Bryan J Vanoven (NPI# 1720290174, PAC ID# 2264626415) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORAL SURGERY.
| Nation Provider ID (NPI) | 1720290174 |
| PAC ID by PECOS | 2264626415 |
| Professional Enrollment ID | I20101101001234 |
| Full Name | Bryan J Vanoven |
| Organization Legal Name | LAKE GENEVA ORAL AND MAXILLOFACIAL SURGERY, LTD |
| Address |
190 Gardner Ave Suite 8 Burlington WI 53105-2160 |
| Phone Number | 2627638101 |
| Gender | M |
| Graduation Year | 2003 |
| Primary Specialty | ORAL SURGERY |
| Secondary Specialties | MAXILLOFACIAL SURGERY |
| Group Practice PAC ID | 1557462983 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 190 Gardner Ave, Suite 8, Burlington, WI 53105-2160 | 2627638101 | LAKE GENEVA ORAL AND MAXILLOFACIAL SURGERY, LTD |
| 690 N Route 31, Crystal Lake, IL 60012-3790 | 8154595600 | CRYSTAL LAKE ORAL MAXILLOFACIAL SURGERY LTD |
| 312 Ctr St, Lake Geneva, WI 53147-1904 | 2622488766 | LAKE GENEVA ORAL AND MAXILLOFACIAL SURGERY, LTD |
| Organization Legal Name | LAKE GENEVA ORAL AND MAXILLOFACIAL SURGERY, LTD |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John J Richard | Oral Surgery | Lake Geneva Oral and Maxillofacial Surgery, Ltd | 312 Ctr St, Lake Geneva, WI 53147-1904 |
| Street Address |
190 GARDNER AVE SUITE 8 |
| City | BURLINGTON |
| State | WI |
| Zip | 53105-2160 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Moosa Kaleemullah | Psychiatry | Aurora Medical Group Inc | 190 Gardner Ave, Suite 3, Burlington, WI 53105-2160 |
| Rosita M Fernandez | Psychologist, Clinical | Aurora Medical Group Inc | 190 Gardner Ave, Suite 3, Burlington, WI 53105-2160 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Timothy G Caufield | Clinical Psychologist | 425 Park Ave, Burlington, WI 53105-1128 | |
| Paula K Cooper | Clinical Psychologist | 345 Milwaukee Ave, Burlington, WI 53105-1228 | |
| Alan D Meike | Chiropractic | Burlington Family Chiropractic LLC | 196 W Chestnut St, Burlington, WI 53105-1236 |
| Patricia Jean Rullmann | Chiropractic | Burlington Family Chiropractic LLC | 196 W Chestnut St, Burlington, WI 53105-1236 |
| Terry J Dobbs | Chiropractic | Burlington Family Chiropractic LLC | 196 W Chestnut St, Burlington, WI 53105-1236 |
| Ryan R Adams | Physical Therapy | Dpt Holdings LLC | 598 Milwaukee Ave, Burlington, WI 53105-1251 |
| Traci A Purath | Neurology | 565 Milwaukee Ave, Burlington, WI 53105-1254 | |
| Troy E Bruesewitz | Chiropractic | 925 Milwaukee Ave, Suite A, Burlington, WI 53105-1351 | |
| Romy K Patel | Podiatry | Advanced Foot and Ankle of Wisconsin LLC | 1050 S Milwaukee Ave, Suite 102, Burlington, WI 53105-1362 |
| James D Webley | Chiropractic | 1050 Milwaukee Ave, Suite 101, Burlington, WI 53105-1362 | |
| Find all physicians in zip 53105 | |||
| City | BURLINGTON |
| Zip Code | 53105 |
| Specialty | ORAL SURGERY |
| City + Specialty | BURLINGTON + ORAL SURGERY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.