DR. ROBERT A FASANO (NPI# 1770666471) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770666471 |
| Entity Type | Individual |
| Full Name | DR. ROBERT A FASANO |
| Credential | MD |
| Practice Address |
N2950 State Road 67 Lake Geneva WI 53147-2655 |
| Practice Telephone | 2622450535 |
| Practice Fax Number | 2622452248 |
| Mailing Telephone | 2622450535 |
| Mailing Fax Number | 2622452248 |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2015-01-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 036-102882 | IL | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 38693 | WI | Allopathic & Osteopathic Physicians |
| Y | 208M00000X | Hospitalist | 38693-20 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 1770666471 | 05 | |
| WI | RR MEDICARE | P00917285 | 01 |
| WI | MERCYCARE INSURANCE | FASANROB | 01 |
| WI | 32332100 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013190495 | Robert William Fasano | Social Worker | 175 Jericho Tpke, Suite 115, Syosset, NY 11791-4532 | 2007-12-09 |
| Street Address |
N2950 STATE ROAD 67 |
| City | LAKE GENEVA |
| State | WI |
| Zip Code | 53147-2655 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386631281 | Shweta Pearlstein | Anesthesiology | N2950 State Road 67, Lake Geneva, WI 53147-2655 | 2005-10-05 |
| 1154928547 | Jessica M Grubb | Occupational Therapist | N2950 State Road 67, Lake Geneva, WI 53147-2655 | 2020-10-08 |
| 1063072650 | Madalyn R Douglas | Physical Therapist | N2950 State Road 67, Lake Geneva, WI 53147-2655 | 2019-06-17 |
| 1013421908 | Ashley E. Boro | Occupational Therapist | N2950 State Road 67, Lake Geneva, WI 53147-2655 | 2017-11-30 |
| 1447776950 | Stefanie N Droese | Physical Therapist | N2950 State Road 67, Lake Geneva, WI 53147-2655 | 2017-08-16 |
| 1427573773 | Andrea M. Lysaght | Registered Nurse | N2950 State Road 67, Lake Geneva, WI 53147-2655 | 2017-08-08 |
| 1265956288 | Kyle C. Janicke | Physical Therapist | N2950 State Road 67, Lake Geneva, WI 53147-2655 | 2017-08-01 |
| 1164952891 | Carling M. Johns | Physical Therapist | N2950 State Road 67, Lake Geneva, WI 53147-2655 | 2017-06-15 |
| 1730615030 | Deborah Lynn Young | Registered Nurse | N2950 State Road 67, Lake Geneva, WI 53147-2655 | 2017-05-04 |
| 1386180255 | Shelly M Weis | Physical Therapist | N2950 State Road 67, Lake Geneva, WI 53147-2655 | 2017-01-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356951206 | Emily Tanis | Physical Therapist | 6722 Wi-50, Lake Geneva, WI 53147 | 2020-08-05 |
| 1588295653 | Baylee M Noe | Occupational Therapy Assistant | Sage Meadow of Lake Geneva 6722 Wi-50, Lake Geneva, WI 53147 | 2020-01-28 |
| 1124539556 | Roxanne Weber | Registered Nurse | 146 E. Geneva Square, Lake Geneva, WI 53147 | 2017-10-12 |
| 1386969400 | Emily Kathleen Wilczak | Surgery | N2950 Wi-67, Lake Geneva, WI 53147 | 2010-03-31 |
| 1538294020 | Dale Alan Miller | Pharmacist | 2950 St. Hwy. 67, Lake Geneva, WI 53147 | 2007-02-23 |
| 1689779902 | Balistreri & Associates Physical Therapy | Physical Therapist | 902 Wells Street, Lake Geneva, WI 53147 | 2006-09-13 |
| 1336157981 | Nestor C Alabarca | Internal Medicine | 146 E Geneva Square, Lake Geneva, WI 53147 | 2006-08-03 |
| 1144259375 | Kim M. Cuculi | Occupational Therapist | 800 Geneva Pkwy N Ste 3, Lake Geneva, WI 53147 | 2006-07-01 |
| 1396253571 | Amar Y. Patel | Family Medicine | 146 E Geneva Sq, Lake Geneva, WI 53147 | 2018-01-22 |
| 1679017925 | Christina L. Clancy | Nurse Practitioner | 146 E Geneva Sq, Lake Geneva, WI 53147 | 2016-12-06 |
| Find all providers in zip 53147 | ||||
| Taxonomy Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477896355 | James David Alstott | Hospitalist | 444 W Wilson St Apt 309, Madison, WI 53703-4024 | 2013-03-29 |
| 1871864629 | Malini Guha Majumder | Hospitalist | 2900 W Oaklahoma Ave, Suite 315, Milwaukee, WI 53215 | 2012-01-25 |
| 1255656013 | Hannah Irene Bell | Hospitalist | 1106 Wellesley Rd, Madison, WI 53705 | 2010-04-05 |
| 1639309453 | Eugene Enriquez | Hospitalist | 5665 Golden Rain Ct, New Berlin, WI 53151-8733 | 2009-07-15 |
| 1073742672 | Sudhir Duvuru | Hospitalist | Marshfield Clinic 1000 N Oak Ave, Marshfield, WI 54449-5777 | 2009-07-06 |
| 1760636070 | Ndidiamaka Cecilia Agu | Hospitalist | 835 S. Van Buren St., Green Bay, WI 54301-3526 | 2008-11-13 |
| 1285852889 | Brian Thomas Jubeck | Hospitalist | 1008 Beloit Ct, Madison, WI 53705-2233 | 2007-04-22 |
| 1265458053 | Suzanne Victoria Powell | Hospitalist | 141 Siegler St, Dept of Veterans Affairs, Green Bay, WI 54303-2635 | 2006-07-14 |
| 1023055910 | Margaret M Pearsall | Hospitalist | Beloit Memorial Hospital, 1969 W. Hart Road, Beloit, WI 53511-2230 | 2006-06-01 |
| 1205809936 | Allen W. Chu | Hospitalist | 725 American Ave Rm 2036, Prohealth Care Hospitalists Program, Waukesha, WI 53188-5031 | 2006-02-13 |
| Find all providers with the same taxonomy | ||||
| City | LAKE GENEVA |
| Zip Code | 53147 |
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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.