DANIEL BUTZ M.D., S.C. (NPI# 1750827556) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750827556 |
| Entity Type | Organization |
| Organization Name | DANIEL BUTZ M.D., S.C. |
| Practice Address |
2350 N Lake Dr Ste 304 Milwaukee WI 53211 |
| Mailing Address |
1005 San Jose Dr Elm Grove WI 53122-2139 |
| Practice Telephone | 4142987212 |
| Mailing Telephone | 9208196361 |
| Enumeration Date | 2017-01-17 |
| Last Update Date | 2018-09-17 |
| Authorized Official Name | DANIEL BUTZ (PRESIDENT) |
| Authorized Official Telephone | 9208196361 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | 66679-20 | WI | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 13800 W North Ave Ste 110, Brookfield, WI 530054977 | (262) 717-4000 | 2626417435 |
| Street Address |
2350 N LAKE DR STE 304 |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821602335 | Gabriella Caitrin Emanuele | Occupational Therapist | Harborchase of Shorewood, 1111 E Capitol Drive, Shorewood, WI 53211 | 2020-09-02 |
| 1710527783 | Sage Specialty Pharmacy Inc. | Pharmacy | 4001 N. Oakland Ave, Shorewood, WI 53211 | 2020-01-08 |
| 1861043952 | Rosina Bloomingdale Norton | Nurse Practitioner | 1921 E Harford Ave, Milwaukee, WI 53211 | 2019-09-20 |
| 1528556255 | Renee Reckelberg | Specialist/Technologist | 3409 North Downer Avenue, Pavilion, Suite 350, Milwaukee, WI 53211 | 2018-04-27 |
| 1700325602 | Wisconsin Vision, Inc. | Optometrist | 4163 N Oakland Ave, Shorewood, WI 53211 | 2017-02-13 |
| 1528517232 | Therese Simonis | Speech-Language Pathologist | 2390 N Lake Drive, Milwaukee, WI 53211 | 2016-09-23 |
| 1982075701 | Katie Michel | Specialist/Technologist | 3409 N. Downer Ave, Milwaukee, WI 53211 | 2015-10-20 |
| 1255776365 | Sarah Elizabeth Brill | Social Worker | 4433 N Oakland Ave Ste D, Shorewood, WI 53211 | 2013-05-02 |
| 1679814537 | Nicole Anne Parulski | Physical Therapist | 2301 North Lake Dr, Milwaukee, WI 53211 | 2013-03-01 |
| 1164771093 | Justin Dwayne Howell | Registered Nurse | 2221 E. Beverly Rd, Milwaukee, WI 53211 | 2012-09-06 |
| Find all providers in zip 53211 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154375996 | Roger C Mixter | Plastic Surgery | 5201 N Port Washington Rd, Milwaukee, WI 53217-4902 | 2006-05-19 |
| 1255307997 | Lawrence A. Sterkin | Plastic Surgery | 2801 W Kinnickinnic River Pkwy Ste 540, Milwaukee, WI 53215-3678 | 2006-02-23 |
| 1639739030 | Mark F Blake Md, Sc | Plastic Surgery | 5201 N Port Washington Rd, Milwaukee, WI 53217-4902 | 2019-06-18 |
| 1760914378 | Miles Bichanich | Plastic Surgery | 1155 N Mayfair Rd, Ste. T2600- South Entry, Milwaukee, WI 53226-3462 | 2017-04-02 |
| 1689105397 | Meng Guo | Plastic Surgery | 8701 W Watertown Plank Rd, Milwaukee, WI 53226-3548 | 2017-03-23 |
| 1134521602 | Kuylhee Kim | Plastic Surgery | 9200 W Wisconsin Ave, Dept of Plastic Surgery, Milwaukee, WI 53226-3522 | 2014-09-16 |
| 1588009658 | Harry S Nayar | Plastic Surgery | 2801 W Kinnickinnic River Pkwy, Milwaukee, WI 53215-3669 | 2013-05-02 |
| 1427363449 | Justin R Bryant | Plastic Surgery | 1155 N Mayfair Rd, Milwaukee, WI 53226-3462 | 2010-08-13 |
| 1588985402 | Aaron Morgan | Plastic Surgery | 1155 N Mayfair Rd, Milwaukee, WI 53226-3462 | 2010-06-15 |
| 1770713182 | Nyama M Sillah | Plastic Surgery | 2801 W Kinnickinnic River Pkwy, Suite 430, Milwaukee, WI 53215-3669 | 2009-07-20 |
| Find all providers in MILWAUKEE | ||||
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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.