DR. CHRISTOPHER THOMAS BURNETT (NPI# 1780863779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1780863779 |
Entity Type | Individual |
Full Name | DR. CHRISTOPHER THOMAS BURNETT |
Credential | MD |
Practice Address |
N16w24131 Riverwood Dr Pewaukee Clinic Waukesha WI 53188-1106 |
Practice Telephone | 2626960808 |
Mailing Telephone | 2626960808 |
Enumeration Date | 2007-10-26 |
Last Update Date | 2018-11-05 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207N00000X | Dermatology | 61364-20 | WI | Allopathic & Osteopathic Physicians |
Y | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
61364-20 | WI | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013485804 | Christopher Burnett | Acupuncturist | 36101 Bob Hope Dr, Rancho Mirage, CA 92270-2001 | 2018-11-09 |
1982059259 | Christopher Burnett | Student in an Organized Health Care Education/Training Program | Naval Medical Center San Diego, 34800 Bob Wilson Drive, San Diego, CA 92134-5000 | 2016-04-25 |
1376736785 | Christopher Jason Burnett | Anesthesiology | 2401 S 31st St, Temple, TX 76508-0001 | 2007-08-20 |
Street Address |
N16W24131 RIVERWOOD DR PEWAUKEE CLINIC |
City | WAUKESHA |
State | WI |
Zip Code | 53188-1106 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942274055 | Debra Muggler | Internal Medicine | N16w24131 Riverwood Dr, Pewaukee Clinic, Waukesha, WI 53188-1106 | 2006-02-15 |
1205482353 | Michelle Willman | Nurse Practitioner | N16w24131 Riverwood Dr, Waukesha, WI 53188-1106 | 2019-08-14 |
1245884121 | Allysa Olson | Genetic Counselor, MS | N16w24131 Riverwood Dr, Waukesha, WI 53188-1106 | 2019-07-29 |
1285133504 | Kathleen Jane Bussen | Physical Medicine & Rehabilitation | N16w24131 Riverwood Dr, Waukesha, WI 53188-1106 | 2018-02-02 |
1093231383 | Abbigail Rose Brauch | Physician Assistant | N16w24131 Riverwood Dr, Waukesha, WI 53188-1106 | 2017-08-17 |
1073068714 | Savannah Shores | Nurse Practitioner | N16w24131 Riverwood Dr, Cancer Center, Waukesha, WI 53188-1106 | 2016-08-23 |
1326466186 | Jeremiah Stromich | Internal Medicine | N16w24131 Riverwood Dr, Waukesha, WI 53188-1106 | 2014-03-30 |
1083052690 | Brian W Lee | Dermatology | N16w24131 Riverwood Dr, Waukesha, WI 53188-1106 | 2013-06-06 |
1093058372 | Jonathan Kapke | Internal Medicine | N16w24131 Riverwood Dr, Waukesha, WI 53188-1106 | 2013-04-04 |
1821331307 | Lisa Marie Stringer | Nurse Practitioner | N16w24131 Riverwood Dr, Waukesha, WI 53188-1106 | 2013-04-03 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336787126 | Nicole Lee Berg-johnson | Nurse Practitioner | 820 Crestwood Dr., Waukesha, WI 53188 | 2019-12-12 |
1013475706 | Rachel Mueller | Occupational Therapist | 29667 Summit Ave, S11, Waukesha, WI 53188 | 2019-03-12 |
1861962649 | Emily Elizabeth Seefeld | Occupational Therapy Assistant | 29667 Summit Ave S11, Waukesha, WI 53188 | 2018-12-05 |
1003393307 | Ashley Susan Callahan | Dental Hygienist | 711 W. Moreland Blvd., Suite 204, Waukesha, WI 53188 | 2018-07-19 |
1245741321 | Melissa Weir | Case Manager/Care Coordinator | 514 Riverview Avenue, Waukesha, WI 53188 | 2017-10-17 |
1093233629 | Patricia Marie Sombrio | Dental Hygienist | 711 Moreland Blvd 204, Waukesha, WI 53188 | 2017-09-04 |
1134660244 | Bdg of Wisconsin, Inc. | Behavioral Analyst | N19w2309 Riverwood Drive, Suite 350 Pmb 314, Waukesha, WI 53188 | 2017-03-09 |
1255888731 | Lynne Sarah Alva | Dental Hygienist | 711 Moreland Blvd, Suite 204, Waukesha, WI 53188 | 2016-09-01 |
1881069730 | Michelle Koch | Occupational Therapist | 29667 Summit Ave. S11, Waukesha, WI 53188 | 2015-12-03 |
1952711012 | Rhonda Schroeder | Dental Hygienist | W286 N991 Shepherds Way, Waukesha, WI 53188 | 2014-04-29 |
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Taxonomy Code | 207ND0101X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Dermatology |
Specialization | MOHS-Micrographic Surgery |
The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. |
Notes: Source: American College of Mohs Surgery, 2007 [1/1/2008: added definition, added source] Additional Resources: Additional Resources: http://www.mohscollege.org/; American Board of Dermatology, 2007. http://www.abderm.org/ |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922605880 | Forefront Dermatology Sc | Dermatology | W7713 Johnson Ct, Wautoma, WI 54982-5274 | 2020-10-05 |
1023482569 | Forefront Dermatology, S.c. | Dermatology | 1320 Pabst Farms Cir, Suite 180, Oconomowoc, WI 53066 | 2015-11-20 |
1417105545 | Forefront Dermatology, S.c. | Dermatology | 3515 Murray Street, Marinette, WI 54143 | 2008-09-03 |
1588857247 | Forefront Dermatology, S.c. | Dermatology | 1400 Scheuring Road, De Pere, WI 54115 | 2007-08-24 |
1083768253 | Forefront Dermatology, S.c. | Dermatology | 3935 N Lightning Dr, Appleton, WI 54913 | 2007-01-23 |
1003356692 | Forefront Dermatology, S.c. | Dermatology | 17100 W North Ave, Suite 200, Brookfield, WI 53005 | 2017-03-01 |
1477001956 | Forefront Dermatology, S.c. | Dermatology | 8501 75th St, Suite J, Kenosha, WI 53142 | 2016-09-14 |
1215483201 | Forefront Dermatology, S.c. | Dermatology | 10500 W Loomis Rd, Suite 110, Franklin, WI 53132 | 2016-08-30 |
1275913006 | Maxim Alexandrovich Polansky | Dermatology | 1000 N Oak Ave, Marshfield, WI 54449-5703 | 2015-06-06 |
1013350958 | New Dermatology Group Ltd | Dermatology | 704 S Webster Ave, Green Bay, WI 54301-3528 | 2013-04-10 |
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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.