DR. EDUARDO SCHOLCOFF (NPI# 1669457214) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669457214 |
| Entity Type | Individual |
| Full Name | DR. EDUARDO SCHOLCOFF |
| Credential | MD |
| Practice Address |
210 Nw Barstow St Suite 201 Waukesha WI 53188-3771 |
| Mailing Address |
10000 W Innovation Dr Suite 300 Milwaukee WI 53226-4837 |
| Practice Telephone | 2625486903 |
| Practice Fax Number | 2625483820 |
| Mailing Telephone | 4144565006 |
| Mailing Fax Number | 4144566259 |
| Enumeration Date | 2005-12-07 |
| Last Update Date | 2011-01-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 55192 | WI | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 036092014 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | STATE LICENSE | 036092014 | 01 |
| IL | 036092014 | 05 | |
| WI | 1669457214 | 05 |
| Street Address |
210 NW BARSTOW ST SUITE 201 |
| City | WAUKESHA |
| State | WI |
| Zip Code | 53188-3771 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760002703 | Erin Maureen Glembocki | Student in an Organized Health Care Education/Training Program | 210 Nw Barstow St, Waukesha, WI 53188-3771 | 2020-04-20 |
| 1538789763 | Samantha Pawela | Student in an Organized Health Care Education/Training Program | 210 Nw Barstow St, Waukesha, WI 53188-3771 | 2020-04-17 |
| 1588284707 | Hannah E Ingvalson | Student in an Organized Health Care Education/Training Program | 210 Nw Barstow St, Waukesha, WI 53188-3771 | 2020-04-17 |
| 1154941334 | Alexis Rose Baker | Student in an Organized Health Care Education/Training Program | 210 Nw Barstow St, Waukesha, WI 53188-3771 | 2020-04-17 |
| 1780204933 | Daniel John Lunetta | Student in an Organized Health Care Education/Training Program | 210 Nw Barstow St, Waukesha, WI 53188-3771 | 2020-04-17 |
| 1902339591 | Kelsey Bierdeman | Family Medicine | 210 Nw Barstow St, Suite 201, Waukesha, WI 53188-3771 | 2017-04-10 |
| 1407210255 | Tyler Erwin Narloch | Family Medicine | 210 Nw Barstow St, Suite 201, Waukesha, WI 53188-3771 | 2016-04-07 |
| 1386007284 | Jennifer Leigh Zeman | Family Medicine | 210 Nw Barstow St, Waukesha, WI 53188-3771 | 2016-03-30 |
| 1265894539 | Laurie Beth Potratz | Family Medicine | 210 Nw Barstow St, Suite 201, Waukesha, WI 53188 | 2016-03-24 |
| 1356736185 | Kristen Elizabeth Fox | Family Medicine | 210 Nw Barstow St, Suite 201, Waukesha, WI 53188-3771 | 2015-03-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336787126 | Nicole Lee Berg-johnson | Nurse Practitioner | 820 Crestwood Dr., Waukesha, WI 53188 | 2019-12-12 |
| 1013475706 | Rachel Mueller | Occupational Therapist | 29667 Summit Ave, S11, Waukesha, WI 53188 | 2019-03-12 |
| 1861962649 | Emily Elizabeth Seefeld | Occupational Therapy Assistant | 29667 Summit Ave S11, Waukesha, WI 53188 | 2018-12-05 |
| 1003393307 | Ashley Susan Callahan | Dental Hygienist | 711 W. Moreland Blvd., Suite 204, Waukesha, WI 53188 | 2018-07-19 |
| 1245741321 | Melissa Weir | Case Manager/Care Coordinator | 514 Riverview Avenue, Waukesha, WI 53188 | 2017-10-17 |
| 1093233629 | Patricia Marie Sombrio | Dental Hygienist | 711 Moreland Blvd 204, Waukesha, WI 53188 | 2017-09-04 |
| 1134660244 | Bdg of Wisconsin, Inc. | Behavioral Analyst | N19w2309 Riverwood Drive, Suite 350 Pmb 314, Waukesha, WI 53188 | 2017-03-09 |
| 1255888731 | Lynne Sarah Alva | Dental Hygienist | 711 Moreland Blvd, Suite 204, Waukesha, WI 53188 | 2016-09-01 |
| 1881069730 | Michelle Koch | Occupational Therapist | 29667 Summit Ave. S11, Waukesha, WI 53188 | 2015-12-03 |
| 1952711012 | Rhonda Schroeder | Dental Hygienist | W286 N991 Shepherds Way, Waukesha, WI 53188 | 2014-04-29 |
| Find all providers in zip 53188 | ||||
| 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 |
|---|---|---|---|---|
| 1306376314 | Eric Paul Kuehn | Family Medicine | 210 Nw Barstow St Ste 210, Waukesha, WI 53188-3771 | 2017-06-13 |
| 1427504802 | Paladina Health, LLC | Family Medicine | 402 Travis Ln, #67, Waukesha, WI 53189-5011 | 2016-08-26 |
| 1720440019 | Heather Koch Harrison | Family Medicine | 210 Nw Barstow St Ste 201, Waukesha, WI 53188-3771 | 2016-03-24 |
| 1174535470 | Punnoose Mackiel | Family Medicine | 1240 Ridge Rd, Waukesha, WI 53186-1425 | 2006-08-13 |
| 1851300933 | Glenn Toth | Family Medicine | 403 N Grand Ave, Waukesha, WI 53186-4913 | 2006-08-06 |
| 1689647406 | Caryn A. Brownell | Family Medicine | 2130 Big Bend Road, Prohealth Care Medical Associates, Inc., Waukesha, WI 53189-7624 | 2006-02-10 |
| 1902879737 | Madelyn C Sieraski | Family Medicine | Prohealth Care Medical Centers-south, 2130 Big Bend Road, Waukesha, WI 53189 | 2006-02-10 |
| 1699747394 | Sandra G Amadon | Family Medicine | 240 Maple Ave, Prohealth Care Medical Associates Inc., Waukesha, WI 53149-8475 | 2006-02-06 |
| 1710971668 | Robert J Beaumont | Family Medicine | 237 Wisconsin Ave, Waukesha, WI 53186-4955 | 2005-09-07 |
| 1699769596 | Cindy B Catania | Family Medicine | W231n1440 Corporate Ct, Waukesha, WI 53186-1303 | 2005-09-07 |
| Find all providers in WAUKESHA | ||||
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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.