DR. ANTONIO IPPOLITO MONTEMURRO (NPI# 1700126562) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700126562 |
| Entity Type | Individual |
| Full Name | DR. ANTONIO IPPOLITO MONTEMURRO |
| Credential | DPM |
| Practice Address |
9697 Saint Catherines Dr Ste 300 Pleasant Prairie WI 53158-2118 |
| Mailing Address |
6308 8th Ave Kenosha WI 53143-5031 |
| Practice Telephone | 2626563338 |
| Practice Fax Number | 2626563368 |
| Mailing Telephone | (262) 656-3313 |
| Mailing Fax Number | 2626535850 |
| Enumeration Date | 2013-02-15 |
| Last Update Date | 2017-05-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
1031-25 | WI | Podiatric Medicine & Surgery Service Providers |
| N | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
016005538 | IL | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 1700126562 | 05 | |
| WI | MEDICARE | K400163324 | 01 |
| Street Address |
9697 SAINT CATHERINES DR STE 300 |
| City | PLEASANT PRAIRIE |
| State | WI |
| Zip Code | 53158-2118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104396795 | Gabriel A Cotto | Registered Nurse | 9697 Saint Catherines Dr Ste 300, Pleasant Prairie, WI 53158-2118 | 2018-11-27 |
| 1881056471 | Teraya Renai Franklin | Nurse Practitioner | 9697 Saint Catherines Dr Ste 300, Pleasant Prairie, WI 53158-2118 | 2016-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497393516 | Aurora Surgery Centers, LLC | Clinic/Center | 12500 Aurora Drive, Pleasant Prairie, WI 53158 | 2019-12-19 |
| 1770144297 | Jill Plaisted | Counselor | 8503 75th Street, Suite A, Pleasant Prairie, WI 53158 | 2019-06-25 |
| 1427593847 | Douglas Marion Mcdaniel | Physical Therapy Assistant | 5932 85th St, Pleasant Prairie, WI 53158 | 2016-12-20 |
| 1477095602 | Molly Weber | Speech-Language Pathologist | 8717 82nd St, Apartment 109, Pleasant Prairie, WI 53158 | 2016-11-04 |
| 1568919165 | Nicole Taylor | Specialist/Technologist | 9321 8th Avenue, Pleasant Prairie, WI 53158 | 2016-09-01 |
| 1578980165 | Forefront Dermatology, S.c. | Dermatology | 9020 76th St, Suite E, Pleasant Prairie, WI 53158 | 2014-03-21 |
| 1750603130 | Shelley L Johnson | Nurse Practitioner | 9697 Saint Catherines Dr # 300, Pleasant Prairie, WI 53158 | 2010-02-25 |
| 1194054981 | Jennifer S Stevens | Behavioral Analyst | 10450 72nd Ave, Pleasant Prairie, WI 53158 | 2009-12-08 |
| 1932273398 | Pamela Anderson | Registered Nurse | 11202 79 Street, Pleasant Prairie, WI 53158 | 2006-11-20 |
| 1033205562 | Holly Seidman | Pharmacist | 1309 110th Street, Pleasant Prairie, WI 53158 | 2006-10-04 |
| Find all providers in zip 53158 | ||||
| Taxonomy Code | 213EP1101X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Primary Podiatric Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588706626 | Northland Podicare Ltd. | Podiatrist | 9251 County Rd J, Minocqua, WI 54548-9251 | 2007-02-13 |
| 1184610685 | Garry M Martin | Podiatrist | 503 S Chestnut Ave, Marshfield, WI 54449-3605 | 2005-09-21 |
| 1093711491 | Timothy Kevin Tougas | Podiatrist | 1301 E Northland Ave, Suite B, Appleton, WI 54911-8582 | 2005-06-22 |
| 1447645080 | Morgan Mack | Podiatrist | 201 Cedar Falls Rd, Menomonie, WI 54751 | 2015-03-31 |
| 1144615907 | Samuel Elsner | Podiatrist | 201 Cedar Falls Rd, Menomonie, WI 54751 | 2015-03-30 |
| 1235561473 | Family Foot & Ankle Clinics of Wisconsin LLC | Podiatrist | 3535 30th Ave, Suite 203, Kenosha, WI 53144-1632 | 2013-07-30 |
| 1063534030 | Foot and Ankle Associates of Wi Ltd | Podiatrist | 2835 N Grandview Blvd, Ste 300, Pewaukee, WI 53072 | 2007-04-03 |
| 1184632341 | Stephen C Bogue | Podiatrist | 6661 Odana Road, Madison, WI 53719 | 2006-08-04 |
| 1386668143 | Thomas Evan Sinnett | Podiatrist | 5000 W National Ave, Milwaukee, WI 53295-0001 | 2006-07-26 |
| 1295758787 | Daniel Scott Toutant | Podiatrist | 5000 W National Ave, Milwaukee, WI 53295-0001 | 2006-07-25 |
| Find all providers with the same taxonomy | ||||
| City | PLEASANT PRAIRIE |
| Zip Code | 53158 |
Please comment or provide details below to improve the information on DR. ANTONIO IPPOLITO MONTEMURRO.
| 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.