LAWRENCE JOHN MACIOLEK (NPI# 1811925381) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811925381 |
| Entity Type | Individual |
| Full Name | LAWRENCE JOHN MACIOLEK |
| Credential | M.D. |
| Practice Address |
525 W River Woods Parkway Suite 130 Glendale WI 53212 |
| Mailing Address |
575 W River Woods Pkwy Suite 100 Glendale WI 53212-1003 |
| Practice Telephone | 4149610304 |
| Practice Fax Number | 4149612061 |
| Mailing Telephone | 4143326262 |
| Mailing Fax Number | 4143320422 |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2019-11-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | 45567-020 | WI | Allopathic & Osteopathic Physicians |
| Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
45567-20 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 34908400 | 05 |
| Street Address |
525 W RIVER WOODS PARKWAY SUITE 130 |
| City | GLENDALE |
| State | WI |
| Zip Code | 53212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962406983 | Jeffrey J Stephany | Orthopaedic Surgery | 525 W River Woods Parkway, Ste 130, Glendale, WI 53212 | 2005-06-08 |
| 1013932615 | Thomas B Huizenga | Orthopaedic Surgery | 525 W River Woods Parkway, Ste 130, Glendale, WI 53212-1010 | 2006-07-13 |
| 1831150788 | Anthony Arlo Ferguson | Orthopaedic Surgery | 525 W River Woods Parkway, Ste 130, Glendale, WI 53212 | 2006-03-30 |
| 1235190364 | Donald Kevin Middleton | Orthopaedic Surgery | 525 W River Woods Parkway, Ste 130, Glendale, WI 53212 | 2006-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609481001 | Beth Leanna | Counselor | Benedict Center 1849 N Dr. Marin Luther King Dr., Suite 101, Milwaukee, WI 53212 | 2020-09-11 |
| 1326683749 | A.b.d.h. Counseling Services LLC | Clinic/Center | 518 E Concordia Avenue, Milwaukee, WI 53212 | 2019-11-08 |
| 1467095703 | Ifrah Hameed | Psychologist | 1849 N Doctor M.l.k. Jr Dr# 101, Milwaukee, WI 53212 | 2019-10-18 |
| 1386293330 | Rachel Mae Nelson Bagha | Student in an Organized Health Care Education/Training Program | 1849 N Doctor M.l.k. Jr Dr #101, Milwaukee, WI 53212 | 2019-09-11 |
| 1164085205 | Mary Sue Daase Bowen | Counselor | 2821 N 4th Street, Milwaukee, WI 53212 | 2019-04-15 |
| 1649733189 | Stacey King | Counselor | Rivershore Comprehensive Treatment Facility, 3703 N Richards St, Milwaukee Wi, Milwaukee, WI 53212 | 2019-04-11 |
| 1710447701 | Scott William Stauder | Student in an Organized Health Care Education/Training Program | 1121 E. North Ave., Milwaukee, WI 53212 | 2019-03-25 |
| 1821561168 | Lydia Ann Mendez | Counselor | 3703 N Richards St, Milwaukee, WI 53212 | 2019-01-09 |
| 1851863302 | Glen Victor Fleming | Counselor | 2821 North 4th Street Suite 210, Milwaukee, WI 53212 | 2018-12-21 |
| 1093285140 | Megan Marie Volp | Advanced Practice Midwife | 2555 N Doctor M.l.k. Jr Dr, Milwaukee, WI 53212 | 2018-12-03 |
| Find all providers in zip 53212 | ||||
| Taxonomy Code | 207XS0117X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Surgery of the Spine |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760790349 | Scott I. Lee | Orthopaedic Surgery | 1500 East Chevy Chase Dr, Suite 401a, Glendale, CA 91206 | 2010-09-17 |
| 1780064576 | Adventist Health Physicians Network | Orthopaedic Surgery | 1500 E Chevy Chase Dr, #401, Glendale, CA 91206-4152 | 2015-06-05 |
| 1780062133 | Cervical Spine Centers, Pllc | Orthopaedic Surgery | 18275 N 59th Ave, Building H, Suite 146, Glendale, AZ 85308-1260 | 2015-05-18 |
| 1497058424 | David E. Rogers, M.d. A Professional C | Orthopaedic Surgery | 222 West Eulalia Street, Suite 309, Glendale, CA 91204-2843 | 2010-12-14 |
| 1467605360 | Roy F. Ashford, M.d., Inc. | Orthopaedic Surgery | 1505 Wilson Ter, Suite 200, Glendale, CA 91206-4071 | 2008-10-23 |
| 1457518391 | John R Ehteshami | Orthopaedic Surgery | 18275 N 59th Ave, Building H, Suite 146, Glendale, AZ 85308-1260 | 2008-05-19 |
| 1952577686 | Stepan Kasimian Md Inc | Orthopaedic Surgery | 1505 Wilson Ter, Suite 300, Glendale, CA 91206-4071 | 2008-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659879930 | Joint Replacement Cin of Milwaukee LLC | Orthopaedic Surgery | 310 E Buffalo St Ste 203, Milwaukee, WI 53202-5808 | 2018-01-31 |
| 1477051753 | Spine Cin of Milwaukee LLC | Orthopaedic Surgery | 310 E Buffalo St Ste 206, Milwaukee, WI 53202-5808 | 2018-01-31 |
| 1124359880 | Milwaukee Spinal Specialists, S.c. | Orthopaedic Surgery | 575 W. River Woods Pkwy, Suite 305, Milwaukee, WI 53212-1003 | 2010-01-20 |
| 1912919002 | Stephen P Delahunt | Orthopaedic Surgery | 2801 W Kinnickinnic River Pkwy Ste 355, Milwaukee, WI 53215-3695 | 2006-08-13 |
| 1104873652 | Mustafa Khan | Orthopaedic Surgery | 1218 W Kilbourn Ave Ste 301, Milwaukee, WI 53233-1325 | 2006-05-30 |
| 1003898255 | Clay Jamison Frank | Orthopaedic Surgery | 601 N 99th St, Suite 101, Wauwatosa, WI 53226-4339 | 2005-11-15 |
| 1770032765 | Waypoint Spine, S.c. | Orthopaedic Surgery | 520 Vincent St, Stevens Point, WI 54481-1848 | 2016-10-01 |
| 1386061844 | Mary Lundgren | Orthopaedic Surgery | 3033 W Layton Ave, Greenfield, WI 53221-2628 | 2014-03-23 |
| 1306054390 | Seth K. Williams | Orthopaedic Surgery | 621 Science Dr, Madison, WI 53711-1074 | 2007-05-21 |
| 1619018819 | Midwest Spinal Center | Orthopaedic Surgery | 2015 E Newport Ave, Suite 605, Milwaukee, WI 53211-2949 | 2007-02-09 |
| Find all providers with the same taxonomy | ||||
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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.