ORAL SURGERY ASSOCIATES OF MILWAUKEE SC (NPI# 1720172992) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720172992 |
| Entity Type | Organization |
| Organization Name | ORAL SURGERY ASSOCIATES OF MILWAUKEE SC |
| Practice Address |
20611 Watertown Rd Waukesha WI 53186-1871 |
| Practice Telephone | 2627980800 |
| Practice Fax Number | 2627980851 |
| Mailing Telephone | 2627980800 |
| Mailing Fax Number | 2627980851 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2008-01-30 |
| Authorized Official Name | MARK J KORTEBEIN (ORAL & MAXILLOFACIAL SURGEON) |
| Authorized Official Telephone | 2622410900 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
4130-015 | WI | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780850263 | Oral Surgery Associates of Milwaukee Sc | Dentist | 7801 S Howell Ave, Oak Creek, WI 53154-2134 | 2008-05-05 |
| 1477647832 | Oral Surgery Associates of Milwaukee Sc | Dentist | 10535 N Port Washington Rd, Suite 102, Mequon, WI 53092-5583 | 2006-10-02 |
| Street Address |
20611 WATERTOWN RD |
| City | WAUKESHA |
| State | WI |
| Zip Code | 53186-1871 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083614515 | David Christian Hemmy | Neurological Surgery | 20611 Watertown Rd, Suite J, Waukesha, WI 53186-1871 | 2005-07-27 |
| 1457912412 | Jami L Smith | Nurse Practitioner | 20611 Watertown Rd, Waukesha, WI 53186-1871 | 2019-06-21 |
| 1730514175 | Nicole Katcha | Registered Nurse | 20611 Watertown Rd, Suite J, Waukesha, WI 53186-1871 | 2013-09-04 |
| 1851732135 | Jamie L Mabeus | Chiropractor | 20611 Watertown Rd, Suite B, Waukesha, WI 53186-1871 | 2013-07-15 |
| 1841531571 | Nicole M Bartelt | Nurse Practitioner | 20611 Watertown Rd, Ste J, Waukesha, WI 53186-1871 | 2013-03-05 |
| 1801144845 | Ronelle E Christenson | Nurse Practitioner | 20611 Watertown Rd, Suite J, Waukesha, WI 53186-1871 | 2012-08-23 |
| 1689943631 | Colleen Jo Sobocinski | Nurse Practitioner | 20611 Watertown Rd, Suite J, Waukesha, WI 53186-1871 | 2011-12-20 |
| 1720371719 | Prohealth Care Medical Associates Inc | Internal Medicine | 20611 Watertown Rd, Suite J, Waukesha, WI 53186-1871 | 2011-05-24 |
| 1821307190 | Kathleen Wolf | Occupational Therapist | 20611 Watertown Rd, Prohealth Care Works, Waukesha, WI 53186-1871 | 2010-10-04 |
| 1073746517 | Kathy D Hartke Md Sc | Obstetrics & Gynecology | 20611 Watertown Rd, Suite E, Waukesha, WI 53186-1871 | 2009-09-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295391472 | Christine Lowdon Triggs | Dentist | 21680 West Bluemound Rd, Waukesha, WI 53186 | 2019-05-14 |
| 1881182889 | Allure Medical of Wisconsin Pllc | Clinic/Center | 1930 W Bluemound Rd Ste 340, Waukesha, WI 53186 | 2018-04-25 |
| 1316462104 | Mary B Mckee | Dietitian, Registered | 22370 W Bluemound Rd, #102, Waukesha, WI 53186 | 2017-08-14 |
| 1740738343 | Rebecca Menelle | Physical Therapist | 1809 Shepherd Ct, Apt 206, Waukesha, WI 53186 | 2016-09-13 |
| 1568919876 | Dianne Isnard | Physical Therapist | W231n1440 Corporate Court, Waukesha, WI 53186 | 2016-09-02 |
| 1982065991 | Brandon James Decker | Nurse Practitioner | 21775 Hillcrest Drive, Waukesha, WI 53186 | 2016-03-18 |
| 1598142937 | Sophia Marie Klingbiel | Social Worker | 1515 Paramount Dr., Waukesha, WI 53186 | 2015-05-06 |
| 1326478165 | Glen D Haberman | Dentist | 141 Wisconsin Avenue, Waukesha, WI 53186 | 2013-11-14 |
| 1487991014 | Sara Nicole Francis | Counselor | 217 Wisconsin Ave Ste 211, Waukesha, WI 53186 | 2013-01-16 |
| 1770862054 | Alex Colque, M.d. S.c. | Plastic Surgery | 21675 E Moreland Blvd, Suite 100, Waukesha, WI 53186 | 2011-08-04 |
| Find all providers in zip 53186 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285877654 | Shane Connor | Dentist | 1111 Delafield St, Suite 222, Waukesha, WI 53188-3417 | 2009-04-14 |
| 1174733588 | Kevin James Connor | Dentist | 1111 Delafield Street, Suite 222, Waukesha, WI 53188-3403 | 2007-05-23 |
| 1407935794 | Michael Blair Melugin | Dentist | 20855 Watertown Rd, Suite 240, Waukesha, WI 53186 | 2006-11-06 |
| 1225145998 | Thomas James Raspanti | Dentist | 1111 Delafield St, Suite 222, Waukesha, WI 53188-3417 | 2006-08-25 |
| 1912014697 | Joseph Mark Schmidt | Dentist | 1111 Delafield St, Suite 222, Waukesha, WI 53188-3417 | 2006-08-25 |
| 1881702439 | Joseph Adam Best | Dentist | 1111 Delafield St, Suite 222, Waukesha, WI 53188-3417 | 2006-08-25 |
| 1841307584 | Daniel Joseph D'angelo | Dentist | 1111 Delafield St, Suite 222, Waukesha, WI 53188-3417 | 2006-08-25 |
| 1235247834 | Oral and Maxillofacial Surgery Associates of Waukesha, Ltd. | Dentist | 1111 Delafield St, Suite 222, Waukesha, WI 53188-3403 | 2006-08-25 |
| 1194832824 | Timothy Stephen Novak | Dentist | 1111 Delafield St, Suite 222, Waukesha, WI 53188-3417 | 2006-08-25 |
| 1184732869 | Donald Paul Holzhauer | Dentist | 1111 Delafield St, Suite 222, Waukesha, WI 53188-3417 | 2006-08-25 |
| 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.