DR. CLIFFORD D GREENBAUM (NPI# 1003990961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003990961 |
| Entity Type | Individual |
| Full Name | DR. CLIFFORD D GREENBAUM |
| Credential | D.P.M. |
| Practice Address |
8003 N Port Washington Rd Milwaukee WI 53217-2647 |
| Practice Telephone | 4142286444 |
| Practice Fax Number | 4142287005 |
| Mailing Telephone | 4142286444 |
| Mailing Fax Number | 4142287005 |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 658025 | WI | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 43214600 | 05 | |
| WI | DEA | BG2750986 | 01 |
| WI | WISCONSIN STATE LIC. | 658025 | 01 |
| Street Address |
8003 N PORT WASHINGTON RD |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53217-2647 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295819118 | North Shore Podiatry, Inc. | Podiatrist | 8003 N Port Washington Rd, Milwaukee, WI 53217-2647 | 2006-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922632587 | Jasmine Dockery | Pharmacist | 5400 N Port Washington, Glendale, WI 53217 | 2020-02-23 |
| 1174017339 | North Lakes Nursing Home Health Care Agency LLC | Home Health | 225 E Fairmount Ave, Milwaukee, WI 53217 | 2018-06-20 |
| 1083140289 | Miriah Ann King, Ms, Lpc | Counselor | 7805 North Boyd Way, Fox Point, WI 53217 | 2017-05-08 |
| 1245783067 | Lakesha L Jones | Counselor | 5235 N Ironwood Rd, Glendale, WI 53217 | 2016-07-28 |
| 1750783312 | Ibrahim S Abouzeid | Specialist/Technologist, Other | 333 W Brown Deer Road, #240, Milwaukee, WI 53217 | 2014-09-25 |
| 1255733598 | Victoria Gorodetsky | Pharmacist | 229 W Indian Creek Ct, Milwaukee, WI 53217 | 2014-09-18 |
| 1174800049 | John Herman Esser | Internal Medicine | 1050 W Acacia Rd, Milwaukee, WI 53217 | 2011-11-07 |
| 1710298351 | Leann M Harman | Physical Therapist | 5333 N Port Washington Rd Ste B, Glendale, WI 53217 | 2010-06-29 |
| 1306012455 | Emily Marie Gallagher | Speech-Language Pathologist | 6700 N. Port Washington Road, Milwaukee, WI 53217 | 2008-05-07 |
| 1164625455 | Mary Catherine Enderlin | Psychologist | 6110 N Port Washington Road, The Cambridge Group, Glendale, WI 53217 | 2007-06-06 |
| Find all providers in zip 53217 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073880936 | Tahir A Khan | Podiatrist | 6001 W Center St Ste 108, Milwaukee, WI 53210-2154 | 2011-11-21 |
| 1811185812 | John Stuart Lanham | Podiatrist | 5720 W Oklahoma Avenue, Milwaukee, WI 53219 | 2007-10-04 |
| 1326124694 | Alan L Balkansky Dpmsc | Podiatrist | 5404a N Lovers Lane Rd, Milwaukee, WI 53225-3006 | 2006-10-31 |
| 1295819118 | North Shore Podiatry, Inc. | Podiatrist | 8003 N Port Washington Rd, Milwaukee, WI 53217-2647 | 2006-10-25 |
| 1346251303 | Jeffrey A Fischer | Podiatrist | 9226 W Burleigh St, Milwaukee, WI 53222-3503 | 2006-08-11 |
| 1235165002 | Steven Eric Kaufman | Podiatrist | 3615 W Oklahoma Ave, Milwaukee, WI 53215-4100 | 2006-06-24 |
| 1457301228 | Steven Frydman | Podiatrist | 7929 N 76th St, Milwaukee, WI 53223-3947 | 2006-05-11 |
| 1427049279 | Community Foot and Ankle Clinic, Inc. | Podiatrist | 4100 S Howell Ave, Milwaukee, WI 53207-4410 | 2005-11-01 |
| 1174529671 | Warren K Mciver | Podiatrist | 7903 West Capitol Drive, Milwaukee, WI 53222-1903 | 2005-06-21 |
| 1952306896 | Louis Robert Lapow | Podiatrist | 4220 S 27th St, Ste 101, Milwaukee, WI 53221-1855 | 2005-06-16 |
| Find all providers in MILWAUKEE | ||||
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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.