MADISON VEIN AND LASER INSTITIUTE, S.C. (NPI# 1982890349) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982890349 |
| Entity Type | Organization |
| Organization Name | MADISON VEIN AND LASER INSTITIUTE, S.C. |
| Practice Address |
2275 Deming Way Suite 280 Middleton WI 53562-5527 |
| Practice Telephone | 6088317003 |
| Practice Fax Number | 6088317044 |
| Mailing Telephone | 6088317003 |
| Mailing Fax Number | 6088317044 |
| Enumeration Date | 2007-09-19 |
| Last Update Date | 2007-09-19 |
| Authorized Official Name | DR. BOYD ERIC ERDMAN (PRESIDENT) |
| Authorized Official Telephone | 6088317003 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
40938-020 | WI | Ambulatory Health Care Facilities |
| Street Address |
2275 DEMING WAY SUITE 280 |
| City | MIDDLETON |
| State | WI |
| Zip Code | 53562-5527 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861457525 | Jeffrey J Everson | Physician Assistant | 2275 Deming Way, Middleton, WI 53562-5527 | 2006-04-18 |
| 1417476664 | Allyson C. Mcbride | Social Worker | 2275 Deming Way, Middleton, WI 53562 | 2017-09-19 |
| 1992193924 | Amanda Hansen | Specialist/Technologist | 2275 Deming Way, Middleton, WI 53562-5527 | 2014-12-29 |
| 1184967382 | Andrea H. Hewitt | Registered Nurse | 2275 Deming Way, Middleton, WI 53562-5527 | 2013-04-05 |
| 1457691396 | Edward James Rataj | Marriage & Family Therapist | 2275 Deming Way, Middleton, WI 53562-5527 | 2013-02-28 |
| 1174805022 | Christy Staats | Nurse Practitioner | 2275 Deming Way, Suite 220, Middleton, WI 53562-5527 | 2011-09-16 |
| 1396025755 | Izabela Skorska | Social Worker | 2275 Deming Way, Middleton, WI 53562 | 2011-08-17 |
| 1447481056 | Amber B Reynolds | Physician Assistant | 2275 Deming Way, Middleton, WI 53562-5527 | 2009-07-30 |
| 1972753283 | Seyed Hosseini | Dentist | 2275 Deming Way, #180, Middleton, WI 53562-5527 | 2008-09-23 |
| 1588814891 | Christian S. Kammer | Dentist | 2275 Deming Way, #180, Middleton, WI 53562-5527 | 2008-09-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770143802 | Taylor Moore | Chiropractor | 6629 University Ave Ste 101, Middleton, WI 53562 | 2019-06-20 |
| 1558861302 | Nissenbaum and Schleusner Pro Physical Therapy LLC | Physical Therapist | 6649 University Ave Ste 100, Middleton, WI 53562 | 2018-02-19 |
| 1750804514 | University of Wisconsin Hospitals and Clinics Authority | Pharmacy | 3185 Deming Way, Middleton, WI 53562 | 2017-07-24 |
| 1285165803 | Julie Zimmerman | Pharmacist | 7414 Voss Pkwy, Middleton, WI 53562 | 2017-03-24 |
| 1982072773 | Gina Craig | Physical Therapist | 2521 Allen Boulevard, Middleton, WI 53562 | 2015-09-10 |
| 1588030464 | Nicholas Capote | Pharmacist | 600 Highland Avenue, F6/133, Madison, WI 53562 | 2015-08-14 |
| 1679975734 | Emily Herzog | Nurse Practitioner | 7248 Squire Cir, Middleton, WI 53562 | 2014-09-20 |
| 1942620752 | Brooke Michelle Moungey | Emergency Medicine | 8540 Greenway Blvd, Middleton, WI 53562 | 2014-04-18 |
| 1962820027 | Jennifer Ciske Larson | Ophthalmology | 2349 Deming Way Deming Way Eye Clinic, Middleton, WI 53562 | 2014-04-04 |
| 1740525971 | Sara E.m. Nichols | Veterinarian | 1612 N. High Point Rd., Middleton, WI 53562 | 2012-11-28 |
| Find all providers in zip 53562 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881791010 | Midwest Sports Medicine Institute S.c. | Clinic/Center | 2521 Allen Blvd, Middleton, WI 53562-2211 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518446558 | Northwoods Family Physical Medicine of Wisconsin, S.c. | Clinic/Center | 2360a Duck Creek Pkwy Ste 2, Green Bay, WI 54303-3377 | 2018-08-10 |
| 1104222330 | Premier Cardiovascular Institute of Wisconsin LLC | Clinic/Center | 1309 S 54th St, Milwaukee, WI 53214-3404 | 2014-11-17 |
| 1629498522 | Asana Health & Wellness LLC | Clinic/Center | 2372 S Oneida St, Green Bay, WI 54304-5256 | 2014-04-18 |
| 1467792457 | Vein Care Associates S.c. | Clinic/Center | 215 Corporate Drive, Suite H, Beaver Dam, WI 53916-3124 | 2013-02-27 |
| 1447532403 | Lavender Lotus Acupuncture LLC | Clinic/Center | 130 Gregor St, Waterloo, WI 53594-1224 | 2011-09-15 |
| 1043501356 | Steven Victor Bittorf | Clinic/Center | 2505 Parkwood Dr, Green Bay, WI 54304-1956 | 2011-04-21 |
| 1881927812 | Gail A Weinand | Clinic/Center | 203 Schiek Plz, Rhinelander, WI 54501-3364 | 2009-09-09 |
| 1932368685 | Center for Stomach & Intestinal Disorders Ltd | Clinic/Center | 2300 N Mayfair Rd Ste 725, Wauwatosa, WI 53226-1533 | 2008-06-07 |
| 1568641439 | Daniel L. Gauerkei Dba Broadway Vision Center | Clinic/Center | 815 W Fulton St, Suite 103, Waupaca, WI 54981-1405 | 2007-10-29 |
| 1174723084 | Bruns Chiropractic Office Sc | Clinic/Center | 1429 North Ave, Sheboygan, WI 53083-4760 | 2007-07-19 |
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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.