G.S. MICELI, DPM, S.C. (NPI# 1568728046) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568728046 |
| Entity Type | Organization |
| Organization Name | G.S. MICELI, DPM, S.C. |
| Practice Address |
6754 Lindermann Ave Mount Pleasant WI 53406-5603 |
| Mailing Address |
7201 Greenbay Road Suite A Kenosha WI 53142-3532 |
| Practice Telephone | 2626545555 |
| Practice Fax Number | 2626549333 |
| Enumeration Date | 2012-04-09 |
| Last Update Date | 2012-04-09 |
| Authorized Official Name | GIUSEPPI MICELI (OWNER) |
| Authorized Official Telephone | 2626545555 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
524 | WI | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 43208700 | 05 |
| Street Address |
6754 LINDERMANN AVE |
| City | MOUNT PLEASANT |
| State | WI |
| Zip Code | 53406-5603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306345814 | J P Irelan Endodontics LLC | Dentist | 6754 Lindermann Ave, Mount Pleasant, WI 53406-5603 | 2018-02-09 |
| 1710431788 | Periodontics and Implant Dentistry, LLC | Clinic/Center | 6754 Lindermann Ave, Mount Pleasant, WI 53406-5603 | 2016-08-08 |
| 1184069379 | Christopher G Hutton | Dentist | 6754 Lindermann Ave, Mount Pleasant, WI 53406 | 2013-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578164349 | Lynn Huynh | Pharmacist | 5695 Washington Ave, Racine, WI 53406 | 2020-11-06 |
| 1659920049 | Carol Jean Cornejo | Technician | 6528 Heritage Avenue, Mt Pleasant, WI 53406 | 2019-09-09 |
| 1265913958 | Mary Goldbeck | Social Worker | 1775 Newman Rd, Mt Pleasant, WI 53406 | 2018-08-22 |
| 1669963344 | Kelly Nicole Nelson | Registered Nurse | 8800 Washington Ave Ste 200, Mount Pleasant, WI 53406 | 2018-05-29 |
| 1891212163 | Ilona Agata Pryomski | Nurse Practitioner | 9201 Washington Ave, Racine, WI 53406 | 2017-08-27 |
| 1386185106 | Margaret M. Abaogye Dds | Dentist | 4340 Newman Rd., Racine, WI 53406 | 2017-03-13 |
| 1508309212 | Rebecca Koeppen | Dietitian, Registered | 8400 Washington Ave., Racine, WI 53406 | 2016-11-29 |
| 1386194371 | Forefront Dermatology, S.c. | Dermatology | 7200 Washington Ave, Suite 100, Mount Pleasant, WI 53406 | 2016-10-13 |
| 1356891402 | Forefront Dermatology, S.c. | Dermatology | 1515 S Green Bay Rd, Racine, WI 53406 | 2016-10-12 |
| 1861841470 | Leah Marie Johnson | Dentist | 1101 South Airline Road, Racine, WI 53406 | 2016-06-06 |
| Find all providers in zip 53406 | ||||
| Taxonomy Code | 213ES0131X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356642086 | Associated Foot Specialists, Pa | Podiatrist | 180 Wingo Way, Suite 101, Mount Pleasant, SC 29464-1810 | 2010-11-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518592302 | Third Coast Foot and Ankle Sc | Podiatrist | 7001 S Howell Ave # 500, Oak Creek, WI 53154-1407 | 2020-03-11 |
| 1780878454 | Dr. Donald J. Schneekloth, D.p.m. | Podiatrist | 797 Winneconne Ave., Neenah, WI 54956 | 2007-09-05 |
| 1063614048 | Jack W Hutter Sc | Podiatrist | 422 Summit Ave, Oconomowoc, WI 53066-3749 | 2007-06-02 |
| 1801006986 | Rapids Foot Care Center | Podiatrist | 311 8th St S, Wisconsin Rapids, WI 54494-4622 | 2007-05-23 |
| 1316156318 | Darcia Merritt Dillard | Podiatrist | 11030 W Villa Ave, Milwaukee, WI 53224-2586 | 2007-05-22 |
| 1790819886 | Northwest Surgery Center Inc | Podiatrist | 1233 N Mayfair Rd Ste 304, Milwaukee, WI 53226-3255 | 2007-03-14 |
| 1396822730 | Paul Matthew Zerovec | Podiatrist | 1442 N Farwell Ave Ste 605, Milwaukee, WI 53202-2913 | 2006-11-01 |
| 1194732669 | Glenn A Hansen | Podiatrist | 2331 S Oneida St, Green Bay, WI 54304-5267 | 2006-08-01 |
| 1548294259 | William W Weis | Podiatrist | 331 E Puetz Rd, #105, Oak Creek, WI 53154 | 2006-07-10 |
| 1356378145 | John Julian Renard | Podiatrist | 2005 S. Lake Park Rd, Appleton, WI 54915 | 2006-06-27 |
| Find all providers with the same taxonomy | ||||
| City | MOUNT PLEASANT |
| Zip Code | 53406 |
Please comment or provide details below to improve the information on G.S. MICELI, DPM, S.C..
| 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.