IRIS HEALTH CLINIC LLC (NPI# 1932695871) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932695871 |
| Entity Type | Organization |
| Organization Name | IRIS HEALTH CLINIC LLC |
| Practice Address |
403 N Grand Ave Waukesha WI 53186-4913 |
| Practice Telephone | 2625420580 |
| Practice Fax Number | 2624584102 |
| Mailing Telephone | 2625420580 |
| Enumeration Date | 2018-07-03 |
| Last Update Date | 2018-07-03 |
| Authorized Official Name | SUE FROEMMING (BILLING MANAGER) |
| Authorized Official Telephone | 2624209088 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RA0401X |
Internal Medicine Specialization: Addiction Medicine |
3186 | WI | Allopathic & Osteopathic Physicians |
| N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities | ||
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 1942735766 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 223 Wisconsin Ave, Waukesha, WI 531864968 | 2625420580 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114415908 | Iris Health Clinic LLC | Substance Abuse Rehabilitation Facility | 260 S Elm Grove Rd, Brookfield, WI 53005-6522 | 2018-04-26 |
| Street Address |
403 N GRAND AVE |
| City | WAUKESHA |
| State | WI |
| Zip Code | 53186-4913 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851300933 | Glenn Toth | Family Medicine | 403 N Grand Ave, Waukesha, WI 53186-4913 | 2006-08-06 |
| 1518500776 | Paige Foss | Counselor | 403 N Grand Ave, Waukesha, WI 53186-4984 | 2019-10-21 |
| 1700341542 | Joshua Brunia | Massage Therapist | 403 N Grand Ave, Waukesha, WI 53186-4984 | 2019-02-06 |
| 1447726575 | Richelle Mastalir | Counselor | 403 N Grand Ave, Waukesha, WI 53186-4913 | 2018-10-16 |
| 1588147573 | Chanita Jedlicka | Massage Therapist | 403 N Grand Ave, Waukesha, WI 53186-4913 | 2018-09-14 |
| 1033611850 | Waukesha Community Acupuncture & Massage | Massage Therapist | 403 N Grand Ave, Waukesha, WI 53186-4913 | 2018-03-07 |
| 1942735766 | Iris Health Clinic | Counselor | 403 N Grand Ave, Waukesha, WI 53186-4913 | 2017-04-30 |
| 1811351331 | Blia Vang | Counselor | 403 N Grand Ave, Waukesha, WI 53186-4984 | 2016-04-11 |
| 1295980019 | Waukesha Environmental Health | Allergy & Immunology | 403 N Grand Ave, Waukesha, WI 53186-4913 | 2008-11-20 |
| 1285800367 | Wayne Harry Konetzki | Internal Medicine | 403 N Grand Ave, Waukesha, WI 53186-4913 | 2008-05-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295391472 | Christine Lowdon Triggs | Dentist | 21680 West Bluemound Rd, Waukesha, WI 53186 | 2019-05-14 |
| 1881182889 | Allure Medical of Wisconsin Pllc | Clinic/Center | 1930 W Bluemound Rd Ste 340, Waukesha, WI 53186 | 2018-04-25 |
| 1316462104 | Mary B Mckee | Dietitian, Registered | 22370 W Bluemound Rd, #102, Waukesha, WI 53186 | 2017-08-14 |
| 1740738343 | Rebecca Menelle | Physical Therapist | 1809 Shepherd Ct, Apt 206, Waukesha, WI 53186 | 2016-09-13 |
| 1568919876 | Dianne Isnard | Physical Therapist | W231n1440 Corporate Court, Waukesha, WI 53186 | 2016-09-02 |
| 1982065991 | Brandon James Decker | Nurse Practitioner | 21775 Hillcrest Drive, Waukesha, WI 53186 | 2016-03-18 |
| 1598142937 | Sophia Marie Klingbiel | Social Worker | 1515 Paramount Dr., Waukesha, WI 53186 | 2015-05-06 |
| 1326478165 | Glen D Haberman | Dentist | 141 Wisconsin Avenue, Waukesha, WI 53186 | 2013-11-14 |
| 1487991014 | Sara Nicole Francis | Counselor | 217 Wisconsin Ave Ste 211, Waukesha, WI 53186 | 2013-01-16 |
| 1770862054 | Alex Colque, M.d. S.c. | Plastic Surgery | 21675 E Moreland Blvd, Suite 100, Waukesha, WI 53186 | 2011-08-04 |
| Find all providers in zip 53186 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841705332 | Dr Kellys House Calls | Clinic/Center | S57w29735 Saylesville Rd, Waukesha, WI 53189-9036 | 2017-12-06 |
| 1508053844 | Kevin J Oleary | Clinic/Center | N14 W23755 Stoneridge Dr, Suite 260, Waukesha, WI 53188-1147 | 2007-10-01 |
| 1912522665 | Occupational Therapy Family Services, LLC | Clinic/Center | 1180 Pioneer Trl, Waukesha, WI 53186-5490 | 2020-06-09 |
| 1710395959 | Orthopedic Associates of Wisconsin | Clinic/Center | 1111 Delafield St, Waukesha, WI 53188-3417 | 2014-07-31 |
| 1578996658 | Ellenson Family Chiropractic LLC | Clinic/Center | 21075 Swenson Dr, Waukesha, WI 53186-2000 | 2013-08-13 |
| 1710107743 | Bluemound Surgery Center Ltd | Clinic/Center | N4w22370 Bluemound Rd, Waukesha, WI 53186-1683 | 2007-05-01 |
| 1346353695 | Waukesha Health System, Inc. | Clinic/Center | 721 American Ave, Suite 501, Waukesha, WI 53188-5071 | 2006-08-17 |
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|---|---|---|---|---|
| 1437757986 | Wonderland Therapy LLC | Clinic/Center | 2116 Winnebago St, La Crosse, WI 54601-5060 | 2020-10-15 |
| 1124633870 | Aspirus Riverview Hospital & Clinics, Inc. | Clinic/Center | 146 N Central Ave, Marshfield, WI 54449-2173 | 2020-09-10 |
| 1952915639 | Gundersen Clinic Ltd | Clinic/Center | 2615 George St, La Crosse, WI 54603-1670 | 2020-09-01 |
| 1194337212 | Accident and Injury Rehab Center, Inc | Clinic/Center | 6114 W Capitol Dr Ste 100-102, Milwaukee, WI 53216-2147 | 2020-08-19 |
| 1275159147 | American Current Care P.a. | Clinic/Center | 6302 75th St, Kenosha, WI 53142-3506 | 2020-06-17 |
| 1326683749 | A.b.d.h. Counseling Services LLC | Clinic/Center | 518 E Concordia Avenue, Milwaukee, WI 53212 | 2019-11-08 |
| 1598318818 | Acorn Dietetics, LLC | Clinic/Center | 906 10th Ave, New Glarus, WI 53574-9765 | 2019-07-17 |
| 1205493582 | Freedom Family Chiropractic | Clinic/Center | 809 Phillips Blvd, Sauk City, WI 53583-1313 | 2019-05-22 |
| 1376001578 | Lowtwillc | Clinic/Center | 2323 N Mayfair Rd Ste 104, Wauwatosa, WI 53226-1506 | 2019-03-06 |
| 1154889749 | Positive Directions Inc | Clinic/Center | 3510 W Saint Paul Ave # 6, Milwaukee, WI 53208-4125 | 2019-03-04 |
| Find all providers with the same taxonomy | ||||
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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.