ADAM P MYHRE (NPI# 1548218829) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548218829 |
| Entity Type | Individual |
| Full Name | ADAM P MYHRE |
| Credential | MD |
| Practice Address |
4025 N 92nd St Wauwatosa WI 53222 |
| Mailing Address |
4025 N 92nd St Wauwatosa WI 53222-1613 |
| Practice Telephone | 4143585448 |
| Mailing Telephone | 4143585448 |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2019-07-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
49104-020 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | DEA LICENSE | BM7399656 | 01 |
| Street Address |
4025 N 92ND ST |
| City | WAUWATOSA |
| State | WI |
| Zip Code | 53222 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720063738 | Christine M. Nervi | Nurse Anesthetist, Certified Registered | 4025 N 92nd St, Wauwatosa, WI 53222-1613 | 2005-12-13 |
| 1932654696 | Stephanie Diane Kilps | Physician Assistant | 4025 N 92nd St, Wauwatosa, WI 53222-1613 | 2016-08-23 |
| 1124429022 | Timothy Klusman | Anesthesiologist Assistant | 4025 N 92nd St, Wauwatosa, WI 53222-1613 | 2014-09-10 |
| 1447661673 | Katherine M Karczewski | Nurse Practitioner | 4025 N 92nd St, Lower Level, Wauwatosa, WI 53222 | 2014-05-09 |
| 1073942561 | Kyle Mericle | Anesthesiologist Assistant | 4025 N 92nd St, Wauwatosa, WI 53222-1613 | 2013-11-05 |
| 1013343730 | Sarah J Parve | Nurse Practitioner | 4025 N 92nd St, Wauwatosa, WI 53222-1613 | 2013-09-26 |
| 1528407376 | Brian A White | Anesthesiologist Assistant | 4025 N 92nd St, Wauwatosa, WI 53222-1613 | 2013-06-14 |
| 1356685515 | Erin E Taylor | Anesthesiologist Assistant | 4025 N 92nd St, Wauwatosa, WI 53222-1613 | 2012-11-12 |
| 1003167008 | Anna Janulewicz | Anesthesiologist Assistant | 4025 N 92nd St, Wauwatosa, WI 53222-1613 | 2012-10-01 |
| 1669723664 | John G Rippy | Anesthesiologist Assistant | 4025 N 92nd St, Wauwatosa, WI 53222-1613 | 2012-10-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477101673 | Dalaina Y Holliman | Technician | 7719 W Fiebrantz Ave, Milwaukee, WI 53222 | 2019-08-30 |
| 1083183016 | Umenia Marie White | Respite Care | 7726 W. Center Street, Apt 1, Milwaukee, WI 53222 | 2018-11-20 |
| 1003399445 | For Eyes Optical Co of Pennsylvania | Eyewear Supplier (Equipment, not the service) | 11450 W. Burleigh St, Wauwatosa, WI 53222 | 2018-09-12 |
| 1558852673 | Joseph Fleming | Physical Therapist | 11450 W Burleigh St, Ste 120, Wauwatosa, WI 53222 | 2018-05-24 |
| 1942739206 | Yolanda D. Burdine | Licensed Practical Nurse | 8327 W. Center St., Apt. 2, Milwaukee, WI 53222 | 2017-06-08 |
| 1558807131 | Midwest Nephrology Associates, Sc | Clinic/Center | 7797 W Appleton Avenue, Milwaukee, WI 53222 | 2017-01-06 |
| 1477097269 | Benjamin David Kluge | Pharmacist | 11111 W Burleigh Rd, Wauwatosa, WI 53222 | 2016-12-13 |
| 1841746989 | Elissa Hornick | Physician Assistant | 2885 N. Mayfair Rd., Wauwatosa, WI 53222 | 2016-08-29 |
| 1598218562 | Riley's Residential Home Care, LLC | In Home Supportive Care | 10111 W. Capitol Dr, Wauwatosa, WI 53222 | 2016-07-26 |
| 1346696796 | Respiratory and Sleep Services LLC | Durable Medical Equipment & Medical Supplies | 6529 W Fond Du Lac Avenue, Milwaukee, WI 53222 | 2016-05-04 |
| Find all providers in zip 53222 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225238835 | Ryan Thomas Huber | Radiology | 1205 N 62nd St, Ste 412, Wauwatosa, WI 53213-2984 | 2007-07-21 |
| 1396890372 | Gregg Michael Gaylord | Radiology | 805 N Mayfair Rd, Wauwatosa, WI 53226-4241 | 2007-01-23 |
| 1093782435 | Milwaukee Center for Diagnostic Imaging LLC | Radiology | 2445 North Mayfair Rd, Suite 100, Wauwatosa, WI 53226 | 2006-03-03 |
| 1861704223 | Samuel Isaac Frost | Radiology | 4025 N 92nd St, Wauwatosa, WI 53222-1613 | 2010-07-13 |
| 1790096592 | Rahul Narain Sawlani | Radiology | 4025 N 92nd St, Wauwatosa, WI 53222-1613 | 2010-06-25 |
| 1508094756 | Anil Tumu | Radiology | 4025 N 92nd St, Wauwatosa, WI 53222-1613 | 2009-06-26 |
| 1548419336 | Matthew J Howenstein | Radiology | 4025 N 92nd St, Wauwatosa, WI 53222-1613 | 2008-09-16 |
| 1982868063 | Ryan Sydnor | Radiology | 4025 N 92nd St, Wauwatosa, WI 53222-1613 | 2008-07-17 |
| 1952569667 | Vikram Bamra | Radiology | 4025 N 92nd St, Wauwatosa, WI 53222-1613 | 2008-05-29 |
| 1811043037 | Randy Allan Musack | Radiology | 4025 N 92nd St, Wauwatosa, WI 53222-1613 | 2007-01-28 |
| Find all providers in WAUWATOSA | ||||
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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.