KIMBALL SANDS FUIKS (NPI# 1932170362) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932170362 |
| Entity Type | Individual |
| Full Name | KIMBALL SANDS FUIKS |
| Credential | MD |
| Practice Address |
17280 W North Ave Suite 204 Brookfield WI 53045 |
| Practice Telephone | 2627844205 |
| Practice Fax Number | 2627846549 |
| Mailing Telephone | 2627844205 |
| Mailing Fax Number | 2627846549 |
| Enumeration Date | 2006-02-01 |
| Last Update Date | 2008-05-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | 32726 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | RAILROAD MEDICARE PIN | 140007387 | 01 |
| WI | 31768900 | 05 | |
| WI | MEDICARE DMERC PIN | 4581860001 | 01 |
| Street Address |
17280 W NORTH AVE SUITE 204 |
| City | BROOKFIELD |
| State | WI |
| Zip Code | 53045 |
| 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 | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427251339 | Pedro Daniel Suberviola | Neurological Surgery | 3255 Yale Ct, Brookfield, WI 53005-2772 | 2007-06-07 |
| 1518091016 | Wisconsin Neurosurgery Sc | Neurological Surgery | 17280 W North Avenue, Suite 204, Brookfield, WI 53045 | 2007-03-15 |
| 1023144045 | Associates of Neurological Surgery, S.c. | Neurological Surgery | 13105 W Bluemound Rd, Suite 150, Brookfield, WI 53005-8022 | 2007-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528350436 | Craig R Kelman | Neurological Surgery | 425 Pine Ridge Blvd Ste 300, Wausau, WI 54401 | 2011-05-11 |
| 1952545014 | Irene Kim | Neurological Surgery | 999 N 92nd St Ste 310, Milwaukee, WI 53226-4875 | 2009-04-20 |
| 1649419169 | Walter P Jacobsen | Neurological Surgery | 2801 W Kinnickinnic River Pkwy Ste 680, Milwaukee, WI 53215-3669 | 2009-02-05 |
| 1538324793 | Jose Luis Salazar | Neurological Surgery | 3220 N Shore Dr, Delavan, WI 53115-3800 | 2008-07-26 |
| 1205094711 | Bruce Clarke Bressler | Neurological Surgery | 3117 Bay View Dr, Green Bay, WI 54311-5909 | 2008-05-30 |
| 1154506921 | Werner E Langheim | Neurological Surgery | 4505 Fox Bluff Lane, Middleton, WI 53562-2327 | 2007-12-29 |
| 1831212778 | Allan Bertram Levin | Neurological Surgery | 4585 Fox Bluff Ln, Middleton, WI 53562-2327 | 2007-04-07 |
| 1013093178 | Cully R White | Neurological Surgery | 2901 W Kinnickinnic River Parkway, Suite 201, Milwaukee, WI 53215 | 2006-10-31 |
| 1538269402 | Christopher I. Mackay | Neurological Surgery | 2800 Westhill Dr., Suite 200, Wausau, WI 54407-3770 | 2006-09-22 |
| 1679672430 | S. Marshall Cushman | Neurological Surgery | 3805b Spring St Ste 320, Racine, WI 53405-1644 | 2006-09-21 |
| 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.