ELIZABETH ANN BUKOWY


Address: 9200 W Wisconsin Ave, Specialty Clinics Building, 4th Floor, Milwaukee, WI 53226-3522
Phone: 4148056850

ELIZABETH ANN BUKOWY (NPI# 1063839397) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063839397
Entity Type Individual
Full Name ELIZABETH ANN BUKOWY
Practice Address 9200 W Wisconsin Ave
Specialty Clinics Building, 4th Floor
Milwaukee
WI 53226-3522
Practice Telephone 4148056850
Practice Fax Number 4148056851
Mailing Telephone 4148056850
Mailing Fax Number 4148056851
Enumeration Date 2014-03-25
Last Update Date 2019-07-15
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RG0300X Internal Medicine
Specialization: Geriatric Medicine
65157 WI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
WI 1063839397 05

Office Location

Street Address 9200 W WISCONSIN AVE
SPECIALTY CLINICS BUILDING, 4TH FLOOR
City MILWAUKEE
State WI
Zip Code 53226-3522

Providers in the same location

NPI Name Taxonomy Address Enumeration
1255334173 Froedtert Memorial Lutheran Hospital, Inc. General Acute Care Hospital 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 2005-05-24
1013518182 Shelby Koppinger Pharmacist 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 2020-11-05
1083215065 Jennifer Lynn Scheffler Physician Assistant 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 2020-11-05
1306445952 Elyan Carolina Ruiz Solano Thoracic Surgery (Cardiothoracic Vascular Surgery) 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 2020-10-23
1972101467 Sarah Emily Ziem Nurse Practitioner 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 2020-10-15
1912504242 Matthew Resop Nurse Practitioner 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 2020-10-09
1043817877 Jacqueline Jordan Morgan Nurse Practitioner 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 2020-10-05
1134726227 Joseph Beiler Registered Nurse 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 2020-10-02
1316553845 Nathan Duncan Pharmacist 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 2020-09-21
1043826035 Emily Mell Physician Assistant 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 2020-09-16
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1912511155 Alexander Harlan Pharmacist 900 N 92nd St, Milwaukee, WI 53226 2020-09-04
1558985762 Armghan Haider Ans Student in an Organized Health Care Education/Training Program 9200 W. Wisconsin Ave. Froedtert Hospital & Medical Col, Milwaukee, WI 53226 2020-06-03
1669001103 Kimberly Tyler Student in an Organized Health Care Education/Training Program 8701 W Watertown Plank Road, Medical College of Wisconsin Dept of Internal Medicine, Wauwatosa, WI 53226 2020-04-06
1972131993 Francesca Meloy Devine Student in an Organized Health Care Education/Training Program Medical Education Office: Children's Corporate Center, 999 N. 92nd St., Suite 730, Milwaukee, WI 53226 2020-03-27
1285275248 Sharitta Alford Technician 12250 West North Avenue, Apartment 142b, Wauwatosa, WI 53226 2019-10-01
1619528023 Linda Marie Sabatinelli Technician 12107 W. Woodland Ave, Wauwatosa, WI 53226 2019-09-26
1598310195 Matthew Laviolette Surgery Medical College of Wisconsin, 8701 Watertown Plank Rd., Surgical Oncology, Milwaukee, WI 53226 2019-08-09
1962056432 Lyndsey Marie Bratberg Physician Assistant F&mcw Clinical Cancer Center 9200 W. Wisconsin Ave., Milwaukee, WI 53226 2019-08-01
1659832855 Benjamin David Seadler Surgery Mcw, Department of Surgery, 8701 Watertown Plank Road, Milwaukee, WI 53226 2019-03-29
1861953267 Michael Dryden Student in an Organized Health Care Education/Training Program 8701 Watertown Plank Rd., Milwaukee, WI 53226 2019-03-27
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Taxonomy Information

Taxonomy Code 207RG0300X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Geriatric Medicine

Taxonomy Definition

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1003882994 Soryal A Soryal Internal Medicine 1020 N 12th St, 3rd Floor, Milwaukee, WI 53233-1308 2006-02-28
1720407893 Cara Coughlin O'brien Internal Medicine 9200 W Wisconsin Ave, Milwaukee, WI 53226 2014-04-15
1275890568 Laura Ann Previll Internal Medicine 8701 W Watertown Plank Rd, Milwaukee, WI 53226-3548 2012-04-12
1518261510 Zaw Moe Aung Internal Medicine 8520 W Oklahoma Ave, Milwaukee, WI 53227-4604 2011-01-05
1972762979 Alina M Petculescu Internal Medicine 8520 W Oklahoma Ave, Milwaukee, WI 53227-4604 2008-06-04
1053469536 Michael L Malone Internal Medicine 1020 N 12th St, 3rd Floor, Milwaukee, WI 53233-1308 2007-01-08
1205991254 Tyler H Steward Internal Medicine 2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 2006-12-27
1144310475 Kalluru Vijayabhanu Internal Medicine 5228 W Fond Du Lac Ave, Milwaukee, WI 53216 2006-10-16
1861582215 Marilyn J Sincaban Internal Medicine 1555 S Layton Blvd, Milwaukee, WI 53215-1924 2006-10-14
1154421865 Richard P Thiede Internal Medicine 2323 N Lake Dr, Milwaukee, WI 53211-4508 2006-09-23
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Competitor

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City MILWAUKEE
Zip Code 53226

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Dataset Information

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.

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