MR. TIMOTHY FREDERIC BOERGER (NPI# 1023385937) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023385937 |
| Entity Type | Individual |
| Full Name | MR. TIMOTHY FREDERIC BOERGER |
| Credential | MS, ATC |
| Practice Address |
1250 W Wisconsin Ave Milwaukee WI 53233-2225 |
| Mailing Address |
Po Box 1881 Milwaukee WI 53201-1881 |
| Practice Telephone | 4142885069 |
| Mailing Telephone | 4142886256 |
| Enumeration Date | 2011-11-20 |
| Last Update Date | 2016-06-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
096.003134 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1250 W WISCONSIN AVE |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53233-2225 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790858462 | Shanyn Colleen Lancaster | Family Medicine | 1250 W Wisconsin Ave, Student Health, Schroeder Complex, Lower Level, Milwaukee, WI 53233-2225 | 2006-11-17 |
| 1548887912 | Jeremy Schmidt | Student in an Organized Health Care Education/Training Program | 1250 W Wisconsin Ave, Milwaukee, WI 53233-2225 | 2020-07-01 |
| 1568021202 | Erin Alagna | Specialist/Technologist | 1250 W Wisconsin Ave, Milwaukee, WI 53233-2225 | 2019-06-06 |
| 1659745529 | Mohamed Ibrahim | Dentist | 1250 W Wisconsin Ave, Milwaukee, WI 53233-2225 | 2015-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104454750 | Henok Desta Hardilo | Student in an Organized Health Care Education/Training Program | Aurora Sinai Medical Center 945 N 12th Street, Milwaukee, WI 53233 | 2020-03-30 |
| 1821633314 | Ann E Millard | Occupational Therapist | 560 N. 16th Street, Room 214a, Milwaukee, WI 53233 | 2019-11-08 |
| 1306480918 | Teng Kai Ong | Dentist | 1801 West Wisconsin Ave., Milwaukee, WI 53233 | 2019-11-06 |
| 1356800478 | Nebiyu Abera Tilahun | Student in an Organized Health Care Education/Training Program | Aurora Sinai Medical Center, 945 N. 12th Street, Milwaukee, WI 53233 | 2019-03-18 |
| 1548748387 | Emily Claire Goetz | Physical Therapist | 945 N. 12th St. Suite 1100, Milwaukee, WI 53233 | 2018-08-03 |
| 1801373378 | Froedtert & The Medical College of Wisconsin Community Physicians | Non-Pharmacy Dispensing Site | 1721 W Canal St, Milwaukee, WI 53233 | 2018-07-26 |
| 1184170706 | Lauren Troll | Physical Therapist | 925 N 12th Street, Milwaukee, WI 53233 | 2016-09-01 |
| 1942694401 | Iryna Nemesh | Internal Medicine | 1020 N 12th St Fl 2, Milwaukee, WI 53233 | 2015-03-23 |
| 1649676032 | Matina Angelopoulou | Dentist | 1801 West Winsconsin Ave, Milwaukee, WI 53233 | 2014-11-12 |
| 1780007831 | John Ladisa | Technician, Other | 1637 W. Wisconsin Ave, Room 311, Milwaukee, WI 53233 | 2014-01-27 |
| Find all providers in zip 53233 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124649751 | Cody Scott Tesch | Specialist/Technologist | 6680 N Teutonia Ave, Milwaukee, WI 53209-3117 | 2020-05-05 |
| 1366070708 | Claire Duwell | Specialist/Technologist | 9111 W Bluemound Rd, Milwaukee, WI 53226-4506 | 2020-03-31 |
| 1851929491 | Frank Dore | Specialist/Technologist | 3265 N Oakland Ave, Milwaukee, WI 53211-3051 | 2020-03-30 |
| 1851923239 | Anna Barth | Specialist/Technologist | 1857 E Kenilworth Pl Apt 322, Milwaukee, WI 53202-4714 | 2020-02-04 |
| 1356903074 | Christian Garcia | Specialist/Technologist | 1930 W Grant St, Milwaukee, WI 53215-2614 | 2019-07-02 |
| 1801363403 | Jennifer A Merritt | Specialist/Technologist | 1245 N Broadway, Milwaukee, WI 53202-2507 | 2018-11-01 |
| 1528556255 | Renee Reckelberg | Specialist/Technologist | 3409 North Downer Avenue, Pavilion, Suite 350, Milwaukee, WI 53211 | 2018-04-27 |
| 1205344595 | Abigail Leisemann | Specialist/Technologist | 114 S 79th St, Milwaukee, WI 53214-1413 | 2018-01-20 |
| 1205299096 | Sarah Wenszell | Specialist/Technologist | 228 N 72nd St, Milwaukee, WI 53213-3752 | 2016-03-30 |
| 1396106993 | Ryan D Mccauley | Specialist/Technologist | 1732 N Prospect Ave Apt 408, Milwaukee, WI 53202-1937 | 2016-03-10 |
| 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.