MILWAUKEE SPINE AND JOINT CENTER (NPI# 1821333550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821333550 |
| Entity Type | Organization |
| Organization Name | MILWAUKEE SPINE AND JOINT CENTER |
| Practice Address |
1631 W Lincoln Ave Milwaukee WI 53215-2637 |
| Practice Telephone | 4146439000 |
| Practice Fax Number | 4146439004 |
| Mailing Telephone | 4146439000 |
| Mailing Fax Number | 4146439004 |
| Enumeration Date | 2012-12-06 |
| Last Update Date | 2012-12-06 |
| Authorized Official Name | DR. KELLY WORTH (CHIROPRACTOR-CLINIC DIRECTOR) |
| Authorized Official Telephone | 4146439000 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 4264-012 | WI | Ambulatory Health Care Facilities |
| Street Address |
1631 W LINCOLN AVE |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53215-2637 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821582065 | Spine and Joint Institute of Milwaukee | Chiropractor | 1631 W Lincoln Ave, Milwaukee, WI 53215-2637 | 2018-06-20 |
| 1568986024 | Nicole Patricia Gebultowicz | Chiropractor | 1631 W Lincoln Ave, Milwaukee, WI 53215-2637 | 2017-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841829918 | Joshua Michael Brooks | Student in an Organized Health Care Education/Training Program | Aurora St. Lukes Medical Center 2901 W Oklahoma Ave, Milwaukee, WI 53215 | 2020-04-02 |
| 1053967091 | Kristina Strupp | Clinical Nurse Specialist | 2900 W. Oaklahoma Avenue, Milwaukee, WI 53215 | 2019-08-15 |
| 1427510296 | Madelyn Pickle | Student in an Organized Health Care Education/Training Program | 2801 W. Kinnickinnic Rd Ste 250, Milwaukee, WI 53215 | 2019-04-02 |
| 1932601838 | Elizabeth D Morawski | Nurse Practitioner | 2801 Kinnickinnic Parkway, Suite 630, Milwaukee, WI 53215 | 2018-03-06 |
| 1457872673 | Canzata Kimberly Dent | Counselor | 2727 W. Cleveland Suite 204, Milwaukee, WI 53215 | 2017-06-28 |
| 1538689955 | Christian Pena | Durable Medical Equipment & Medical Supplies | 2800 W Forest Home Ave, Suite 100, Milwaukee, WI 53215 | 2017-06-27 |
| 1386178804 | Dane A Olsen | Family Medicine | 801 W Kinnickinnic River Pkwy., Suite 250, Milwaukee, WI 53215 | 2017-04-12 |
| 1811443492 | Thomas Diamond | Physical Therapist | 2901 Kinnickinnic Parkway, Milwaukee, WI 53215 | 2016-09-01 |
| 1487055133 | Sam Khalili | Otolaryngology | 2801 W Kinnickinnic River Pkwy # 680, Milwaukee, WI 53215 | 2014-09-12 |
| 1992105621 | Nicole R Hall | Nurse Practitioner | 2901 S Kinnickinnic Ave, Milwaukee, WI 53215 | 2014-08-29 |
| Find all providers in zip 53215 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194337212 | Accident and Injury Rehab Center, Inc | Clinic/Center | 6114 W Capitol Dr Ste 100-102, Milwaukee, WI 53216-2147 | 2020-08-19 |
| 1326683749 | A.b.d.h. Counseling Services LLC | Clinic/Center | 518 E Concordia Avenue, Milwaukee, WI 53212 | 2019-11-08 |
| 1154889749 | Positive Directions Inc | Clinic/Center | 3510 W Saint Paul Ave # 6, Milwaukee, WI 53208-4125 | 2019-03-04 |
| 1255844106 | Comprehensive Diagnostic Imaging of Wisconsin, LLC | Clinic/Center | 2500 W Layton Ave Ste 20, Milwaukee, WI 53221-5400 | 2017-11-14 |
| 1265980767 | Wisconsin Healthcare Services | Clinic/Center | 2462 West Lisbon Avenue, Milwaukee, WI 53205 | 2016-09-14 |
| 1861859902 | Wisconsin Healthcare Network LLC | Clinic/Center | 5600 W Brown Deer Rd Ste 228, Milwaukee, WI 53223-2311 | 2016-01-20 |
| 1801229653 | Sixteen Street Community Health Center | Clinic/Center | 1337 S Cesar E Chavez Dr, Milwaukee, WI 53204-2712 | 2013-08-15 |
| 1003175316 | Healing Center of Milwaukee | Clinic/Center | 5800 W Forest Home Ave, Milwaukee, WI 53220-1954 | 2012-05-07 |
| 1437472172 | Physician Associates of Wisconsin, Sc | Clinic/Center | 7033 Wellauer Dr, Milwaukee, WI 53213-3734 | 2010-03-09 |
| 1285968040 | F Tondkar LLC | Clinic/Center | 5310 W. Capital Dr. Ste 102, Milwaukee, WI 53216-2264 | 2009-09-28 |
| 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.