DR. CRAIN HENRY BLIWAS (NPI# 1861570855) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861570855 |
| Entity Type | Individual |
| Full Name | DR. CRAIN HENRY BLIWAS |
| Credential | M.D. |
| Practice Address |
11101 W Lincoln Ave West Allis WI 53227-1133 |
| Practice Telephone | 4142034500 |
| Mailing Telephone | 4142034500 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | 19951 | WI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 30119800 | 05 |
| Street Address |
11101 W LINCOLN AVE |
| City | WEST ALLIS |
| State | WI |
| Zip Code | 53227-1133 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710979984 | Kristin Cromwell Kim | Psychologist | 11101 W Lincoln Ave, Rogers Memorial Hospital, West Allis, WI 53227-1133 | 2005-08-16 |
| 1235746157 | Carol Elizabeth Smith | Nurse Practitioner | 11101 W Lincoln Ave, West Allis, WI 53227-1133 | 2020-09-24 |
| 1447892583 | Joleen Brewer | Nurse Practitioner | 11101 W Lincoln Ave, West Allis, WI 53227-1133 | 2019-10-10 |
| 1659836609 | Herbert C Raasch | Nurse Practitioner | 11101 W Lincoln Ave, West Allis, WI 53227-1133 | 2019-02-04 |
| 1952885337 | Lauren Ramsey Lewis | Counselor | 11101 W Lincoln Ave, West Allis, WI 53227-1133 | 2018-09-20 |
| 1396223897 | Daniel Noll | Counselor | 11101 W Lincoln Ave, West Allis, WI 53227-1133 | 2018-08-06 |
| 1053765289 | Linda Chwierut | Registered Nurse | 11101 W Lincoln Ave, West Allis, WI 53227-1133 | 2016-04-13 |
| 1164819389 | Gillian Greene | Registered Nurse | 11101 W Lincoln Ave, West Allis, WI 53227-1133 | 2015-04-26 |
| 1891100848 | Susan Marie Johnson | Registered Nurse | 11101 W Lincoln Ave, West Allis, WI 53227-1133 | 2014-06-29 |
| 1114262664 | Angela Marie Lewis | Registered Nurse | 11101 W Lincoln Ave, West Allis, WI 53227-1133 | 2012-12-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205451564 | Ginger Renee Bland | Nurse Practitioner | 11133 W. National Avenue, West Allis, WI 53227 | 2020-06-12 |
| 1003312141 | Dynamic Medical Equipment, LLC | Durable Medical Equipment & Medical Supplies | 10236 W National Ave, West Allis, WI 53227 | 2018-04-05 |
| 1932572641 | Alissa Kristine Walker | Specialist/Technologist | 11601 W Lincoln Ave, West Allis, WI 53227 | 2015-11-03 |
| 1396155990 | Bradly Earl Helinski | Physical Therapy Assistant | 3023 S 84th St., Milwaukee, WI 53227 | 2014-05-05 |
| 1609299783 | Amy Renee Rozumalski | Occupational Therapy Assistant | 10150 W. National Ave, Suite 150, Premiere Medical Staffing Services, LLC, Milwaukee, WI 53227 | 2014-01-27 |
| 1497098438 | Kathleen Marie Schneider | Physical Therapy Assistant | 3023 S. 84th Street, Milwaukee, WI 53227 | 2013-03-28 |
| 1760723373 | Lee Ann Schraith | Physical Therapy Assistant | 3023 S. 84th St, Milwaukee, WI 53227 | 2013-03-06 |
| 1740520725 | Samantha Lynn Wozniak | Physical Therapist | 3023 S. 84th St., Milwaukee, WI 53227 | 2013-02-27 |
| 1831434901 | Andrew Paul Roeder | Physical Therapy Assistant | 3023 S. 89th Street, Milwaukee, WI 53227 | 2012-11-30 |
| 1538418116 | Christine Wilford | Social Worker | 2044 S 96th Street, West Allis, WI 53227 | 2012-08-29 |
| Find all providers in zip 53227 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649821638 | Assessment and Therapeutic Solutions, LLC | Clinical Neuropsychologist | 2448 S 102nd St Ste 270, West Allis, WI 53227-2147 | 2019-09-23 |
| 1275930919 | Glassman Neuropsychology Associates LLC | Clinical Neuropsychologist | 2448 S 102nd St, Suite 270, West Allis, WI 53227-2466 | 2014-11-24 |
| 1609956242 | Patricia Carol Stanik | Clinical Neuropsychologist | 2448 S 102nd St, Suite 270, West Allis, WI 53227-2466 | 2006-10-17 |
| 1255432696 | Nathan David Glassman | Clinical Neuropsychologist | 2448 S 102nd St, Suite #270, West Allis, WI 53227-2466 | 2006-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578023156 | Midway Clinical Neuropsychologic Institute and Children's Wellness Fou | Clinical Neuropsychologist | 1024 60th Street, Suite 5, Kenosha, WI 53140-4099 | 2019-03-21 |
| 1114449949 | Tobias D Kaemmerer | Clinical Neuropsychologist | 2901 W Kinnickinnic River Pkwy Ste 417, Milwaukee, WI 53215-3660 | 2017-07-13 |
| 1972989804 | Anne L Shandera-ochsner | Clinical Neuropsychologist | 212 11th Street, La Crosse, WI 54601 | 2015-08-03 |
| 1891054441 | Mary Christine Majors | Clinical Neuropsychologist | 625 Wildlife Dr, Fond Du Lac, WI 54937-7708 | 2012-05-16 |
| 1821360199 | Tiffany M Jacobsen | Clinical Neuropsychologist | 2448 S 102nd St Ste 270, Milwaukee, WI 53227-2147 | 2012-02-02 |
| 1861625220 | Rebecca L Torres | Clinical Neuropsychologist | 721 American Ave Ste 406, Waukesha, WI 53188-5071 | 2009-09-01 |
| 1336319979 | Shellie Dee Locke | Clinical Neuropsychologist | 9020 15th Ave, Kenosha, WI 53143-6803 | 2008-03-11 |
| 1538352935 | Robert George Owens | Clinical Neuropsychologist | 2653 Statdust Trail, Verona, WI 53593-9714 | 2007-08-20 |
| 1720278005 | Judith Davis | Clinical Neuropsychologist | 716 Roby Rd, Stoughton, WI 53589 | 2007-08-01 |
| 1821201930 | Bonita P Klein-tasman | Clinical Neuropsychologist | 2441 E Hartford Ave, Garland 210, Milwaukee, WI 53211-3160 | 2007-05-07 |
| Find all providers with the same taxonomy | ||||
| City | WEST ALLIS |
| Zip Code | 53227 |
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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.