ZANE STAUBACH (NPI# 1720594104) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720594104 |
| Entity Type | Individual |
| Full Name | ZANE STAUBACH |
| Practice Address |
8901 W Lincoln Ave West Allis WI 53227-2409 |
| Practice Telephone | 4143287950 |
| Practice Fax Number | 4143288505 |
| Mailing Telephone | 4143287950 |
| Mailing Fax Number | 4143288505 |
| Enumeration Date | 2017-12-20 |
| Last Update Date | 2020-08-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207ZP0101X |
Pathology Specialization: Anatomic Pathology |
TL.0005888 | CO | Allopathic & Osteopathic Physicians |
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
73434-20 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | MEDICAL LICENSE | 73434-20 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2222 N Nevada Ave, Colorado Springs, CO 809076819 | 7197765816 |
| Street Address |
8901 W LINCOLN AVE |
| City | WEST ALLIS |
| State | WI |
| Zip Code | 53227-2409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982603957 | Frederick A Heiden | Anesthesiology | 8901 W Lincoln Ave, West Allis, WI 53227-2409 | 2005-07-20 |
| 1801496500 | Laney Marie Hemer | Physical Therapist | 8901 W Lincoln Ave, West Allis, WI 53227-2409 | 2020-10-30 |
| 1649888389 | Melissa A Jackson | Registered Nurse | 8901 W Lincoln Ave, West Allis, WI 53227-2409 | 2020-07-20 |
| 1679193494 | Jade Noel | Physical Therapy Assistant | 8901 W Lincoln Ave, West Allis, WI 53227-2409 | 2020-04-22 |
| 1740800606 | Andrew Wieting | Physical Medicine & Rehabilitation | 8901 W Lincoln Ave, West Allis, WI 53227-2409 | 2020-04-21 |
| 1104455864 | Andrew D Merkel | Physical Therapist | 8901 W Lincoln Ave, West Allis, WI 53227-2409 | 2020-04-05 |
| 1649807645 | Megan Devine | Speech-Language Pathologist | 8901 W Lincoln Ave, West Allis, WI 53227-2409 | 2020-03-27 |
| 1144858002 | Rachel Ball-tobin | Massage Therapist | 8901 W Lincoln Ave, West Allis, WI 53227-2409 | 2020-03-27 |
| 1093353583 | Mckayla Figueroa | Physical Therapist | 8901 W Lincoln Ave, West Allis, WI 53227-2409 | 2019-12-15 |
| 1407417629 | Stacy Neumann | Occupational Therapist | 8901 W Lincoln Ave, West Allis, WI 53227-2409 | 2019-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205451564 | Ginger Renee Bland | Nurse Practitioner | 11133 W. National Avenue, West Allis, WI 53227 | 2020-06-12 |
| 1003312141 | Dynamic Medical Equipment, LLC | Durable Medical Equipment & Medical Supplies | 10236 W National Ave, West Allis, WI 53227 | 2018-04-05 |
| 1932572641 | Alissa Kristine Walker | Specialist/Technologist | 11601 W Lincoln Ave, West Allis, WI 53227 | 2015-11-03 |
| 1396155990 | Bradly Earl Helinski | Physical Therapy Assistant | 3023 S 84th St., Milwaukee, WI 53227 | 2014-05-05 |
| 1609299783 | Amy Renee Rozumalski | Occupational Therapy Assistant | 10150 W. National Ave, Suite 150, Premiere Medical Staffing Services, LLC, Milwaukee, WI 53227 | 2014-01-27 |
| 1497098438 | Kathleen Marie Schneider | Physical Therapy Assistant | 3023 S. 84th Street, Milwaukee, WI 53227 | 2013-03-28 |
| 1760723373 | Lee Ann Schraith | Physical Therapy Assistant | 3023 S. 84th St, Milwaukee, WI 53227 | 2013-03-06 |
| 1740520725 | Samantha Lynn Wozniak | Physical Therapist | 3023 S. 84th St., Milwaukee, WI 53227 | 2013-02-27 |
| 1831434901 | Andrew Paul Roeder | Physical Therapy Assistant | 3023 S. 89th Street, Milwaukee, WI 53227 | 2012-11-30 |
| 1538418116 | Christine Wilford | Social Worker | 2044 S 96th Street, West Allis, WI 53227 | 2012-08-29 |
| Find all providers in zip 53227 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437355997 | Monica Goswami | Pathology | 10472 W Montana Ave, # 215, West Allis, WI 53227-3263 | 2007-06-22 |
| 1891827234 | Jay F Schamberg | Pathology | 8901 West Lincoln Ave., West Allis, WI 53227 | 2007-03-12 |
| 1508891920 | Patricia A Bachhuber | Pathology | 8901 W Lincoln Avenue, West Allis, WI 53227-2477 | 2006-07-12 |
| 1588697569 | Lisa Beth Nass | Pathology | 8901 West Lincoln Avenue, West Allis, WI 53227-2477 | 2006-07-10 |
| 1073931580 | Amanda Meindl | Pathology | 8901 W Lincoln Ave, West Allis, WI 53227-2409 | 2014-04-01 |
| 1316364698 | Amrou Abdelkader | Pathology | 8901 W Lincoln Ave, West Allis, WI 53227-2409 | 2014-03-25 |
| 1285979237 | Jocelyn Torcolini Vincent | Pathology | 8901 W Lincoln Ave, West Allis, WI 53227-2477 | 2012-12-03 |
| 1245431576 | Christine Roloff | Pathology | 8901 W Lincoln Ave, West Allis, WI 53227-2409 | 2007-05-31 |
| 1467662080 | Dean-yar Tigrani | Pathology | 8901 W. Lincoln Ave, Great Lakes Pathologists, West Allis, WI 53227-0901 | 2007-05-23 |
| 1063576429 | Elizabeth Mae Fowler | Pathology | 8901 W Lincoln Ave, West Allis, WI 53227-2409 | 2006-12-20 |
| Find all providers in WEST ALLIS | ||||
| City | WEST ALLIS |
| Zip Code | 53227 |
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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.