TYLER BOSCHUETZ (NPI# 1063809416) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063809416 |
| Entity Type | Individual |
| Full Name | TYLER BOSCHUETZ |
| Credential | MD |
| Practice Address |
19475 W North Ave Ste 400 Brookfield WI 53045-4199 |
| Mailing Address |
231 Albert Sabin Way Cincinnati OH 45267-2827 |
| Practice Telephone | 2627804000 |
| Enumeration Date | 2015-04-23 |
| Last Update Date | 2019-06-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 70583 | WI | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 231 Albert Sabin Way, Cincinnati, OH 452672827 | 5135848239 |
| Street Address |
19475 W NORTH AVE STE 400 |
| City | BROOKFIELD |
| State | WI |
| Zip Code | 53045-4199 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801436159 | Jeannie Spoon | Behavioral Analyst | 200 N. Patrick Blvd. Ste 250, Brookfield, WI 53045 | 2020-01-14 |
| 1629635313 | Hallie Mackenzie Ritchay | Speech-Language Pathologist | Greenfield Rehabilitation Agency 19395 W Capitol Dr, Ste 200, Brookfield, WI 53045 | 2019-05-29 |
| 1427535038 | Kimberly Ann Beres | Registered Nurse | 2253 Norhardt Dr, Brookfield, WI 53045 | 2018-07-26 |
| 1265927768 | Brady Frederick Bachmann | Physical Therapist | 275 Regency Ct., Suite 200, Brookfield, WI 53045 | 2018-06-27 |
| 1841792603 | Wisconsin Renal Care Group, L.L.C. | Clinic/Center | 17500 W Capitol Drive, Brookfield, WI 53045 | 2018-03-07 |
| 1750828299 | Nanette Marie Kloth | Nurse Practitioner | 18110 W Bluemond Rd, Brookfield, WI 53045 | 2017-01-23 |
| 1144772013 | Saida Reifenrath | Acupuncturist | 240 Regency Court, Suite 102, Brookfield, WI 53045 | 2016-10-26 |
| 1437545951 | Kylee Stevenson | Chiropractor | 19555 W Bluemound Rd Ste 6, Brookfield, WI 53045 | 2015-04-10 |
| 1548659725 | Patricia Ann Kender | Nurse Practitioner | 17495 W. Capitol Dr., Brookfield, WI 53045 | 2015-01-12 |
| 1568882793 | Kassandra E Holzem | Dermatology | 195 Discovery Dr, Brookfield, WI 53045 | 2014-04-28 |
| Find all providers in zip 53045 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821308974 | Douglas Owen Clark | Obstetrics & Gynecology | 21010 Black Walnut Ln, A, Brookfield, WI 53045-4062 | 2010-10-07 |
| 1356593099 | Robert Stephen Pavlic | Obstetrics & Gynecology | 15800 Sky Cliff Dr, Brookfield, WI 53005-2859 | 2008-10-14 |
| 1871793612 | Hillary A Kufahl Janicki | Obstetrics & Gynecology | 19475 W North Avenue, Brookfield, WI 53045-4199 | 2007-07-19 |
| 1932264660 | William John Buggy | Obstetrics & Gynecology | 16650 Lake Cir # C, Brookfield, WI 53005-5736 | 2006-12-22 |
| 1124078795 | Jeffrey Lerch | Obstetrics & Gynecology | 9230 Broadway Ave, Brookfield, IL 60513-1252 | 2006-05-12 |
| 1114293925 | Caitlin Marie Ferron | Obstetrics & Gynecology | 19475 W North Ave, Suite 400, Brookfield, WI 53045-4199 | 2012-03-26 |
| 1891061883 | Melanie Ann Delaney | Obstetrics & Gynecology | 17280 W North Ave, Suite 200, Brookfield, WI 53045-4366 | 2012-03-24 |
| 1700906369 | James A Stadler, Md, Sc | Obstetrics & Gynecology | 17000 W North Ave, Brookfield, WI 53005-4423 | 2007-03-29 |
| 1780759670 | Candice D. Lovell | Obstetrics & Gynecology | 17280 W North Ave, Suite 200, Brookfield, WI 53045-4366 | 2006-11-24 |
| 1447356845 | Lifetime Ob/gyn, Ltd. | Obstetrics & Gynecology | 17280 W North Ave, Suite 200, Brookfield, WI 53045-4366 | 2006-09-15 |
| Find all providers in BROOKFIELD | ||||
| City | BROOKFIELD |
| Zip Code | 53045 |
Please comment or provide details below to improve the information on TYLER BOSCHUETZ.
| 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.