DR. ERIK PARNELL SKULBORSTAD (NPI# 1831494996) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831494996 |
| Entity Type | Individual |
| Full Name | DR. ERIK PARNELL SKULBORSTAD |
| Credential | M.D. |
| Practice Address |
4025 N 92nd St Wauwatosa WI 53222-1613 |
| Mailing Address |
2900 W Oklahoma Ave Milwaukee WI 53215-4330 |
| Practice Telephone | 4143585437 |
| Mailing Telephone | 4143257246 |
| Enumeration Date | 2011-01-21 |
| Last Update Date | 2016-07-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085N0700X |
Radiology Specialization: Neuroradiology |
62231-20 | WI | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
62231 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 1831494996 | 05 |
| Street Address |
4025 N 92ND ST |
| City | WAUWATOSA |
| State | WI |
| Zip Code | 53222-1613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720063738 | Christine M. Nervi | Nurse Anesthetist, Certified Registered | 4025 N 92nd St, Wauwatosa, WI 53222-1613 | 2005-12-13 |
| 1932654696 | Stephanie Diane Kilps | Physician Assistant | 4025 N 92nd St, Wauwatosa, WI 53222-1613 | 2016-08-23 |
| 1124429022 | Timothy Klusman | Anesthesiologist Assistant | 4025 N 92nd St, Wauwatosa, WI 53222-1613 | 2014-09-10 |
| 1447661673 | Katherine M Karczewski | Nurse Practitioner | 4025 N 92nd St, Lower Level, Wauwatosa, WI 53222 | 2014-05-09 |
| 1073942561 | Kyle Mericle | Anesthesiologist Assistant | 4025 N 92nd St, Wauwatosa, WI 53222-1613 | 2013-11-05 |
| 1013343730 | Sarah J Parve | Nurse Practitioner | 4025 N 92nd St, Wauwatosa, WI 53222-1613 | 2013-09-26 |
| 1528407376 | Brian A White | Anesthesiologist Assistant | 4025 N 92nd St, Wauwatosa, WI 53222-1613 | 2013-06-14 |
| 1356685515 | Erin E Taylor | Anesthesiologist Assistant | 4025 N 92nd St, Wauwatosa, WI 53222-1613 | 2012-11-12 |
| 1003167008 | Anna Janulewicz | Anesthesiologist Assistant | 4025 N 92nd St, Wauwatosa, WI 53222-1613 | 2012-10-01 |
| 1669723664 | John G Rippy | Anesthesiologist Assistant | 4025 N 92nd St, Wauwatosa, WI 53222-1613 | 2012-10-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477101673 | Dalaina Y Holliman | Technician | 7719 W Fiebrantz Ave, Milwaukee, WI 53222 | 2019-08-30 |
| 1083183016 | Umenia Marie White | Respite Care | 7726 W. Center Street, Apt 1, Milwaukee, WI 53222 | 2018-11-20 |
| 1003399445 | For Eyes Optical Co of Pennsylvania | Eyewear Supplier (Equipment, not the service) | 11450 W. Burleigh St, Wauwatosa, WI 53222 | 2018-09-12 |
| 1558852673 | Joseph Fleming | Physical Therapist | 11450 W Burleigh St, Ste 120, Wauwatosa, WI 53222 | 2018-05-24 |
| 1942739206 | Yolanda D. Burdine | Licensed Practical Nurse | 8327 W. Center St., Apt. 2, Milwaukee, WI 53222 | 2017-06-08 |
| 1558807131 | Midwest Nephrology Associates, Sc | Clinic/Center | 7797 W Appleton Avenue, Milwaukee, WI 53222 | 2017-01-06 |
| 1477097269 | Benjamin David Kluge | Pharmacist | 11111 W Burleigh Rd, Wauwatosa, WI 53222 | 2016-12-13 |
| 1841746989 | Elissa Hornick | Physician Assistant | 2885 N. Mayfair Rd., Wauwatosa, WI 53222 | 2016-08-29 |
| 1598218562 | Riley's Residential Home Care, LLC | In Home Supportive Care | 10111 W. Capitol Dr, Wauwatosa, WI 53222 | 2016-07-26 |
| 1346696796 | Respiratory and Sleep Services LLC | Durable Medical Equipment & Medical Supplies | 6529 W Fond Du Lac Avenue, Milwaukee, WI 53222 | 2016-05-04 |
| Find all providers in zip 53222 | ||||
| Taxonomy Code | 2085N0700X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Neuroradiology |
| A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801117585 | Adam N Wallace | Radiology | 2301 N Lake Dr Ste 1104, Milwaukee, WI 53211-4508 | 2010-06-17 |
| 1346622982 | Abdelrahman Mohamed Safwat Abdelazim | Radiology | 600 Highland Ave, Madison, WI 53792-0001 | 2015-06-19 |
| 1346508033 | Anthony Patrick Zbacnik | Radiology | 1836 South Ave, La Crosse, WI 54601-5429 | 2012-05-01 |
| 1417214479 | Laura Burns Eisenmenger | Radiology | 600 Highland Ave, Madison, WI 53792-3908 | 2012-04-16 |
| 1992090674 | James C. Darsie | Radiology | 1000 Mineral Point Ave, Janesville, WI 53548 | 2011-06-10 |
| 1871812065 | Erik M Steckler | Radiology | 1400 Bellinger St, Eau Claire, WI 54703-5222 | 2010-05-27 |
| 1912225939 | John-paul Jaewoon Yu | Radiology | 600 Highland Ave, Madison, WI 53792-0001 | 2010-05-14 |
| 1194997601 | Justin Lee Brucker | Radiology | 600 Highland Ave, Madison, WI 53792-1507 | 2008-03-25 |
| 1891848115 | Vivek Prabhakaran | Radiology | 600 Highland Ave, Madison, WI 53792-0001 | 2007-01-19 |
| 1952477929 | Daniel Peter Gibson | Radiology | 3237 S 16th St, Milwaukee, WI 53215-4526 | 2006-11-28 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. ERIK PARNELL SKULBORSTAD.
| 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.