DR. BARRY I SPIEGEL (NPI# 1184838781) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184838781 |
| Entity Type | Individual |
| Full Name | DR. BARRY I SPIEGEL |
| Credential | DO |
| Practice Address |
2422 North Grandview Blvd Waukesha WI 53188 |
| Practice Telephone | 2625496600 |
| Practice Fax Number | 2625496698 |
| Mailing Telephone | 2625496600 |
| Mailing Fax Number | 2625496698 |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RA0401X |
Internal Medicine Specialization: Addiction Medicine |
31831021 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 30053600 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912909193 | Barry M Spiegel | Physician Assistant | 1638 Owen Dr, Fayetteville, NC 28304-3424 | 2005-06-01 |
| Street Address |
2422 NORTH GRANDVIEW BLVD |
| City | WAUKESHA |
| State | WI |
| Zip Code | 53188 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063529675 | Julie Ann Burtness | Counselor | 2422 North Grandview Blvd, Waukesha, WI 53188 | 2006-08-23 |
| 1447449319 | Barbara J Kuechler | Registered Nurse | 2422 North Grandview Blvd, Waukesha, WI 53188 | 2007-10-17 |
| 1811104995 | Professional Recovery Network | Substance Abuse Rehabilitation Facility | 2422 North Grandview Blvd, Waukesha, WI 53188 | 2007-05-17 |
| 1598970170 | James Marcel Campeaux | Counselor | 2422 North Grandview Blvd, Waukesha, WI 53188 | 2007-05-14 |
| 1578777249 | Kay L Strauss | Counselor | 2422 North Grandview Blvd, Waukesha, WI 53188 | 2007-05-10 |
| 1861606535 | Dave Lyons | Counselor | 2422 North Grandview Blvd, Waukesha, WI 53188 | 2007-05-10 |
| 1871707422 | Elizabeth Ann Gilbert | Registered Nurse | 2422 North Grandview Blvd, Waukesha, WI 53188 | 2007-05-10 |
| 1831303577 | Kathleen J Maloney | Registered Nurse | 2422 North Grandview Blvd, Waukesha, WI 53188 | 2007-05-10 |
| 1851505416 | Michael S Goldstone | Internal Medicine | 2422 North Grandview Blvd, Waukesha, WI 53188 | 2007-05-10 |
| 1649484205 | Charles J Engel | Internal Medicine | 2422 North Grandview Blvd, Waukesha, WI 53188 | 2007-05-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336787126 | Nicole Lee Berg-johnson | Nurse Practitioner | 820 Crestwood Dr., Waukesha, WI 53188 | 2019-12-12 |
| 1013475706 | Rachel Mueller | Occupational Therapist | 29667 Summit Ave, S11, Waukesha, WI 53188 | 2019-03-12 |
| 1861962649 | Emily Elizabeth Seefeld | Occupational Therapy Assistant | 29667 Summit Ave S11, Waukesha, WI 53188 | 2018-12-05 |
| 1003393307 | Ashley Susan Callahan | Dental Hygienist | 711 W. Moreland Blvd., Suite 204, Waukesha, WI 53188 | 2018-07-19 |
| 1245741321 | Melissa Weir | Case Manager/Care Coordinator | 514 Riverview Avenue, Waukesha, WI 53188 | 2017-10-17 |
| 1093233629 | Patricia Marie Sombrio | Dental Hygienist | 711 Moreland Blvd 204, Waukesha, WI 53188 | 2017-09-04 |
| 1134660244 | Bdg of Wisconsin, Inc. | Behavioral Analyst | N19w2309 Riverwood Drive, Suite 350 Pmb 314, Waukesha, WI 53188 | 2017-03-09 |
| 1255888731 | Lynne Sarah Alva | Dental Hygienist | 711 Moreland Blvd, Suite 204, Waukesha, WI 53188 | 2016-09-01 |
| 1881069730 | Michelle Koch | Occupational Therapist | 29667 Summit Ave. S11, Waukesha, WI 53188 | 2015-12-03 |
| 1952711012 | Rhonda Schroeder | Dental Hygienist | W286 N991 Shepherds Way, Waukesha, WI 53188 | 2014-04-29 |
| Find all providers in zip 53188 | ||||
| Taxonomy Code | 207RA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Addiction Medicine |
| An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932695871 | Iris Health Clinic LLC | Internal Medicine | 403 N Grand Ave, Waukesha, WI 53186-4913 | 2018-07-03 |
| 1851505416 | Michael S Goldstone | Internal Medicine | 2422 North Grandview Blvd, Waukesha, WI 53188 | 2007-05-10 |
| 1649484205 | Charles J Engel | Internal Medicine | 2422 North Grandview Blvd, Waukesha, WI 53188 | 2007-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952955270 | New Day Medical LLC | Internal Medicine | 4655 N Pt Wash Rd, Glendale, WI 53212-1004 | 2019-07-25 |
| 1518404854 | Cleanslate Medical Group of Wisconsin, Sc | Internal Medicine | 377 W River Woods Pkwy Ste 201, Glendale, WI 53212-1088 | 2017-01-25 |
| 1164596615 | Selahattin S. Kurter | Internal Medicine | 1661 N Water St, Suite 301, Milwaukee, WI 53202-2085 | 2006-11-17 |
| 1922627595 | Monarch Health | Internal Medicine | 521 E Washington Ave, Madison, WI 53703-2900 | 2020-04-13 |
| 1821624925 | Brittany Kay Gerovac | Internal Medicine | 521 E Washington Ave, Madison, WI 53703-2900 | 2020-03-20 |
| 1962911602 | Mareum Lucinda Connett | Internal Medicine | 3440 Oakwood Hills Pkwy, Eau Claire, WI 54701-7698 | 2017-09-26 |
| 1205263159 | Sullivan Medical Clinic, LLC | Internal Medicine | 6040 W Lisbon Ave, Suite 200, Milwaukee, WI 53210-2116 | 2013-10-07 |
| 1174890792 | Milind Mehta | Internal Medicine | 1220 Dewey Ave, Wauwatosa, WI 53213-2504 | 2011-11-28 |
| 1285824029 | Larry L Heller | Internal Medicine | 430 E Division St, Fond Du Lac, WI 54935-4560 | 2007-07-27 |
| 1104926310 | Celestino P. Balinghasay | Internal Medicine | 1000 N Oak Ave, Marshfield, WI 54449-5703 | 2006-09-25 |
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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.