DR. LILETH JOY MONDOK (NPI# 1942597356) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942597356 |
| Entity Type | Individual |
| Full Name | DR. LILETH JOY MONDOK |
| Credential | MD |
| Practice Address |
9000 W Wisconsin Avenue Pediatric Neurology Milwaukee WI 53226-4874 |
| Practice Telephone | (414) 266-3464 |
| Practice Fax Number | 4142663466 |
| Mailing Telephone | (414) 266-3464 |
| Mailing Fax Number | 4142663466 |
| Enumeration Date | 2011-07-06 |
| Last Update Date | 2017-08-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
66268 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 1942597356 | 05 |
| Street Address |
9000 W WISCONSIN AVENUE PEDIATRIC NEUROLOGY |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53226-4874 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578502688 | Cindy Schwartz | Pediatrics | 9000 W Wisconsin Avenue, Pediatric Hematology and Oncology, Milwaukee, WI 53226-4874 | 2006-06-05 |
| 1750762571 | Jerrid J Dokey | Physician Assistant | 9000 W Wisconsin Avenue, Pediatric Emergency Medicine, Milwaukee, WI 53226-4874 | 2015-06-17 |
| 1134547995 | Alina Georgeta Burek | Pediatrics | 9000 W Wisconsin Avenue, Pediatric Hospitalist Division, Milwaukee, WI 53226-4874 | 2014-03-30 |
| 1992123830 | Vanessa Mcfadden | Pediatrics | 9000 W Wisconsin Avenue, Dept of Pediatrics, Milwaukee, WI 53226-4874 | 2014-03-28 |
| 1669768008 | Nita Davis | Pediatrics | 9000 W Wisconsin Avenue, Pediatric Critical Care, Milwaukee, WI 53226-4874 | 2011-06-23 |
| 1972899557 | Jasmine Christell Dowell | Pediatrics | 9000 W Wisconsin Avenue, Pediatric Critical Care, Milwaukee, WI 53226-4874 | 2011-06-22 |
| 1710178496 | Michael Austin Hokenson | Pediatrics | 9000 W Wisconsin Avenue, Division of Neonatology, Milwaukee, WI 53226-4874 | 2007-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912511155 | Alexander Harlan | Pharmacist | 900 N 92nd St, Milwaukee, WI 53226 | 2020-09-04 |
| 1558985762 | Armghan Haider Ans | Student in an Organized Health Care Education/Training Program | 9200 W. Wisconsin Ave. Froedtert Hospital & Medical Col, Milwaukee, WI 53226 | 2020-06-03 |
| 1669001103 | Kimberly Tyler | Student in an Organized Health Care Education/Training Program | 8701 W Watertown Plank Road, Medical College of Wisconsin Dept of Internal Medicine, Wauwatosa, WI 53226 | 2020-04-06 |
| 1972131993 | Francesca Meloy Devine | Student in an Organized Health Care Education/Training Program | Medical Education Office: Children's Corporate Center, 999 N. 92nd St., Suite 730, Milwaukee, WI 53226 | 2020-03-27 |
| 1285275248 | Sharitta Alford | Technician | 12250 West North Avenue, Apartment 142b, Wauwatosa, WI 53226 | 2019-10-01 |
| 1619528023 | Linda Marie Sabatinelli | Technician | 12107 W. Woodland Ave, Wauwatosa, WI 53226 | 2019-09-26 |
| 1598310195 | Matthew Laviolette | Surgery | Medical College of Wisconsin, 8701 Watertown Plank Rd., Surgical Oncology, Milwaukee, WI 53226 | 2019-08-09 |
| 1962056432 | Lyndsey Marie Bratberg | Physician Assistant | F&mcw Clinical Cancer Center 9200 W. Wisconsin Ave., Milwaukee, WI 53226 | 2019-08-01 |
| 1659832855 | Benjamin David Seadler | Surgery | Mcw, Department of Surgery, 8701 Watertown Plank Road, Milwaukee, WI 53226 | 2019-03-29 |
| 1861953267 | Michael Dryden | Student in an Organized Health Care Education/Training Program | 8701 Watertown Plank Rd., Milwaukee, WI 53226 | 2019-03-27 |
| Find all providers in zip 53226 | ||||
| Taxonomy Code | 2084N0402X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology with Special Qualifications in Child Neurology |
| A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376963694 | Shannon C Pollock | Psychiatry & Neurology | 9000 W Wisconsin Ave, Milwaukee, WI 53226-4874 | 2014-04-25 |
| 1972947224 | Samuel J Adams | Psychiatry & Neurology | 9000 W Wisconsin Ave, Milwaukee, WI 53226 | 2013-04-17 |
| 1699036129 | Alexandria Lynn Lutley | Psychiatry & Neurology | 9000 W Wisconsin Ave, Milwaukee, WI 53226-4874 | 2012-05-31 |
| 1144532052 | Raquel Farias-moeller | Psychiatry & Neurology | 9000 W Wisconsin Ave, Milwaukee, WI 53226-4874 | 2010-07-08 |
| 1801002092 | Delphin Sallowm | Psychiatry & Neurology | 9000 W Wisconsin Ave, Pediatric Neurology, Milwaukee, WI 53226-4874 | 2007-05-15 |
| 1053335513 | Hema U Patel | Psychiatry & Neurology | 9000 W Wisconsin Ave, Pediatric Neurology, Milwaukee, WI 53226-4874 | 2006-07-27 |
| 1366472524 | Edward H. Kovnar | Psychiatry & Neurology | 3003 W Good Hope Rd, Milwaukee, WI 53209-2042 | 2006-07-04 |
| 1508808759 | Michael Hammer | Psychiatry & Neurology | 9000 W Wisconsin Ave, Pediatric Neurology, Milwaukee, WI 53226-4874 | 2006-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063779601 | Kumar R Sannagowdara | Psychiatry & Neurology | 12500 Aurora Dr, Pleasant Prairie, WI 53158-1227 | 2012-04-20 |
| 1659443620 | Dorota Halina Telega | Psychiatry & Neurology | N84w16889 Menomonee Ave, Menomonee Falls, WI 53051-2810 | 2006-11-14 |
| 1063592301 | Sergio Facchini | Psychiatry & Neurology | 600 Highland Ave, Madison, WI 53792-0001 | 2006-10-17 |
| 1003912346 | Richard V Colan | Psychiatry & Neurology | 8825 S Howell Ave, Suite 101, Oak Creek, WI 53154-3760 | 2006-09-15 |
| 1407895428 | Mary K Dominski | Psychiatry & Neurology | 700 S Park St, Madison, WI 53715-1830 | 2006-06-05 |
| 1518961366 | John Peter Temple | Psychiatry & Neurology | 1836 South Ave, La Crosse, WI 54601-5429 | 2005-06-09 |
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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.