DR. ROBERT D MATTEUCCI (NPI# 1164426763) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164426763 |
| Entity Type | Individual |
| Full Name | DR. ROBERT D MATTEUCCI |
| Credential | D.P.M. |
| Practice Address |
8153 S 27th St Suite 400 Franklin WI 53132-9549 |
| Practice Telephone | 4147610981 |
| Practice Fax Number | 4147611614 |
| Mailing Telephone | 4147610981 |
| Mailing Fax Number | 4147611614 |
| Enumeration Date | 2005-06-10 |
| Last Update Date | 2010-05-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
016005168 | IL | Podiatric Medicine & Surgery Service Providers |
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
881025 | WI | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 43237400 | 05 |
| Street Address |
8153 S 27TH ST SUITE 400 |
| City | FRANKLIN |
| State | WI |
| Zip Code | 53132-9549 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730689548 | Sports Physical Therapy & Rehab Specialist, S.c. | Physical Therapist | 8153 S 27th St, Franklin, WI 53132-9549 | 2018-02-19 |
| 1548679046 | Glsd Medical LLC | Clinic/Center | 8153 S 27th St, Suite 500, Franklin, WI 53132-9549 | 2014-08-08 |
| 1558674028 | Douglas Milosavljevic, M.d., S.c. | Anesthesiology | 8153 S 27th St, Suite 300, Franklin, WI 53132-9549 | 2010-07-26 |
| 1649401258 | Great Lakes Pain Specialists, LLC | Anesthesiology | 8153 S 27th St, Franklin, WI 53132-7012 | 2009-07-30 |
| 1497980759 | Great Lakes Medical LLC | Clinic/Center | 8153 S 27th St, Franklin, WI 53132-7012 | 2009-05-15 |
| 1316101595 | Great Lakes Foot & Ankle of Greater Milwaukee | Clinic/Center | 8153 S 27th St, 400, Franklin, WI 53132-9549 | 2008-07-16 |
| 1831173822 | Douglas Milosavljevic | Anesthesiology | 8153 S 27th St, Suite 500, Franklin, WI 53132-9549 | 2005-12-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568014405 | Michelle L. Lamers, D.d.s, L.L.C. | Dentist | 7111 S 76 Street, Franklin, WI 53132 | 2019-07-11 |
| 1649833765 | Lori A Mansur | Registered Nurse | 6580 S. 46th St., Franklin, WI 53132 | 2019-04-15 |
| 1619496296 | Emily Ninnemann | Occupational Therapist | 8940 S. 51st St, Franklin, WI 53132 | 2017-09-14 |
| 1639532526 | Rinal Patel | Emergency Medicine | 9200 W Loomis Rd Ste 212, Franklin, WI 53132 | 2016-03-30 |
| 1174980098 | Lisa Obrien | Registered Nurse | 3111 W Rawson Ave Ste 210, Franklin, WI 53132 | 2016-01-22 |
| 1528446713 | Jonathan Shih | Podiatrist | 9200 W Loomis Rd Ste 116, Franklin, WI 53132 | 2015-05-08 |
| 1275940769 | Tristan Krause | Nurse Practitioner | 4225 W. Oakwood Park Court, Franklin, WI 53132 | 2014-07-16 |
| 1922344613 | Vital Imaging, LLC | Clinic/Center | 10500 W. Loomis Rd., Ste 130, Franklin, WI 53132 | 2012-12-27 |
| 1013285311 | Jill Barth | Pharmacist | 7130 South 76th Street, Franklin, WI 53132 | 2011-12-01 |
| 1235417783 | Hilary Megan Mayne | Dentist | 6855 South 27th St, Franklin, WI 53132 | 2011-08-02 |
| Find all providers in zip 53132 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760665434 | Brian Alan Kaye | Podiatrist | 32259 Scenic Ln, Franklin, Franklin, MI 48025-1702 | 2007-12-17 |
| 1437166683 | Rodney L. Bland | Podiatrist | 708 Clay St, Franklin, VA 23851-1823 | 2006-08-01 |
| 1316978729 | Southampton Foot & Ankle Clinic PC | Podiatrist | 110 W Second Ave., Franklin, VA 23851-1712 | 2006-07-05 |
| 1821075904 | James A Anderson Jr. | Podiatrist | 184 W Central St, Franklin, MA 02038-2137 | 2005-12-29 |
| 1912512724 | Cumberland Foot and Ankle Centers | Podiatrist | 1030 Brookhaven Rd, Franklin, KY 42134-2745 | 2020-09-09 |
| 1902276389 | Deheer Holdings LLC | Podiatrist | 1159 W Jefferson St, Suite 204, Franklin, IN 46131-2794 | 2015-09-29 |
| 1790048502 | Farwa Abid-hoffman | Podiatrist | 1159 W Jefferson St Ste 204, Franklin, IN 46131-2795 | 2012-06-18 |
| 1568638674 | Kimberly Lynn Bobbitt | Podiatrist | 7400 W Rawson Ave, Suite 231, Franklin, WI 53132-8278 | 2008-05-08 |
| 1174714505 | University Foot and Ankle Centers, LLC | Podiatrist | 100 Covey Dr, Suite 309, Franklin, TN 37067-5665 | 2007-08-09 |
| 1215011689 | Julia K Riley | Podiatrist | 1300 W Jefferson St, Ste C, Franklin, IN 46131-9121 | 2006-10-24 |
| Find all providers in FRANKLIN | ||||
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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.