DR. BRIAN L GOLDSHLACK (NPI# 1942315999) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942315999 |
| Entity Type | Individual |
| Full Name | DR. BRIAN L GOLDSHLACK |
| Credential | MD |
| Practice Address |
1136 Westowne Dr Neenah WI 54956 |
| Mailing Address |
3301 W Forest Home Ave Milwaukee WI 53215-2843 |
| Practice Telephone | 9207299681 |
| Mailing Telephone | 4146476326 |
| Mailing Fax Number | 4146718860 |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 31445 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 31624600 | 05 | |
| DEA NUMBER | BG2342107 | 01 |
| Street Address |
1136 WESTOWNE DR |
| City | NEENAH |
| State | WI |
| Zip Code | 54956 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497755920 | J Michael Helf | Physician Assistant | 1136 Westowne Dr, Neenah, WI 54956-2175 | 2005-07-27 |
| 1447719463 | Joshua Alan | Social Worker | 1136 Westowne Dr, Neenah, WI 54956-2175 | 2019-03-19 |
| 1831558923 | Rebecca L Rennert | Nurse Practitioner | 1136 Westowne Dr, Neenah, WI 54956-2175 | 2016-02-17 |
| 1871923086 | Michelle Medvecz | Nurse Practitioner | 1136 Westowne Dr, Neenah, WI 54956-2175 | 2013-11-25 |
| 1023381266 | Adrienne K Bohn | Physician Assistant | 1136 Westowne Dr, Neenah, WI 54956-2175 | 2012-02-20 |
| 1831322254 | Trista A Hietpas | Physical Therapist | 1136 Westowne Dr, Neenah, WI 54956-2175 | 2009-09-02 |
| 1558551820 | Jessica I Beyer Trinkner | Physical Therapist | 1136 Westowne Dr, Neenah, WI 54956-2175 | 2007-08-01 |
| 1841490372 | Ravneet Kaur Kaleka | Internal Medicine | 1136 Westowne Dr, 3rd Floor, Neenah, WI 54956-2175 | 2007-07-23 |
| 1992915250 | Aurora Medical Group, Inc. | Durable Medical Equipment & Medical Supplies | 1136 Westowne Dr, Neenah, WI 54956-2175 | 2007-05-23 |
| 1225161946 | Lori A Mcginnis | Physical Therapist | 1136 Westowne Dr, Neenah, WI 54956-2175 | 2007-03-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447768411 | Wisconsin Institute of Surgical Excellence LLC | Clinic/Center | 1265 W American Dr Ste 200, Neenah, WI 54956 | 2018-01-12 |
| 1639614290 | Clinton Robert Murchland | Pharmacist | 828 Fox Point Plaza, Pharmacy, Neenah, WI 54956 | 2017-01-05 |
| 1629448550 | Melissa Christine Hewitt | Physical Therapy Assistant | 1119 Higgins Ave, Neenah, WI 54956 | 2015-10-05 |
| 1437581923 | Ross Phan | Pharmacist | 1432 Seymour Crt, Neenah, WI 54956 | 2013-08-06 |
| 1518201318 | Meridith Nealy Starling | Social Worker | 124 W Wisconsin Ave, Suite 90 B, Neenah, WI 54956 | 2012-11-16 |
| 1639464886 | Wisconsin Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 901 S. Green Bay Rd, Neenah, WI 54956 | 2011-06-16 |
| 1669701439 | Donna Jean Falk | Licensed Practical Nurse | 1037 B Hunt Ave, Neenah, WI 54956 | 2009-12-08 |
| 1285868257 | Angela Marie Bilbrey | Dietitian, Registered | 307 S Commercial St Ste 101, Neenah, WI 54956 | 2009-05-06 |
| 1003083114 | A B See Vision Therapy Centers Sc | Optometrist | 1401 Mcmahon Dr., Suite 100, Neenah, WI 54956 | 2008-05-08 |
| 1629244173 | Tamra Marie Knutson | Radiology | 333 N Commercial St #100, Neenah, WI 54956 | 2008-05-05 |
| Find all providers in zip 54956 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396780144 | Dallas Bogner | Family Medicine | 1380 Tullar Rd, Neenah, WI 54956-4440 | 2006-06-17 |
| 1104869379 | Teresa L Rudolph | Family Medicine | 1504 S Commercial St, Neenah, WI 54956-4802 | 2006-06-14 |
| 1538690409 | Lauren Schneekloth | Family Medicine | 101 Main St, Neenah, WI 54956-2570 | 2017-03-22 |
| 1992250336 | Venkata Udayagiri | Family Medicine | 333 N Green Bay Rd, Neenah, WI 54956 | 2016-08-15 |
| 1003259649 | Krystina Marie Pischke | Family Medicine | 1504 S Commercial St, Neenah, WI 54956-4802 | 2013-04-13 |
| 1356577647 | Megan Jennie Kane | Family Medicine | 1504 S Commercial St, Neenah, WI 54956-4802 | 2009-06-01 |
| 1780618728 | Michelle A Lopez | Family Medicine | 1504 S Commercial St, Neenah, WI 54956-4802 | 2006-07-10 |
| 1700815115 | Jennifer E Frank | Family Medicine | 1380 Tullar Rd, Neenah, WI 54956-4440 | 2006-06-30 |
| 1669400099 | Scott Davis | Family Medicine | 1380 Tullar Rd, Neenah, WI 54956-4440 | 2006-06-28 |
| 1598791451 | Richard Klamm | Family Medicine | 1504 S Commercial St, Neenah, WI 54956-4802 | 2006-06-23 |
| Find all providers in NEENAH | ||||
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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.