JOSEPH PUCCINELLI (NPI# 1134125842) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134125842 |
| Entity Type | Individual |
| Full Name | JOSEPH PUCCINELLI |
| Credential | M.D. |
| Practice Address |
7545 N Port Washington Rd Glendale WI 53217-3422 |
| Practice Telephone | 4143513500 |
| Practice Fax Number | 4143519063 |
| Mailing Telephone | 4143513500 |
| Mailing Fax Number | 4143519063 |
| Enumeration Date | 2005-06-27 |
| Last Update Date | 2008-03-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 33107 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 31804900 | 05 |
| Street Address |
7545 N PORT WASHINGTON RD |
| City | GLENDALE |
| State | WI |
| Zip Code | 53217-3422 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679578843 | James R Flesch | Orthopaedic Surgery | 7545 N Port Washington Rd, Glendale, WI 53217-3422 | 2005-06-15 |
| 1083715676 | North Shore Orthopaedics, Sc | Physical Medicine & Rehabilitation | 7545 N Port Washington Rd, Glendale, WI 53217-3422 | 2006-09-26 |
| 1639178171 | Heidi H Borca | Physical Medicine & Rehabilitation | 7545 N Port Washington Rd, Glendale, WI 53217-3422 | 2005-07-18 |
| 1871599712 | Domenic J Pulito | Orthopaedic Surgery | 7545 N Port Washington Rd, Glendale, WI 53217-3422 | 2005-06-24 |
| 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 | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| 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 Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679113849 | G2 Physicians LLC | Orthopaedic Surgery | 20280 N 59th Ave Ste 115-528, Glendale, AZ 85308-6850 | 2020-01-15 |
| 1174014864 | Phoenix Orthopaedic Consultants, P.C. | Orthopaedic Surgery | 18699 N 67th Ave Ste 120, Glendale, AZ 85308-7141 | 2018-05-29 |
| 1346586013 | Integrated Medical Services Inc | Orthopaedic Surgery | 7330 N 99th Ave # 325, Glendale, AZ 85307-3003 | 2012-12-27 |
| 1558621870 | Nick Ghazarian | Orthopaedic Surgery | 222 W Eulalia St Ste 309, Glendale, CA 91204-2851 | 2012-05-21 |
| 1326360231 | Orthopedic Specialists of North America, Pllc | Orthopaedic Surgery | 18555 N 79th Ave Ste E101, Glendale, AZ 85308-8392 | 2010-02-18 |
| 1497935290 | Thomas B. Huizenga, M.d.,s.c. | Orthopaedic Surgery | 525 W River Woods Pkwy Ste 130, Glendale, WI 53212-1010 | 2007-11-08 |
| 1164648242 | Frank Hyman Kanovsky | Orthopaedic Surgery | 655 N Central Ave, Suite 900, Glendale, CA 91203-1422 | 2007-04-18 |
| 1962628388 | Leah Cyran | Orthopaedic Surgery | 1500 E Chevy Chase Dr Ste 401b, Glendale, CA 91206-4152 | 2007-04-17 |
| 1134214091 | Vahan Cepkinian | Orthopaedic Surgery | 222 W Eulalia #300, Glendale, CA 91204 | 2006-10-04 |
| 1770684946 | Edward G Stokes | Orthopaedic Surgery | 610 North Central Avenue, 207, Glendale, CA 91203-1403 | 2006-09-26 |
| Find all providers in GLENDALE | ||||
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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.