DR. LISA K MUCHARD (NPI# 1588837207) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588837207 |
| Entity Type | Individual |
| Full Name | DR. LISA K MUCHARD |
| Credential | M.D. |
| Practice Address |
12901 W National Ave New Berlin WI 53151-4063 |
| Mailing Address |
3301 W Forest Home Ave Milwaukee WI 53215-2843 |
| Practice Telephone | 2627875200 |
| Mailing Telephone | 4143892131 |
| Enumeration Date | 2008-04-03 |
| Last Update Date | 2020-10-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 53825 | WI | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1 S Park St, Madison, WI 537151375 | 6082872450 | 6082651249 |
| N84w16889 Menomonee Ave, Menomonee Falls, WI 53051 | 2622517500 |
| Street Address |
12901 W NATIONAL AVE |
| City | NEW BERLIN |
| State | WI |
| Zip Code | 53151-4063 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538153416 | Margaret M. Leonhardt | Family Medicine | 12901 W National Ave, New Berlin, WI 53151-4063 | 2005-09-07 |
| 1114338910 | Gabrielle N Mannino | Dermatology | 12901 W National Ave, New Berlin, WI 53151-4063 | 2014-05-14 |
| 1699018531 | Alexander M Maley | Dermatology | 12901 W National Ave, New Berlin, WI 53151-4063 | 2013-03-28 |
| 1053670307 | Jonathan Gabriel Bonchak | Dermatology | 12901 W National Ave, New Berlin, WI 53151-4063 | 2012-05-07 |
| 1730376625 | Aurora Advanced Healthcare, Inc. | Durable Medical Equipment & Medical Supplies | 12901 W National Ave, New Berlin, WI 53151-4063 | 2007-09-25 |
| 1720163314 | Advanced Healthcare, S.c. | Clinical Medical Laboratory | 12901 W National Ave, New Berlin, WI 53151-4063 | 2006-10-25 |
| 1841370913 | Advanced Healthcare, S.c. | Durable Medical Equipment & Medical Supplies | 12901 W National Ave, New Berlin, WI 53151-4063 | 2006-10-16 |
| 1295842649 | Jennifer J Nicpon | Nurse Practitioner | 12901 W National Ave, New Berlin, WI 53151-4063 | 2006-08-23 |
| 1013022037 | Dennis J Garvin | Nurse Practitioner | 12901 W National Ave, New Berlin, WI 53151-4063 | 2006-08-20 |
| 1538177738 | David L. Crosby | Dermatology | 12901 W National Ave, New Berlin, WI 53151-4063 | 2006-08-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629527486 | Natural Look Salon and Wigs LLC | Durable Medical Equipment & Medical Supplies | 4805 S. Moorland Rd, New Berlin, WI 53151 | 2016-09-22 |
| 1396193033 | New Berlin Medical Services, LLC | Clinic/Center | 15324 W Beloit Road, New Berlin, WI 53151 | 2016-06-02 |
| 1063899680 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 15300 West Grange Avenue, New Berlin, WI 53151 | 2015-05-04 |
| 1871970368 | Mary Spath | Physical Therapy Assistant | 2810 South Acredale Road, New Berlin, WI 53151 | 2015-05-04 |
| 1669885471 | Wauwatosa Prescription Center, Inc. | Pharmacy | 4855 S Moorland Road, New Berlin, WI 53151 | 2014-06-09 |
| 1750711446 | Pure Family Chiropractic LLC | Chiropractor | 3504 S. Moorland Road, New Berlin, WI 53151 | 2013-11-18 |
| 1336578202 | Hamilton John Dowden | Chiropractor | 3504 S Moorland Rd, New Berlin, WI 53151 | 2013-11-01 |
| 1053653618 | Danielle Lynn Lucio | Acupuncturist | 15807 W. National Ave., New Berlin, WI 53151 | 2013-03-21 |
| 1306195110 | Marlena J Friedrich | Registered Nurse | 1709 S. 171st Street, New Berlin, WI 53151 | 2012-09-07 |
| 1548519176 | Patricia M Friedrich | Licensed Practical Nurse | 1709 So. 171st Street, New Berlin, WI 53151 | 2012-08-29 |
| Find all providers in zip 53151 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114338910 | Gabrielle N Mannino | Dermatology | 12901 W National Ave, New Berlin, WI 53151-4063 | 2014-05-14 |
| 1699018531 | Alexander M Maley | Dermatology | 12901 W National Ave, New Berlin, WI 53151-4063 | 2013-03-28 |
| 1053670307 | Jonathan Gabriel Bonchak | Dermatology | 12901 W National Ave, New Berlin, WI 53151-4063 | 2012-05-07 |
| 1962543728 | Prohealth Care Medical Associates Inc | Dermatology | 13900 W National Ave, New Berlin, WI 53151-9515 | 2007-02-12 |
| 1538177738 | David L. Crosby | Dermatology | 12901 W National Ave, New Berlin, WI 53151-4063 | 2006-08-03 |
| 1194711853 | Affiliated Dermatologists Sc | Dermatology | 14555 W National Ave, Suite 190, New Berlin, WI 53151-4494 | 2005-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174016596 | Dermatology and Cosmetic Physicians, Sc | Dermatology | W5192 Rienzi Rd, Fond Du Lac, WI 54935-9603 | 2018-06-11 |
| 1194248013 | Kyle Erick Rudningen | Dermatology | Uw Hosptials & Clinics 600 Highland Ave, Madison, WI 53792 | 2017-07-23 |
| 1194255521 | Rhonda Ganansky | Dermatology | W1383 N Bloomfield Rd, Lake Geneva, WI 53147-4429 | 2017-06-18 |
| 1356891402 | Forefront Dermatology, S.c. | Dermatology | 1515 S Green Bay Rd, Racine, WI 53406 | 2016-10-12 |
| 1982066239 | Margaret Coleman Maxi | Dermatology | 188 Rockwood Ln Ste A, Neenah, WI 54956-1983 | 2016-03-25 |
| 1447612312 | Andrew C Duncanson | Dermatology | 510 N 17th Ave Ste C, Wausau, WI 54401-4281 | 2016-03-22 |
| 1225411481 | Gabriela A Maloney | Dermatology | 17100 W North Ave Ste 200, Brookfield, WI 53005-4489 | 2015-07-07 |
| 1043604424 | Marthe Ngongang Dika | Dermatology | 10500 W Loomis Rd Ste 110, Franklin, WI 53132-8030 | 2015-03-24 |
| 1902205206 | Affiliated Dermatologists | Dermatology | N96w17035 Division Rd, Suite A, Germantown, WI 53022-6419 | 2014-08-22 |
| 1568882793 | Kassandra E Holzem | Dermatology | 195 Discovery Dr, Brookfield, WI 53045 | 2014-04-28 |
| Find all providers with the same taxonomy | ||||
| City | NEW BERLIN |
| Zip Code | 53151 |
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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.