CHRISTOPHER J. EVANICH (NPI# 1760451850) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760451850 |
| Entity Type | Individual |
| Full Name | CHRISTOPHER J. EVANICH |
| Credential | M.D. |
| Practice Address |
3237 S 16th St Suite 210 Milwaukee WI 53215-4526 |
| Mailing Address |
3077 N Mayfair Rd Ste 305 Wauwatosa WI 53222-4305 |
| Practice Telephone | 4143846700 |
| Practice Fax Number | 4143843008 |
| Mailing Telephone | 4143846700 |
| Mailing Fax Number | 4147271058 |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2020-02-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 32282 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 32197400 | 05 |
| Street Address |
3237 S 16TH ST SUITE 210 |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53215-4526 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336135375 | Don Suk Lee | Internal Medicine | 3237 S 16th St, Milwaukee, WI 53215-4526 | 2005-09-26 |
| 1235730672 | Laura Marie Steele | Dietitian, Registered | 3237 S 16th St, Milwaukee, WI 53215-4526 | 2020-11-03 |
| 1912527318 | Benjamin Modrell | Pharmacist | 3237 S 16th St, Milwaukee, WI 53215-4526 | 2020-04-26 |
| 1316571896 | Jonathan D Krueger | Pharmacist | 3237 S 16th St, Milwaukee, WI 53215-4526 | 2020-02-24 |
| 1316508617 | Anna Kathryn Baker | Physician Assistant | 3237 S 16th St, Milwaukee, WI 53215-4526 | 2019-06-26 |
| 1740766971 | Diana Jean Maier | Health Educator | 3237 S 16th St, Milwaukee, WI 53215-4526 | 2018-07-11 |
| 1669973632 | Brian T Prost | Nurse Anesthetist, Certified Registered | 3237 S 16th St, Milwaukee, WI 53215-4526 | 2018-02-26 |
| 1053827410 | Alisa Orel | Dietitian, Registered | 3237 S 16th St, Milwaukee, WI 53215-4526 | 2017-12-21 |
| 1922523836 | Freddie J. Mertzig | Nurse Practitioner | 3237 S 16th St, Milwaukee, WI 53215-4526 | 2017-08-11 |
| 1467816561 | Girma Tesfaye Beyene | Internal Medicine | 3237 S 16th St, Milwaukee, WI 53215-4526 | 2016-04-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841829918 | Joshua Michael Brooks | Student in an Organized Health Care Education/Training Program | Aurora St. Lukes Medical Center 2901 W Oklahoma Ave, Milwaukee, WI 53215 | 2020-04-02 |
| 1053967091 | Kristina Strupp | Clinical Nurse Specialist | 2900 W. Oaklahoma Avenue, Milwaukee, WI 53215 | 2019-08-15 |
| 1427510296 | Madelyn Pickle | Student in an Organized Health Care Education/Training Program | 2801 W. Kinnickinnic Rd Ste 250, Milwaukee, WI 53215 | 2019-04-02 |
| 1932601838 | Elizabeth D Morawski | Nurse Practitioner | 2801 Kinnickinnic Parkway, Suite 630, Milwaukee, WI 53215 | 2018-03-06 |
| 1457872673 | Canzata Kimberly Dent | Counselor | 2727 W. Cleveland Suite 204, Milwaukee, WI 53215 | 2017-06-28 |
| 1538689955 | Christian Pena | Durable Medical Equipment & Medical Supplies | 2800 W Forest Home Ave, Suite 100, Milwaukee, WI 53215 | 2017-06-27 |
| 1386178804 | Dane A Olsen | Family Medicine | 801 W Kinnickinnic River Pkwy., Suite 250, Milwaukee, WI 53215 | 2017-04-12 |
| 1811443492 | Thomas Diamond | Physical Therapist | 2901 Kinnickinnic Parkway, Milwaukee, WI 53215 | 2016-09-01 |
| 1487055133 | Sam Khalili | Otolaryngology | 2801 W Kinnickinnic River Pkwy # 680, Milwaukee, WI 53215 | 2014-09-12 |
| 1992105621 | Nicole R Hall | Nurse Practitioner | 2901 S Kinnickinnic Ave, Milwaukee, WI 53215 | 2014-08-29 |
| Find all providers in zip 53215 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700486602 | Butler Orthopedics, LLP | Orthopaedic Surgery | 3237 S 16th St Ste 210, Milwaukee, WI 53215-4526 | 2020-10-29 |
| 1013270644 | Brent Witten | Orthopaedic Surgery | 2801 W Kinnickinnic River Pkwy Ste 370, Milwaukee, WI 53215 | 2012-06-19 |
| 1730445230 | Jesse E Bauwens | Orthopaedic Surgery | 2500 N Mayfair Rd Ste 500, Milwaukee, WI 53226-1415 | 2012-04-09 |
| 1598912248 | Paul A Jacobs | Orthopaedic Surgery | 4641 N Lake Dr, Milwaukee, WI 53211-1255 | 2008-08-25 |
| 1164556684 | Michael Franklin Iossi | Orthopaedic Surgery | 2801 W Kinnickinnic River Pkwy Ste 345, Milwaukee, WI 53215-3693 | 2007-03-15 |
| 1417056979 | Gregory J. Gnadt | Orthopaedic Surgery | 2315 N Lake Dr Ste 901, Milwaukee, WI 53211-4522 | 2006-09-21 |
| 1285685016 | Mark E Hodgson | Orthopaedic Surgery | 2500 N Mayfair Rd Ste 670, Suite 670, Milwaukee, WI 53226-1444 | 2006-05-15 |
| 1720049653 | Lawrence Lee Foster | Orthopaedic Surgery | 5233 W. Morgan Ave, Suite #102, Milwaukee, WI 53220 | 2006-03-30 |
| 1285695395 | Mark Randall Aschliman | Orthopaedic Surgery | 3970 N Oakland Ave, #501, Milwaukee, WI 53211 | 2006-03-29 |
| 1922086032 | James Allen Rydlewicz | Orthopaedic Surgery | 5233 W Morgan Ave, Ste 102, Milwaukee, WI 53220 | 2006-01-09 |
| 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.