MIDWEST SURGICAL PROFESSIONALS LLC (NPI# 1194100511) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1194100511 |
Entity Type | Organization |
Organization Name | MIDWEST SURGICAL PROFESSIONALS LLC |
Practice Address |
19275 W Capitol Dr Suite 205 Brookfield WI 53045-2742 |
Practice Telephone | 2627017040 |
Practice Fax Number | 2627014978 |
Mailing Telephone | 2627017040 |
Mailing Fax Number | 2627014978 |
Enumeration Date | 2015-07-27 |
Last Update Date | 2016-11-09 |
Authorized Official Name | DR. ANAND D PATEL (MEMBER) |
Authorized Official Telephone | 4149883223 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207YX0905X |
Otolaryngology Specialization: Otolaryngology/Facial Plastic Surgery |
61806-20 | WI | Allopathic & Osteopathic Physicians |
Street Address |
19275 W CAPITOL DR SUITE 205 |
City | BROOKFIELD |
State | WI |
Zip Code | 53045-2742 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518159599 | Anand D Patel | Otolaryngology | 19275 W Capitol Dr, Suite 205, Brookfield, WI 53045-2742 | 2007-08-14 |
1164819009 | Jill T Butterfield Ms, Atrl-bc LLC | Counselor | 19275 W Capitol Dr, Suite 200, Brookfield, WI 53045-2742 | 2015-04-17 |
1326462540 | Visage Facial Plastic Surgery Sc | Otolaryngology | 19275 W Capitol Dr, Suite 205, Brookfield, WI 53045-2742 | 2014-02-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801436159 | Jeannie Spoon | Behavioral Analyst | 200 N. Patrick Blvd. Ste 250, Brookfield, WI 53045 | 2020-01-14 |
1629635313 | Hallie Mackenzie Ritchay | Speech-Language Pathologist | Greenfield Rehabilitation Agency 19395 W Capitol Dr, Ste 200, Brookfield, WI 53045 | 2019-05-29 |
1427535038 | Kimberly Ann Beres | Registered Nurse | 2253 Norhardt Dr, Brookfield, WI 53045 | 2018-07-26 |
1265927768 | Brady Frederick Bachmann | Physical Therapist | 275 Regency Ct., Suite 200, Brookfield, WI 53045 | 2018-06-27 |
1841792603 | Wisconsin Renal Care Group, L.L.C. | Clinic/Center | 17500 W Capitol Drive, Brookfield, WI 53045 | 2018-03-07 |
1750828299 | Nanette Marie Kloth | Nurse Practitioner | 18110 W Bluemond Rd, Brookfield, WI 53045 | 2017-01-23 |
1144772013 | Saida Reifenrath | Acupuncturist | 240 Regency Court, Suite 102, Brookfield, WI 53045 | 2016-10-26 |
1437545951 | Kylee Stevenson | Chiropractor | 19555 W Bluemound Rd Ste 6, Brookfield, WI 53045 | 2015-04-10 |
1548659725 | Patricia Ann Kender | Nurse Practitioner | 17495 W. Capitol Dr., Brookfield, WI 53045 | 2015-01-12 |
1568882793 | Kassandra E Holzem | Dermatology | 195 Discovery Dr, Brookfield, WI 53045 | 2014-04-28 |
Find all providers in zip 53045 |
Taxonomy Code | 207YX0905X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Otolaryngology |
Specialization | Otolaryngology/Facial Plastic Surgery |
An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518179928 | John D. Wolski | Otolaryngology | 12850 Dunwoody Dr, Elm Grove, WI 53122-1415 | 2007-05-06 |
1154393791 | Thomas Oliver Wildes | Otolaryngology | 962 Parkland Dr, Chippewa Falls, WI 54729-5084 | 2006-02-07 |
1255582078 | Martin E. Samuel, Dds,md,sc | Otolaryngology | 2741 W Layton Ave, Suite 206, Milwaukee, WI 53221-2600 | 2008-10-10 |
1831359801 | Ethan B. Handler | Otolaryngology | 2885 N Mayfair Rd, Milwaukee, WI 53222-4404 | 2008-06-13 |
1619157161 | Michael Healy Mcdonald | Otolaryngology | 6408 Copps Ave, Monona, WI 53716-3702 | 2007-11-13 |
1275725913 | Jessica Ann Weddle | Otolaryngology | 512 S 28th Ave, Wausau, WI 54401-4147 | 2007-08-16 |
1346450558 | Ayman D Yaish | Otolaryngology | 130 Warren St, Suite 130, Beaver Dam, WI 53916 | 2007-05-23 |
1962617845 | Edward Lawrence Smith | Otolaryngology | 1411 N Taylor Dr, Sheboygan, WI 53081-3043 | 2007-05-13 |
1629294145 | Michael James Mcavoy | Otolaryngology | 1520 N Meade St, Appleton, WI 54911-3762 | 2007-04-17 |
1336364546 | James L Rossiter | Otolaryngology | 10610 N Port Washington Road, Mequon, WI 53092 | 2007-04-14 |
Find all providers with the same taxonomy |
City | BROOKFIELD |
Zip Code | 53045 |
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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.