A JEFFREY WHITEHEAD (NPI# 1790751261) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790751261 |
| Entity Type | Individual |
| Full Name | A JEFFREY WHITEHEAD |
| Other Name | ALLAN JEFFREY WHITEHEAD |
| Credential | MD |
| Practice Address |
3524 E Milwaukee St Janesville WI 53546-1626 |
| Practice Telephone | 6087567100 |
| Practice Fax Number | 6087564700 |
| Mailing Telephone | 6087567100 |
| Mailing Fax Number | 6087564700 |
| Enumeration Date | 2006-02-24 |
| Last Update Date | 2012-09-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 47003 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 34551500 | 05 | |
| WI | RR MEDICARE | P00942387DB7792 | 01 |
| WI | MERCYCARE INSURANCE | WHITEJE4 | 01 |
| Street Address |
3524 E MILWAUKEE ST |
| City | JANESVILLE |
| State | WI |
| Zip Code | 53546-1626 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922085083 | Craig Michelsen | Family Medicine | 3524 E Milwaukee St, Janesville, WI 53546-1626 | 2005-12-29 |
| 1396223095 | Jaime Elizabeth Pechacek | Physician Assistant | 3524 E Milwaukee St, Janesville, WI 53546 | 2018-08-03 |
| 1295259513 | Mary Augustian | Pediatrics | 3524 E Milwaukee St, Janesville, WI 53546-1626 | 2017-07-28 |
| 1720442809 | Kristine K. Arndt | Internal Medicine | 3524 E Milwaukee St, Janesville, WI 53546-1626 | 2016-04-05 |
| 1992172860 | Ryne R Bean | Family Medicine | 3524 E Milwaukee St, Janesville, WI 53546-1626 | 2015-08-27 |
| 1770928160 | Eric M. Schulz | Physician Assistant | 3524 E Milwaukee St, Janesville, WI 53546-1626 | 2013-04-30 |
| 1699017178 | Elizabeth Marie Loconto | Pediatrics | 3524 E Milwaukee St, Janesville, WI 53546-1626 | 2013-03-21 |
| 1750637021 | Alethea L Poste | Family Medicine | 3524 E Milwaukee St, Janesville, WI 53546-1626 | 2012-07-24 |
| 1477808772 | Kari Martin | Physical Therapist | 3524 E Milwaukee St, Janesville, WI 53546-1626 | 2012-07-23 |
| 1598028144 | Rebecca L. Custer | Physical Therapist | 3524 E Milwaukee St, Janesville, WI 53546-1626 | 2012-06-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366911489 | Latoya Christina Anderson | Counselor | 1818 Pershing Pl, Janesville, WI 53546 | 2018-11-19 |
| 1922599216 | Megan Arney | Speech-Language Pathologist | 9680, 4445 Woodgate Dr., Janesville, WI 53546 | 2018-05-23 |
| 1770089955 | Abby Marie Harnack | Registered Nurse | 3901 Teal Ln, Janesville, WI 53546 | 2018-04-05 |
| 1962773648 | Clark Carroll | Nurse Practitioner | 1820 Center Ave, Janesville, WI 53546 | 2012-01-26 |
| 1689983793 | Fve Mw LLC | Assisted Living Facility | 3801 North Wright Road, Janesville, WI 53546 | 2010-10-07 |
| 1831354794 | County of Rock County Clerk | Community/Behavioral Health | 3506 Hwy 51, Janesville, WI 53546 | 2008-07-21 |
| 1528225422 | Walgreen Co | Pharmacy | 2519 Kettering St, Janesville, WI 53546 | 2008-05-19 |
| 1447420351 | Michele Renee Bohland | Physical Therapy Assistant | 2540 Humes Rd, Janesville, WI 53546 | 2008-03-06 |
| 1093992158 | Emma Gene Harrell | Counselor | 203 W Sunny Lane, Janesville, WI 53546 | 2008-01-30 |
| 1457473696 | Robert Louis Fleming | Dentist | 910 Conde St, Janesville, WI 53546 | 2007-04-06 |
| Find all providers in zip 53546 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| 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 Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568608057 | George Charnecki | Ophthalmology | 927 No. Grant, Janesville, WI 53548-2318 | 2009-01-05 |
| 1629293493 | Kimberley R. Lovelace | Ophthalmology | 3524 E Milwaukee St, Janesville, WI 53546-1626 | 2007-04-16 |
| 1407903180 | Thom S Thomassen | Ophthalmology | 3524 E Milwaukee St, Janesville, WI 53546-1626 | 2007-01-04 |
| 1518066554 | David Richard Luellwitz | Ophthalmology | 3524 E Milwaukee St, Janesville, WI 53546-1626 | 2006-09-22 |
| 1972612661 | John J Bussa | Ophthalmology | 3524 E Milwaukee St, Janesville, WI 53546-1626 | 2006-08-29 |
| 1144265729 | Anne E Kilby | Ophthalmology | 3200 E Racine St, Janesville, WI 53546-2343 | 2006-06-18 |
| 1235170374 | John J Downing | Ophthalmology | 3200 E Racine St, Janesville, WI 53546-2343 | 2006-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669093308 | Eye Physicians and Surgeons Sc | Ophthalmology | 675 W State Street, Burlington, WI 53105-2152 | 2020-05-05 |
| 1992350375 | Summit Eye Care of Wisconsin Sc | Ophthalmology | 10425 W North Ave Ste 245, Wauwatosa, WI 53226-2416 | 2019-08-02 |
| 1912566597 | William Alden Blank | Ophthalmology | W5843 Vista Dr, La Crosse, WI 54601-7120 | 2019-06-07 |
| 1962974485 | Southwest Health Center, Inc. | Ophthalmology | 1509 Ihm St, Lancaster, WI 53813-9458 | 2018-12-21 |
| 1477083194 | Maxwell Joseph Wingelaar | Ophthalmology | Uw Health University Hospital, Madison, WI 53792 | 2017-06-14 |
| 1770967572 | Baycare Clinic LLP | Ophthalmology | 1603 Washington Street, Two Rivers, WI 54241 | 2015-07-13 |
| 1114315587 | Eye Clinic of Wisconsin, Sc | Ophthalmology | 841 Goodnow Ave, Suite 103, Wisconsin Rapids, WI 54494-0315 | 2015-01-07 |
| 1164824231 | Arthur Francis Garcia | Ophthalmology | 7025 Cedar Creek Rd, Cedarburg, WI 53012-9778 | 2014-09-20 |
| 1962820027 | Jennifer Ciske Larson | Ophthalmology | 2349 Deming Way Deming Way Eye Clinic, Middleton, WI 53562 | 2014-04-04 |
| 1003233255 | Kenneth Weinlander | Ophthalmology | 740 N Plankinton Ave Ste 836, Milwaukee, WI 53203-2403 | 2014-03-26 |
| Find all providers with the same taxonomy | ||||
| City | JANESVILLE |
| Zip Code | 53546 |
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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.