COLLEEN M POGGENBURG (NPI# 1558306407) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558306407 |
| Entity Type | Individual |
| Full Name | COLLEEN M POGGENBURG |
| Other Name | COLLEEN M FITZPATRICK |
| Credential | M.D. |
| Practice Address |
1251 W Glen Oaks Ln Mequon WI 53092-3356 |
| Practice Telephone | 4142906720 |
| Practice Fax Number | 4142906755 |
| Mailing Telephone | 4142906720 |
| Mailing Fax Number | 4142906755 |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 41545-020 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 34689800 | 05 |
| Street Address |
1251 W GLEN OAKS LN |
| City | MEQUON |
| State | WI |
| Zip Code | 53092-3356 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568485753 | Michael J Unger | Internal Medicine | 1251 W Glen Oaks Ln, Mequon, WI 53092-3356 | 2006-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942790761 | Kathryn Mueller | Specialist/Technologist | 117 Linden Lane, Apt 7, Thiensville, WI 53092 | 2018-05-17 |
| 1427547082 | Shopko Stores Operating Co LLC | Eyewear Supplier (Equipment, not the service) | 10996 N Port Washington Rd, Mequon, WI 53092 | 2018-05-08 |
| 1912437252 | Froedtert & The Medical College of Wisconsin Community Physicians Inc | Durable Medical Equipment & Medical Supplies | 11430 Port Washington Road, Mequon, WI 53092 | 2017-06-19 |
| 1629437256 | Sean S Tsang | Acupuncturist | 909 W. Mequon Rd., Mequon, WI 53092 | 2016-02-10 |
| 1497128433 | Nancy Snoots | Counselor | 4430 W Tarrytown Ln, Mequon, WI 53092 | 2015-11-12 |
| 1609265214 | Evan Guettel | Physical Therapist | 11363 N. Port Washington Road, Mequon, WI 53092 | 2015-01-20 |
| 1881091148 | Sarah Krueger | Counselor | 216 N Green Bay Rd Suite 108, Thiensville, WI 53092 | 2014-12-01 |
| 1245667088 | Lora Transportation, LLC | Non-emergency Medical Transport (VAN) | 1228 West Baldwin Crt., Mequon, WI 53092 | 2013-10-10 |
| 1710314000 | Roxxi M Davis | Social Worker | 7113 Tamarack Ct, Mequon, WI 53092 | 2013-10-01 |
| 1225473713 | Forefront Dermatology, S.c. | Dermatology | 10303 N Port Washington Rd Ste 101, Mequon, WI 53092 | 2013-05-09 |
| Find all providers in zip 53092 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538418322 | Irwin Margolis | Internal Medicine | 2635 West Lake Park Court, Mequon, WI 53092-2453 | 2012-09-07 |
| 1376819508 | Lewis M. Feiges | Internal Medicine | 10009 N. Franklin Ct., Mequon, WI 53092 | 2012-04-02 |
| 1073750238 | George Albert Munkwitz | Internal Medicine | 2300 W. Bonniwell Rd., Mequon, WI 53097-1602 | 2009-01-09 |
| 1265655245 | Mina Khorshidi | Internal Medicine | 10539 N Hidden Creek Ct, Mequon, WI 53092-8543 | 2007-04-10 |
| 1437249125 | Bozena Simon | Internal Medicine | 11203 N Buntrock Ave, Mequon, WI 53092-1857 | 2006-10-13 |
| 1972606028 | Aleksandar V Rosich | Internal Medicine | 10105 Parkside Ct, Mequon, WI 53092-6152 | 2006-09-06 |
| 1124050364 | Luke F Rehrauer | Internal Medicine | 12203 N Corporate Pkwy, Mequon, WI 53092 | 2006-07-07 |
| 1154372092 | Deidre L Faust | Internal Medicine | 13133 N Port Washington Road, Suite G18, Mequon, WI 53097-2420 | 2006-05-15 |
| 1265499198 | Lynne D Langlois | Internal Medicine | 2114 W Columbia Dr, Mequon, WI 53092-5645 | 2006-04-26 |
| 1770574824 | Madhumathi Kosaraju | Internal Medicine | 7020 W Creekside Ct, Mequon, WI 53092-4372 | 2005-10-28 |
| Find all providers in MEQUON | ||||
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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.