DR. ROGER WILLIAM BEAUMONT (NPI# 1649268061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649268061 |
| Entity Type | Individual |
| Full Name | DR. ROGER WILLIAM BEAUMONT |
| Credential | D.O. |
| Practice Address |
4805 S Moorland Rd New Berlin WI 53151-7401 |
| Practice Telephone | 2627987200 |
| Practice Fax Number | 2627987201 |
| Mailing Telephone | 2627987200 |
| Mailing Fax Number | 2627987201 |
| Enumeration Date | 2005-10-10 |
| Last Update Date | 2019-05-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 17304 | WI | Allopathic & Osteopathic Physicians |
| Street Address |
4805 S MOORLAND RD |
| City | NEW BERLIN |
| State | WI |
| Zip Code | 53151-7401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730710898 | Froedtert Health Neighborhood Hospital, LLC | General Acute Care Hospital | 4805 S Moorland Rd, New Berlin, WI 53151-7401 | 2020-01-28 |
| 1891359311 | Samantha Marie Pangborn | Physical Therapist | 4805 S Moorland Rd, New Berlin, WI 53151-7401 | 2019-04-30 |
| 1376027664 | Brooke Fula | Nurse Practitioner | 4805 S Moorland Rd, New Berlin, WI 53151-7401 | 2018-09-21 |
| 1669951737 | Rachel Kriz | Nurse Practitioner | 4805 S Moorland Rd, New Berlin, WI 53151-7401 | 2018-08-09 |
| 1225534605 | Cynthia Louise Shicotte | Speech-Language Pathologist | 4805 S Moorland Rd, New Berlin, WI 53151-7401 | 2018-04-04 |
| 1073046520 | Bryan Beaumont | Family Medicine | 4805 S Moorland Rd, New Berlin, WI 53151-7401 | 2017-04-11 |
| 1730635657 | Froedtert & The Medical College of Wisconsin Community Physicians, Inc | Durable Medical Equipment & Medical Supplies | 4805 S Moorland Rd, New Berlin, WI 53151-7401 | 2016-08-31 |
| 1912452533 | Adam Edward Carow | Physical Therapist | 4805 S Moorland Rd, New Berlin, WI 53151-7401 | 2016-08-24 |
| 1104284025 | Emily Jacobson | Physical Therapist | 4805 S Moorland Rd, Moorland Reserve Health Center, New Berlin, WI 53151-7401 | 2016-02-05 |
| 1174902589 | Froedtert & The Medical College of Wisconsin Community Physicians Inc | Clinical Medical Laboratory | 4805 S Moorland Rd, New Berlin, WI 53151-7401 | 2015-05-19 |
| 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 | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912158213 | Cristina Andrea Grieben | Family Medicine | 12700 W Hickory Rd, New Berlin, WI 53151-4625 | 2008-10-05 |
| 1013080241 | Ardita Tali | Family Medicine | 12561 Duncan Ln Unit 201, New Berlin, WI 53151-8794 | 2006-11-16 |
| 1033297528 | Arlen R Delp | Family Medicine | 14555 W. National Avenue, Ste. 165, New Berlin, WI 53151-4494 | 2006-11-01 |
| 1407829278 | Marci D. Kessen | Family Medicine | 13900 W National Ave, Prohealth Care Medical Associates Inc, New Berlin, WI 53151-9515 | 2006-02-10 |
| 1043283815 | Renee M. Knapp | Family Medicine | 13900 W National Avenue, Prohealth Care Medical Associates, Inc., New Berlin, WI 53151 | 2006-02-10 |
| 1649243429 | Gary L. Kuhl | Family Medicine | 13900 W. National Avenue, Prohealth Care Medical Associates, Inc., New Berlin, WI 53151 | 2006-02-10 |
| 1164495966 | Jeffrey D. Winkoski | Family Medicine | Prohealth Care Medical Centers-new Berlin, 13900 W National Avenue, New Berlin, WI 53151 | 2006-02-10 |
| 1730166901 | Nezih Z Hasanoglu | Family Medicine | 13700 W National Ave, Suite 116, New Berlin, WI 53151-9521 | 2005-12-28 |
| 1932197357 | Caring Team Inc | Family Medicine | 15350 W National Ave, Suite 212, New Berlin, WI 53151-5158 | 2005-10-10 |
| 1538153416 | Margaret M. Leonhardt | Family Medicine | 12901 W National Ave, New Berlin, WI 53151-4063 | 2005-09-07 |
| Find all providers in NEW BERLIN | ||||
| 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.