DR. RICHARD EDGAR RIESELBACH (NPI# 1184155194) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1184155194 |
Entity Type | Individual |
Full Name | DR. RICHARD EDGAR RIESELBACH |
Credential | M.D. |
Practice Address |
2711 Allen Blvd Middleton WI 53562 |
Mailing Address |
2711 Allen Blvd. Bsp Clinic Middleton WI 53562 |
Practice Telephone | 6088272308 |
Practice Fax Number | 6088272344 |
Mailing Telephone | 6088272308 |
Enumeration Date | 2017-03-22 |
Last Update Date | 2017-03-22 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
13589-20 | WI | Allopathic & Osteopathic Physicians |
Street Address |
2711 ALLEN BLVD |
City | MIDDLETON |
State | WI |
Zip Code | 53562 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962478040 | Peter S Karofsky | Pediatrics | 2711 Allen Blvd, Middleton Teen Clinic, Middleton, WI 53562 | 2006-02-27 |
1396295630 | Dean Foundation for Health, Research and Education | Clinic/Center | 2711 Allen Blvd, Suite 300, Middleton, WI 53562-2287 | 2016-10-11 |
1750672648 | Antonio G Sella | Social Worker | 2711 Allen Blvd, Middleton, WI 53562-2287 | 2011-04-26 |
1932353091 | M. John Murphy | Psychiatry & Neurology | 2711 Allen Blvd, Middleton, WI 53562-2287 | 2008-11-14 |
1720205826 | Madison Institute of Neurological Disorders, Sc | Psychiatry & Neurology | 2711 Allen Blvd, Middleton, WI 53562-2287 | 2007-04-19 |
1558422634 | Leslie V Taylor | Psychiatry & Neurology | 2711 Allen Blvd, Dean Medical Foundation, Middleton, WI 53562-2287 | 2006-12-13 |
1922169077 | Rise Ann Futterer | Psychiatry & Neurology | 2711 Allen Blvd, Dean Medical Foundation, Middleton, WI 53562-2287 | 2006-12-13 |
1457444374 | Anne I Koplin | Psychiatry & Neurology | 2711 Allen Blvd, Suite 300, Middleton, WI 53562-2287 | 2006-10-02 |
1134149164 | Cheryl Ray | Psychiatry & Neurology | 2711 Allen Blvd, Suite 102, Middleton, WI 53562-2287 | 2006-07-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770143802 | Taylor Moore | Chiropractor | 6629 University Ave Ste 101, Middleton, WI 53562 | 2019-06-20 |
1558861302 | Nissenbaum and Schleusner Pro Physical Therapy LLC | Physical Therapist | 6649 University Ave Ste 100, Middleton, WI 53562 | 2018-02-19 |
1750804514 | University of Wisconsin Hospitals and Clinics Authority | Pharmacy | 3185 Deming Way, Middleton, WI 53562 | 2017-07-24 |
1285165803 | Julie Zimmerman | Pharmacist | 7414 Voss Pkwy, Middleton, WI 53562 | 2017-03-24 |
1982072773 | Gina Craig | Physical Therapist | 2521 Allen Boulevard, Middleton, WI 53562 | 2015-09-10 |
1588030464 | Nicholas Capote | Pharmacist | 600 Highland Avenue, F6/133, Madison, WI 53562 | 2015-08-14 |
1679975734 | Emily Herzog | Nurse Practitioner | 7248 Squire Cir, Middleton, WI 53562 | 2014-09-20 |
1942620752 | Brooke Michelle Moungey | Emergency Medicine | 8540 Greenway Blvd, Middleton, WI 53562 | 2014-04-18 |
1962820027 | Jennifer Ciske Larson | Ophthalmology | 2349 Deming Way Deming Way Eye Clinic, Middleton, WI 53562 | 2014-04-04 |
1740525971 | Sara E.m. Nichols | Veterinarian | 1612 N. High Point Rd., Middleton, WI 53562 | 2012-11-28 |
Find all providers in zip 53562 |
Taxonomy Code | 207QA0505X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Specialization | Adult Medicine |
Definition to come. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063923399 | Congenial Healthcare, LLC | Family Medicine | 147 S Main St, Middleton, MA 01949-2446 | 2017-10-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427214501 | Muzaffar Baig Mirza | Family Medicine | 2976 Edenberry St, Fitchburg, WI 53711-6950 | 2008-07-29 |
1720101447 | Robert G Montgomery | Family Medicine | 8570 S 116th St, Franklin, WI 53132-8803 | 2007-04-09 |
1447388350 | Robert Earl Kerwin Jr. | Family Medicine | 333 E. Campus Mall, Madison, WI 53715-1381 | 2007-03-01 |
1184768129 | Charles E Larson | Family Medicine | Flci, W10237 Lake Emily Rd, Fox Lake, WI 54935-8525 | 2007-02-15 |
1154411486 | Paul Henry Hunter | Family Medicine | 841 N Broadway Rm 315, Milwaukee, WI 53202-3613 | 2006-10-16 |
1851310411 | Steven Ronald Coenen | Family Medicine | 10 Triparkway, Va Clinic, Appleton, WI 54914 | 2006-07-18 |
1285688713 | Deborah A Luetzow | Family Medicine | 2413 W Rawson Ave, Oak Creek, WI 53154-1323 | 2006-05-20 |
1548257124 | Paul Hankwitz | Family Medicine | 8520 W Oklahoma Ave, Milwaukee, WI 53227-4604 | 2005-09-29 |
1275978983 | Numale Medical Center LLC | Family Medicine | 2600 N Mayfair Rd, Suite 505, Wauwatosa, WI 53226-1309 | 2013-05-08 |
1376851311 | Progressive Community Health Centers, Inc | Family Medicine | 1452 N 7th St, 2nd Floor, Milwaukee, WI 53205-2301 | 2010-09-23 |
Find all providers with the same taxonomy |
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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.