DONALD E. DLOUHY LLC (NPI# 1215177167) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1215177167 |
Entity Type | Organization |
Organization Name | DONALD E. DLOUHY LLC |
Practice Address |
12728 W Hampton Ave Butler WI 53007-1602 |
Practice Telephone | 2627818693 |
Practice Fax Number | 2627811468 |
Mailing Telephone | 2627818693 |
Mailing Fax Number | 2627811468 |
Enumeration Date | 2009-03-04 |
Last Update Date | 2014-01-06 |
Authorized Official Name | DR. DONALD EDWARD DLOUHY (OWNER) |
Authorized Official Telephone | 2627818693 |
Authorized Official Credential | O.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261Q00000X | Clinic/Center | 1863-035 | WI | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | 38519900 | 05 | |
WI | SPECTERA | DE41133 | 01 |
Street Address |
12728 W HAMPTON AVE |
City | BUTLER |
State | WI |
Zip Code | 53007-1602 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013060136 | Donald E Dlouhy | Optometrist | 12728 W Hampton Ave, Butler, WI 53007-1602 | 2007-01-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720172745 | Peninnah M Kako | Nurse Practitioner | 12601 W Hampton Avenue, Suite 100a, Butler, WI 53007 | 2006-10-03 |
1649713033 | Teresa Taylor | Home Health Aide | 5145 N 124th St, Butler, WI 53007-1334 | 2016-12-02 |
1598862633 | Cynthia L Solliday | Psychologist | 12802 W Hampton Ave, Butler, WI 53007-1606 | 2006-09-20 |
1124325410 | Lauren N Solliday-mcroy | Specialist | 12802 W Hampton Ave, Butler, WI 53007-1606 | 2011-02-22 |
1932419413 | Mind Body Soulutions | Psychologist | 12802 W Hampton Ave, Butler, WI 53007-1606 | 2010-10-18 |
1770686362 | Louis C Boryc | Dentist | 13195 W Hampton Ave, Butler, WI 53007-1609 | 2006-09-07 |
1003327511 | New Leaf Home Care, LLC | Home Health | 12714 W Hampton Ave Ste E, Butler, WI 53007-1640 | 2017-10-24 |
1245764588 | Pang Vue | Technician | 12714 W Hampton Ave, Ste E, Butler, WI 53007-1640 | 2017-04-13 |
1881925261 | Midland Health Testing Services, Inc. | Contractor | 12523 W Hampton Ave, Butler, WI 53007-1703 | 2010-01-25 |
1700193935 | Midland Health Testing Services Inc | Public Health or Welfare | 12523 W Hampton Ave, Butler, WI 53007-1703 | 2010-09-09 |
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Taxonomy Code | 261Q00000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
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1164574885 | Macon County Medical Center, Inc | Clinic/Center | 80 West Main Street, Ste B, Butler, GA 31006-5156 | 2007-01-16 |
1770536740 | Bates County Memorial Hospital | Clinic/Center | 615 W Nursery St, Butler, MO 64730-1840 | 2006-05-18 |
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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.