BART L MENGO (NPI# 1659863389) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1659863389 |
Entity Type | Individual |
Full Name | BART L MENGO |
Practice Address |
1715 60th Street Kenosha WI 53140 |
Practice Telephone | 2624961333 |
Practice Fax Number | 2626570244 |
Mailing Telephone | 2624961333 |
Mailing Fax Number | 2626570244 |
Enumeration Date | 2018-05-30 |
Last Update Date | 2018-05-30 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 171W00000X | Contractor | 1185780 | WI | Other Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
1715 60th Street, Kenosha, WI 53140 | 2624961333 | 2626570244 |
Street Address |
1715 60TH STREET |
City | KENOSHA |
State | WI |
Zip Code | 53140 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225663396 | Lydia Zopf | Counselor | 2001 Alford Park Dr., Carthage College, Kenosha, WI 53140 | 2020-03-09 |
1952949406 | Rotate Rehabilitation and Performance | Physical Therapist | 5606 6th Avenue Suite Ll9, Kenosha, WI 53140 | 2019-12-16 |
1134778590 | Brenda Chiapetta | Registered Nurse | 3233 23rd Ave, Kenosha, WI 53140 | 2019-09-09 |
1275003394 | Kimberly Shaffner | Family Medicine | 4536 22nd Avenue, Kenosha, WI 53140 | 2018-12-01 |
1093182941 | Guided Wellness Counseling | Community/Behavioral Health | 1112 56th St, Kenosha, WI 53140 | 2015-08-26 |
1376970764 | Stacey L Andersen | Acupuncturist | 5603 7th Ave, Kenosha, WI 53140 | 2013-10-01 |
1841467438 | Deborah Schwerdtfeger | Occupational Therapy Assistant | 3415 Sheridan Road, Woodstock Rehab Dept, Kenosha, WI 53140 | 2008-05-13 |
1942492020 | Rebecca Ann Burdette | Counselor | 920 60th Street, Renosha, WI 53140 | 2007-08-13 |
1851598619 | Aurora Medical Group, Inc. | Durable Medical Equipment & Medical Supplies | 2707 15th Place, Kenosha, WI 53140 | 2007-06-27 |
1740326370 | Paul Michael Defazio | Social Worker | 3734 7th Avenue, Suite 24, Kenosha, WI 53140 | 2007-01-30 |
Find all providers in zip 53140 |
Taxonomy Code | 171W00000X |
Grouping | Other Service Providers |
Classification | Contractor |
A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |
Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902134141 | Angela M Ventura | Contractor | 4931 68th St, Kenosha, WI 53142-1616 | 2009-11-30 |
1831343896 | Dayna Gail Bennett | Contractor | 7316 27th Ave, Kenosha, WI 53143-5284 | 2008-11-04 |
1801062328 | Kim Marie Ausse | Contractor | 3100 Washihgton Road, Washington Manor, Kenosha, WI 53144 | 2008-05-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639788698 | Jasmine C Gray | Contractor | 1300 N Vel R Phillips Ave Apt 301, Milwaukee, WI 53212-4008 | 2020-07-27 |
1326664376 | Paul Richard Hyalnd | Contractor | 17 Forest Ave Ste 12, Fond Du Lac, WI 54935-4165 | 2020-06-24 |
1942820428 | David Fountain | Contractor | 726 Creedwood Lane, West Bend, WI 53095 | 2020-04-24 |
1306474952 | Theresa Randall | Contractor | 9455 W Watertown Plank Rd Fl 4, Wauwatosa, WI 53226-3559 | 2020-03-30 |
1174151088 | Robert Curti | Contractor | 3164 Losey Blvd S, La Crosse, WI 54601-7345 | 2020-03-28 |
1821642232 | Paul Gary Rose | Contractor | N6158 Lambie Rd, De Pere, WI 54115-6705 | 2019-07-25 |
1376196618 | Timothy Leinbach | Contractor | W3575 Cumberland Dr, Berlin, WI 54923-7627 | 2019-07-16 |
1649739038 | Kou Xiong | Contractor | 1323 S 13th Ave, Wausau, WI 54401-5816 | 2019-03-15 |
1174080998 | Jerry Kreibich | Contractor | W25551 Us Highway 10, Eleva, WI 54738-8962 | 2019-02-28 |
1205392610 | Mark James Knudson | Contractor | 3264 S 97th St, Milwaukee, WI 53227-4206 | 2019-02-11 |
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.