SENIORWELL POD OF WISCONSIN LLC (NPI# 1770073223) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770073223 |
| Entity Type | Organization |
| Organization Name | SENIORWELL POD OF WISCONSIN LLC |
| Practice Address |
11414 W Park Pl Ste 202 Milwaukee WI 53224-3500 |
| Mailing Address |
2100 E Lake Cook Rd Ste 1000 Buffalo Grove IL 60089-1999 |
| Practice Telephone | 8448823127 |
| Mailing Telephone | 8448823127 |
| Enumeration Date | 2018-05-10 |
| Last Update Date | 2018-05-10 |
| Authorized Official Name | KENNETH KING (OWNER) |
| Authorized Official Telephone | 8448823127 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers |
| Street Address |
11414 W PARK PL STE 202 |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53224-3500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235426461 | Matrix Medical Network of Wisconsin, S.c. | Nurse Practitioner | 11414 W Park Pl Ste 202, Milwaukee, WI 53224-3500 | 2011-07-08 |
| 1669072195 | Current Initiatives Counseling Service II, LLC | Counselor | 11414 W Park Pl Ste 202, Milwaukee, WI 53224-3500 | 2020-10-26 |
| 1922606649 | Blue Willow Counseling and Consulting LLC | Community/Behavioral Health | 11414 W Park Pl Ste 202, Milwaukee, WI 53224-3500 | 2020-10-14 |
| 1417555418 | Mother and Child Prenatal Care Services | Case Management | 11414 W Park Pl Ste 202, Milwaukee, WI 53224-3500 | 2020-10-12 |
| 1740888981 | Kyle Marcus Crawford | Case Manager/Care Coordinator | 11414 W Park Pl Ste 202, Milwaukee, WI 53224-3500 | 2020-10-10 |
| 1528673738 | Fountain of Life Home Healthcare | Home Health | 11414 W Park Pl Ste 202, Milwaukee, WI 53224-3500 | 2020-09-14 |
| 1487263588 | Savvy Wellness and Prenatal Care LLC | Case Management | 11414 W Park Pl Ste 202, Milwaukee, WI 53224-3500 | 2020-07-24 |
| 1952924870 | Pampered Darlings Pncc Services | Case Management | 11414 W Park Pl Ste 202, Milwaukee, WI 53224-3500 | 2020-05-27 |
| 1780212902 | Elevate Home Care LLC | In Home Supportive Care | 11414 W Park Pl Ste 202, Milwaukee, WI 53224-3500 | 2020-04-01 |
| 1205461506 | Fox Valley Surgical Assistants, LLC | Physician Assistant | 11414 W Park Pl Ste 202, Milwaukee, WI 53224-3500 | 2020-03-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124665336 | Ltc Pharmacy Services, LLC | Pharmacy | 11739 W Bradley Rd, Milwaukee, WI 53224 | 2019-12-06 |
| 1811494628 | Udoyen Health LLC | Psychiatry & Neurology | 1414 W Park Pl, Suite 202, Milwaukee, WI 53224 | 2018-04-09 |
| 1003198292 | Attentacare Residential Living LLC | In Home Supportive Care | 8225b North 107th Street, Milwaukee, WI 53224 | 2011-09-13 |
| 1366744278 | Sunday Kerobo | Registered Nurse | 9809 W Fountain Ave, Milwaukee, WI 53224 | 2010-11-29 |
| 1558677237 | Valorie J Roberts | Registered Nurse | 10282 W Fountain Ave Apt #1301, Milwaukee, WI 53224 | 2010-08-19 |
| 1699092999 | United Extended Home Healthcare Services | Home Health | 6455 N. Fresno Streeet, Milwaukee, WI 53224 | 2010-04-26 |
| 1063742096 | Contina Monique Williams | Licensed Practical Nurse | 3949 N 70th St, Milwaukee, WI 53224 | 2010-01-14 |
| 1316171234 | Laura Ann Stern | Registered Nurse | 7005 N102nd St, Milwaukee, WI 53224 | 2009-05-06 |
| 1124276977 | Mary Deloris Wilder | Registered Nurse | 9851 W. Dean Rd, Milwaukee, WI 53224 | 2008-09-05 |
| 1346413515 | Alex B Goldman | Counselor | 11414 W Park Place Suite 202, Milwaukee, WI 53224 | 2008-04-09 |
| Find all providers in zip 53224 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073880936 | Tahir A Khan | Podiatrist | 6001 W Center St Ste 108, Milwaukee, WI 53210-2154 | 2011-11-21 |
| 1811185812 | John Stuart Lanham | Podiatrist | 5720 W Oklahoma Avenue, Milwaukee, WI 53219 | 2007-10-04 |
| 1326124694 | Alan L Balkansky Dpmsc | Podiatrist | 5404a N Lovers Lane Rd, Milwaukee, WI 53225-3006 | 2006-10-31 |
| 1295819118 | North Shore Podiatry, Inc. | Podiatrist | 8003 N Port Washington Rd, Milwaukee, WI 53217-2647 | 2006-10-25 |
| 1346251303 | Jeffrey A Fischer | Podiatrist | 9226 W Burleigh St, Milwaukee, WI 53222-3503 | 2006-08-11 |
| 1235165002 | Steven Eric Kaufman | Podiatrist | 3615 W Oklahoma Ave, Milwaukee, WI 53215-4100 | 2006-06-24 |
| 1457301228 | Steven Frydman | Podiatrist | 7929 N 76th St, Milwaukee, WI 53223-3947 | 2006-05-11 |
| 1427049279 | Community Foot and Ankle Clinic, Inc. | Podiatrist | 4100 S Howell Ave, Milwaukee, WI 53207-4410 | 2005-11-01 |
| 1174529671 | Warren K Mciver | Podiatrist | 7903 West Capitol Drive, Milwaukee, WI 53222-1903 | 2005-06-21 |
| 1952306896 | Louis Robert Lapow | Podiatrist | 4220 S 27th St, Ste 101, Milwaukee, WI 53221-1855 | 2005-06-16 |
| 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.