DR. DANIEL BUTZ (NPI# 1598070179) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598070179 |
| Entity Type | Individual |
| Full Name | DR. DANIEL BUTZ |
| Credential | MD |
| Practice Address |
10604 N Port Washington Rd Mequon WI 53092 |
| Mailing Address |
1005 San Jose Dr Elm Grove WI 53122-2139 |
| Practice Telephone | 2622331859 |
| Mailing Telephone | 9208196361 |
| Enumeration Date | 2010-08-08 |
| Last Update Date | 2018-09-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
66679-20 | WI | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 13800 W North Ave Ste 110, Brookfield, WI 530054977 | 2627174000 | 2626417435 |
| 2350 N Lake Dr Ste 304, Milwaukee, WI 532114528 | 4142987212 | |
| 2124 Kohler Memorial Dr, Sheboygan, WI 530813169 | 9202800121 |
| Street Address |
10604 N PORT WASHINGTON RD |
| City | MEQUON |
| State | WI |
| Zip Code | 53092 |
| 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 | 2086S0122X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Plastic and Reconstructive Surgery |
| A surgeon who specializes in plastic and reconstructive surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598834129 | Kant Y.k. Lin | Surgery | 1155 N Mayfair Rd Ste T2600, Milwaukee, WI 53226-3464 | 2006-11-07 |
| 1003867508 | David L Larson | Surgery | 8700 Watertown Plank Road, Wisconsin Athletic Club Bldg, Milwaukee, WI 53226 | 2006-05-12 |
| 1366409658 | Aesthetic and Reconstructive Surgery Associates Sc | Surgery | W 231 N1440 Corporate Ct, Ste 201, Waukesha, WI 53186 | 2006-04-28 |
| 1760464655 | Richard B Schaefer | Surgery | 1088 S Main St, Fond Du Lac, WI 54935-6102 | 2005-11-16 |
| 1548617962 | Shady Elmaraghi | Surgery | Uw Hospitals and Clinics 600 Highland Ave, Madison, WI 53792-0001 | 2016-05-16 |
| 1275913733 | Alexander Henry Slocum Jr. | Surgery | 1155 N Mayfair Rd, Wauwatosa, WI 53226 | 2015-05-31 |
| 1669868709 | Oksana Babchenko | Surgery | Uw Hospital and Clinics 600 Highland Ave, Madison, WI 53792-0001 | 2015-04-14 |
| 1659767309 | Katherine Shaum | Surgery | Uw Hospital and Clinics, 600 Highland Ave, Madison, WI 53792-0001 | 2015-04-09 |
| 1649664434 | Merit Dermatology, S.c. | Surgery | 6233 Bankers Rd, Suite 20, Mount Pleasant, WI 53403-9700 | 2015-03-19 |
| 1922427939 | Rebecca Leigh Farmer | Surgery | Uw Hospital and Clinics, 600 Highland Ave, Madison, WI 53792-0001 | 2014-04-08 |
| Find all providers with the same taxonomy | ||||
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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.