BRIAN JOHN OBROCHTA (NPI# 1912136656) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912136656 |
| Entity Type | Individual |
| Full Name | BRIAN JOHN OBROCHTA |
| Credential | D.O. |
| Practice Address |
2629 N 7th St Sheboygan WI 53083-4932 |
| Mailing Address |
2414 Kohler Memorial Dr Sheboygan WI 53081-3129 |
| Practice Telephone | 9204515000 |
| Mailing Telephone | 9204574461 |
| Enumeration Date | 2009-07-02 |
| Last Update Date | 2020-01-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 62405 | WI | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 5101018151 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 100038829 | 05 |
| Street Address |
2629 N 7TH ST |
| City | SHEBOYGAN |
| State | WI |
| Zip Code | 53083-4932 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396720900 | Brian L Muehlbauer | Physical Therapist | 2629 N 7th St, Sheboygan, WI 53083-4932 | 2005-12-07 |
| 1982219051 | Faisal Ishfaq | Physician Assistant | 2629 N 7th St, Sheboygan, WI 53083-4932 | 2020-09-15 |
| 1164053039 | Kaitlin M Gross | Physician Assistant | 2629 N 7th St, Sheboygan, WI 53083-4932 | 2020-01-30 |
| 1841858909 | Amy Koncar | Speech-Language Pathologist | 2629 N 7th St, Sheboygan, WI 53083-4932 | 2019-06-04 |
| 1396302089 | Benjamin Thomas Heuser | Physical Therapist | 2629 N 7th St, Sheboygan, WI 53083-4932 | 2019-05-29 |
| 1720549553 | Zachery J Rosenthal | Nurse Anesthetist, Certified Registered | 2629 N 7th St, Sheboygan, WI 53083-4932 | 2019-03-26 |
| 1982198396 | Emily Legault | Specialist/Technologist | 2629 N 7th St, Sheboygan, WI 53083-4932 | 2018-06-19 |
| 1942794557 | Brian L Lupo | Nurse Anesthetist, Certified Registered | 2629 N 7th St, Sheboygan, WI 53083-4932 | 2018-06-18 |
| 1265929731 | Allison Lee Radloff | Occupational Therapist | 2629 N 7th St, Sheboygan, WI 53083-4932 | 2018-04-19 |
| 1508381179 | Robin Leonhardt | Dietitian, Registered | 2629 N 7th St, Sheboygan, WI 53083-4932 | 2017-08-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629341748 | Wendy Marie Kirst | Licensed Practical Nurse | 2639 North 9th Street, Sheboygan, WI 53083 | 2012-02-21 |
| 1194912493 | Assisted Living Concepts Inc | Assisted Living Facility | 1231 Eisner Avenue, Sheboygan, WI 53083 | 2007-10-01 |
| 1629265350 | David P Mayer | Dentist | 2705 N 8th Street, Sheboygan, WI 53083 | 2007-09-26 |
| 1760683510 | Ginger Adams | Physical Therapy Assistant | 3431 North 13th Street, Sheboygan, WI 53083 | 2007-05-30 |
| 1295947778 | Jodi Lynn Wagner | Occupational Therapist | 2629 North 7th Street, Sheboygan, WI 53083 | 2007-05-04 |
| 1306067491 | School District of Howards Grove | Local Education Agency (LEA) | 403 Audubon Road, Howards Grove, WI 53083 | 2007-05-02 |
| 1902023955 | Aurora Health Care Central, Inc. | Community/Behavioral Health | 2629 N 7th St., Sheboygan, WI 53083 | 2007-04-19 |
| 1497860498 | Charles J Gehring Jr. | Anesthesiology | 4945 Blackstock Rd, Sheboygan, WI 53083 | 2006-08-20 |
| 1760595300 | Tina Marie Ottman-boykin | Counselor | 2801 Calumet Drive, Sheboygan, WI 53083 | 2006-08-17 |
| 1588043186 | Abby M Safranski | Family Medicine | 620 S Wisconsin Dr, Howards Grove, WI 53083 | 2015-05-28 |
| Find all providers in zip 53083 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245632389 | Jordan Peter Makela | Surgery | 3113 Saemann Ave, Sheboygan, WI 53081 | 2014-09-19 |
| 1811283526 | William Ritt | Surgery | 2414 Kohler Memorial Dr, Sheboygan, WI 53081-3129 | 2011-06-21 |
| 1902031909 | Nicholas John Draeger | Surgery | 2414 Kohler Memorial Dr, Sheboygan, WI 53081-3129 | 2009-05-19 |
| 1972629145 | Sheboygan Surgical Associates, S.c. | Surgery | 2920 Superior Ave, Sheboygan, WI 53081-1944 | 2007-03-21 |
| 1285703744 | Christopher Alan Garces | Surgery | 2920 Superior Ave, Sheboygan, WI 53081-1944 | 2006-11-07 |
| 1154436244 | Badri N Ganju | Surgery | 2414 Kohler Memorial Dr, Sheboygan, WI 53081 | 2006-08-20 |
| 1851300982 | William P Chleborad | Surgery | 2414 Kohler Memorial Dr, Sheboygan, WI 53081 | 2006-08-07 |
| 1295703635 | Stephen J. Werner | Surgery | 2920 Superior Ave, Sheboygan, WI 53081-1944 | 2006-03-10 |
| 1144298878 | Kenneth J. Lisberg | Surgery | 2920 Superior Ave, Sheboygan, WI 53081-1944 | 2006-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598310195 | Matthew Laviolette | Surgery | Medical College of Wisconsin, 8701 Watertown Plank Rd., Surgical Oncology, Milwaukee, WI 53226 | 2019-08-09 |
| 1659832855 | Benjamin David Seadler | Surgery | Mcw, Department of Surgery, 8701 Watertown Plank Road, Milwaukee, WI 53226 | 2019-03-29 |
| 1861969149 | Watertown Physician Practices LLC | Surgery | 123 Hospital Dr Ste 2009, Watertown, WI 53098-3320 | 2018-10-25 |
| 1356847644 | Laura K Krecko | Surgery | Uw Hospital and Clinics 600 Highland Avenue, Madison, WI 53792-0001 | 2018-04-04 |
| 1447785332 | Patrick Beard Schwartz | Surgery | Uw Hopsitals and Clinics, 600 Highland Ave., Madison, WI 53792-0001 | 2017-04-27 |
| 1700263720 | Marianna Dubovska | Surgery | 902 Riverside Dr Ste 201, Waupaca, WI 54981-1992 | 2015-04-28 |
| 1366833394 | Beaver Dam Community Hospitals, Inc | Surgery | 705 S University Ave Ste 350, Beaver Dam, WI 53916 | 2015-02-12 |
| 1972901262 | The Healthy Vein, Sc | Surgery | N79w14684 Appleton Ave, Menomonee Falls, WI 53051-4308 | 2014-12-18 |
| 1326453200 | Chey V Collura | Surgery | 2700 W 9th Ave Ste 310, Oshkosh, WI 54904 | 2014-06-30 |
| 1538570338 | Nicholas Sich | Surgery | 2901 W Kinnickinnic River Pkwy Dept Ste 540, Milwaukee, WI 53215-3677 | 2014-05-14 |
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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.