KENNETH RASKIN MD SC (NPI# 1851625735) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851625735 |
| Entity Type | Organization |
| Organization Name | KENNETH RASKIN MD SC |
| Other Organization Name | BODYLOGICMD OF MILWAUKEE |
| Practice Address |
115 S 84th St Suite 175 Milwaukee WI 53214-1472 |
| Mailing Address |
9000 W Chester St Ste 210 Milwaukee WI 53214-1373 |
| Practice Telephone | 8772783693 |
| Practice Fax Number | 8772783694 |
| Mailing Telephone | 8772783693 |
| Mailing Fax Number | 2623179311 |
| Enumeration Date | 2009-09-25 |
| Last Update Date | 2018-09-20 |
| Authorized Official Name | KENNETH RASKIN (OWNER/ OPERATOR) |
| Authorized Official Telephone | 8772783693 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 45098-020 | WI | Other Service Providers |
| Other Name | Type Code |
|---|---|
| BodyLogicMD of Milwaukee | Doing Business As Name - Organization |
| Street Address |
115 S 84TH ST SUITE 175 |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53214-1472 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740740208 | Melanie Figueroa | Counselor | West Milwaukee Ctc, 1610 Miller Park Way, West Milwaukee, WI 53214 | 2019-03-21 |
| 1619403011 | Lea Salome Denny | Counselor | 8626b W Greenfield Ave, Suite B300, West Allis, WI 53214 | 2017-05-04 |
| 1891148318 | West Allis Prescription Center Inc | Pharmacy | 6737 W Washington Ave, Suite 1100, West Allis, WI 53214 | 2016-07-20 |
| 1316390495 | Kristina Overlee | Nurse Practitioner | 6737 W. Washington Street, Suite 2150, West Allis, WI 53214 | 2016-07-13 |
| 1801239843 | Daniel Anthony Cichy | Pharmacist | 10101 W Greenfield Ave Ste 130, West Allis, WI 53214 | 2013-04-09 |
| 1295072544 | Wisconsin Vision, Inc. | Optometrist | 1220 Miller Park Way, West Milwaukee, WI 53214 | 2013-01-07 |
| 1831457720 | Kevin Konieczka | Physical Therapist | 1224 Miller Parkway, Milwaukee, WI 53214 | 2012-04-27 |
| 1497031843 | Jill Elizabeth Gerou | Registered Nurse | 8420 West Greenfield Ave, Apartment #7, West Allis, WI 53214 | 2011-10-31 |
| 1700176815 | Carolyn Hasek | Counselor | 1126 S 70th St Ste 112-113, West Allis, WI 53214 | 2011-04-10 |
| 1972802775 | Barbara Smith | Licensed Practical Nurse | 651 S 63 St, Apt1, Milwaukee, WI 53214 | 2011-03-18 |
| Find all providers in zip 53214 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982161048 | Natalia Roman | Specialist | 725 W Lapham Blvd Apt 17, Milwaukee, WI 53204-3447 | 2019-02-25 |
| 1598231524 | Shanel Marie Jordan | Specialist | 4827 N 76th St, Milwaukee, WI 53218-3826 | 2018-10-17 |
| 1598143455 | Donisha Nesbitt | Specialist | 4717 N 38th St, Milwaukee, WI 53209-5949 | 2015-05-12 |
| 1518195726 | Gina Marie Williams | Specialist | Jewish Home and Care Center:therapy Department, 1414 N Prospect Ave, Milwaukee, WI 53202-3018 | 2009-06-25 |
| 1982856670 | Jeannette E Brasseur | Specialist | 4158 N Stowell Ave, Milwaukee, WI 53211-1744 | 2008-10-14 |
| 1437306172 | Gerald R. Zupnik | Specialist | 8689 N Seneca Rd, Milwaukee, WI 53217-2331 | 2008-08-25 |
| 1316114317 | Leslie M Cannestra | Specialist | 7823 W Verona Ct, Milwaukee, WI 53219-3861 | 2008-05-09 |
| 1538335138 | Linda Jean Gaalaas | Specialist | 2715 N Summit Ave, Milwaukee, WI 53211-3855 | 2008-05-02 |
| 1710157078 | Isaac Melguizo-gavilanes | Specialist | 2801 W Kinnickinnic River Pkwy Ste 925, Milwaukee, WI 53215-3689 | 2008-03-03 |
| 1326218777 | Dennis G. Bartley | Specialist | 3130 S Herman St, Milwaukee, WI 53207-2850 | 2008-03-01 |
| 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.