711-2228 | 2008-04-25 |
| 1619022274 | Perinatal Center of Wisconsin, Inc. | Obstetrics & Gynecology | 3353 N Dr Martin Luther King Dr, Milwaukee, WI 53212-1455 | 2007-01-24 |
| 1841368206 | Dennis Dean Christensen | Obstetrics & Gynecology | 3706 Orin Rd, Madison, WI 53704-3643 | 2006-12-01 |
| 1497860639 | Irfane M Khatib | Obstetrics & Gynecology | 1110 Oak Ridge Dr, Eau Claire, WI 54701-6133 | 2006-08-20 |
| 1043255367 | Colleen Anne Keane-mullooly | Obstetrics & Gynecology | 302 N Jackson St, Milwaukee, WI 53202-5904 | 2006-06-19 |
| 1013965615 | Edward G Vogel | Obstetrics & Gynecology | 2641 Development Dr, Green Bay, WI 54311-4240 | 2006-05-05 |
| Find all providers with the same taxonomy | ||||
| City | BROOKFIELD |
| Zip Code | 53045 |
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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.