WISCONSIN NEUROSURGERY SC (NPI# 1861750440) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861750440 |
| Entity Type | Organization |
| Organization Name | WISCONSIN NEUROSURGERY SC |
| Practice Address |
17280 W North Ave Suite 204 Brookfield WI 53045-4366 |
| Mailing Address |
2980 N Beverly Glen Cir Suite 301 Los Angeles CA 90077-1726 |
| Practice Telephone | 2627844205 |
| Mailing Telephone | 3104749809 |
| Enumeration Date | 2012-05-02 |
| Last Update Date | 2012-05-02 |
| Authorized Official Name | DR. KIMBALL S FUIKS (PRESIDENT) |
| Authorized Official Telephone | 2627844205 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | WISCONSIN NEUROSURGERY SC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518091016 | Wisconsin Neurosurgery Sc | Neurological Surgery | 17280 W North Avenue, Suite 204, Brookfield, WI 53045 | 2007-03-15 |
| Street Address |
17280 W NORTH AVE SUITE 204 |
| City | BROOKFIELD |
| State | WI |
| Zip Code | 53045-4366 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740273770 | Milwaukee Eye Care Associates S.c. #2 | Ophthalmology | 17280 W North Ave, Suite 100, Brookfield, WI 53045-4366 | 2005-08-24 |
| 1306493846 | Chelsea Renee Swanson | Physical Therapist | 17280 W North Ave, Brookfield, WI 53045-4366 | 2019-08-20 |
| 1811474257 | Ashley Nicole Borkenhagen | Physical Therapy Assistant | 17280 W North Ave, Brookfield, WI 53045-4366 | 2018-07-27 |
| 1073015665 | Donna Lavae Pankratz | Physical Therapy Assistant | 17280 W North Ave, Brookfield, WI 53045-4366 | 2018-02-28 |
| 1043667868 | Patricia King | Physical Therapy Assistant | 17280 W North Ave, Brookfield, WI 53045-4366 | 2016-05-22 |
| 1366819161 | Mallory Lytle | Physical Therapist | 17280 W North Ave, Suite 104, Brookfield, WI 53045-4366 | 2015-08-27 |
| 1518334754 | Dana Miller | Occupational Therapy Assistant | 17280 W North Ave, Suite 104, Brookfield, WI 53045-4366 | 2015-08-24 |
| 1740664267 | Jessica Bruns | Speech-Language Pathologist | 17280 W North Ave, Suite 104, Brookfield, WI 53045-4366 | 2015-07-14 |
| 1659779684 | Joleen Tichelaar | Occupational Therapist | 17280 W North Ave, Brookfield, WI 53045-4366 | 2014-12-08 |
| 1821490467 | Katie Zenner | Physical Therapist | 17280 W North Ave, Suite 104, Brookfield, WI 53045-4366 | 2014-09-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801436159 | Jeannie Spoon | Behavioral Analyst | 200 N. Patrick Blvd. Ste 250, Brookfield, WI 53045 | 2020-01-14 |
| 1629635313 | Hallie Mackenzie Ritchay | Speech-Language Pathologist | Greenfield Rehabilitation Agency 19395 W Capitol Dr, Ste 200, Brookfield, WI 53045 | 2019-05-29 |
| 1427535038 | Kimberly Ann Beres | Registered Nurse | 2253 Norhardt Dr, Brookfield, WI 53045 | 2018-07-26 |
| 1265927768 | Brady Frederick Bachmann | Physical Therapist | 275 Regency Ct., Suite 200, Brookfield, WI 53045 | 2018-06-27 |
| 1841792603 | Wisconsin Renal Care Group, L.L.C. | Clinic/Center | 17500 W Capitol Drive, Brookfield, WI 53045 | 2018-03-07 |
| 1750828299 | Nanette Marie Kloth | Nurse Practitioner | 18110 W Bluemond Rd, Brookfield, WI 53045 | 2017-01-23 |
| 1144772013 | Saida Reifenrath | Acupuncturist | 240 Regency Court, Suite 102, Brookfield, WI 53045 | 2016-10-26 |
| 1437545951 | Kylee Stevenson | Chiropractor | 19555 W Bluemound Rd Ste 6, Brookfield, WI 53045 | 2015-04-10 |
| 1548659725 | Patricia Ann Kender | Nurse Practitioner | 17495 W. Capitol Dr., Brookfield, WI 53045 | 2015-01-12 |
| 1568882793 | Kassandra E Holzem | Dermatology | 195 Discovery Dr, Brookfield, WI 53045 | 2014-04-28 |
| Find all providers in zip 53045 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629390729 | Jt Medical Services, Inc. | Non-Pharmacy Dispensing Site | 12855 West Lisbon Road, 2nd Floor, Brookfield, WI 53005 | 2010-02-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477188100 | Froedtert & The Medical College of Wisconsin Community Physicians Inc | Non-Pharmacy Dispensing Site | 635 S 28th St, Milwaukee, WI 53215-1201 | 2020-03-03 |
| 1841845385 | Planned Parenthood of Wisconsin | Non-Pharmacy Dispensing Site | 223 South Main St., Blair, WI 54616 | 2019-08-01 |
| 1982258737 | Planned Parenthood of Wisconsin | Non-Pharmacy Dispensing Site | 919 Hoeschler Dr Ste 100, Sparta, WI 54656-2202 | 2019-07-30 |
| 1780142992 | Froedtert & The Medical College of Wisconsin Community Physicians | Non-Pharmacy Dispensing Site | 11040 N Range Line Rd, Mequon, WI 53092-4930 | 2019-03-06 |
| 1992284087 | Froedtert & The Medical College of Wisconsin Community Physicians | Non-Pharmacy Dispensing Site | 4859 South 60th Street, Greenfield, WI 53220 | 2018-08-09 |
| 1801373378 | Froedtert & The Medical College of Wisconsin Community Physicians | Non-Pharmacy Dispensing Site | 1721 W Canal St, Milwaukee, WI 53233 | 2018-07-26 |
| 1205355500 | Froedtert Health | Non-Pharmacy Dispensing Site | 4850 S 60th St, Greenfield, WI 53220-4616 | 2017-09-18 |
| 1790071637 | St Mary's Hospital Medical Center | Non-Pharmacy Dispensing Site | 2840 Okeeffe Ave, Sun Prairie, WI 53590-7077 | 2011-06-20 |
| 1013243294 | Barron County Office On Aging | Non-Pharmacy Dispensing Site | 335 E. Monroe Avenue, Room 112, Barron, WI 54812-1478 | 2009-10-23 |
| 1639344138 | Planned Parenthood of Wisconsin | Non-Pharmacy Dispensing Site | 1221 13th Ave, Monroe, WI 53566-2035 | 2008-04-25 |
| Find all providers with the same taxonomy | ||||
| City | BROOKFIELD |
| Zip Code | 53045 |
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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.