DR. MICHAEL WILLIAM LISCHAK (NPI# 1225025364) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225025364 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL WILLIAM LISCHAK |
| Credential | M.D. |
| Practice Address |
4111 W Mitchell St Milwaukee WI 53215-1748 |
| Practice Telephone | 4143858800 |
| Mailing Telephone | 4143858800 |
| Enumeration Date | 2005-10-04 |
| Last Update Date | 2013-08-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083X0100X |
Preventive Medicine Specialization: Occupational Medicine |
46501-020 | WI | Allopathic & Osteopathic Physicians |
| Street Address |
4111 W MITCHELL ST |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53215-1748 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194712455 | Tracy A Park | Physical Medicine & Rehabilitation | 4111 W Mitchell St, Ste 300, Milwaukee, WI 53215-1748 | 2005-10-03 |
| 1083157473 | Jacquelyn Ann Kubiak | Physical Therapist | 4111 W Mitchell St, Milwaukee, WI 53215-1748 | 2016-12-02 |
| 1164887063 | Cynthia Bellanger | Nurse Practitioner | 4111 W Mitchell St, Milwaukee, WI 53215-1748 | 2015-12-18 |
| 1902293962 | Sarah Catherine Schrik | Physician Assistant | 4111 W Mitchell St, Suite 300, Milwaukee, WI 53215-1748 | 2015-04-16 |
| 1033547963 | Katie Soung | Nurse Practitioner | 4111 W Mitchell St, Milwaukee, WI 53215-1748 | 2013-11-01 |
| 1720387913 | Miriam Colton | Nurse Practitioner | 4111 W Mitchell St, Suite 300, Milwaukee, WI 53215-1748 | 2011-03-28 |
| 1346564929 | Kay M Fischer | Nurse Practitioner | 4111 W Mitchell St, Milwaukee, WI 53215-1748 | 2010-03-25 |
| 1134301112 | James M Bearden | Physical Medicine & Rehabilitation | 4111 W Mitchell St, Suite 300, Milwaukee, WI 53215-1737 | 2007-11-30 |
| 1679775860 | Lloyd Munson | Occupational Therapist | 4111 W Mitchell St, Milwaukee, WI 53215-1748 | 2007-06-01 |
| 1003990276 | Aurora Medical Group, Inc. | Durable Medical Equipment & Medical Supplies | 4111 W Mitchell St, Milwaukee, WI 53215-1737 | 2006-10-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841829918 | Joshua Michael Brooks | Student in an Organized Health Care Education/Training Program | Aurora St. Lukes Medical Center 2901 W Oklahoma Ave, Milwaukee, WI 53215 | 2020-04-02 |
| 1053967091 | Kristina Strupp | Clinical Nurse Specialist | 2900 W. Oaklahoma Avenue, Milwaukee, WI 53215 | 2019-08-15 |
| 1427510296 | Madelyn Pickle | Student in an Organized Health Care Education/Training Program | 2801 W. Kinnickinnic Rd Ste 250, Milwaukee, WI 53215 | 2019-04-02 |
| 1932601838 | Elizabeth D Morawski | Nurse Practitioner | 2801 Kinnickinnic Parkway, Suite 630, Milwaukee, WI 53215 | 2018-03-06 |
| 1457872673 | Canzata Kimberly Dent | Counselor | 2727 W. Cleveland Suite 204, Milwaukee, WI 53215 | 2017-06-28 |
| 1538689955 | Christian Pena | Durable Medical Equipment & Medical Supplies | 2800 W Forest Home Ave, Suite 100, Milwaukee, WI 53215 | 2017-06-27 |
| 1386178804 | Dane A Olsen | Family Medicine | 801 W Kinnickinnic River Pkwy., Suite 250, Milwaukee, WI 53215 | 2017-04-12 |
| 1811443492 | Thomas Diamond | Physical Therapist | 2901 Kinnickinnic Parkway, Milwaukee, WI 53215 | 2016-09-01 |
| 1487055133 | Sam Khalili | Otolaryngology | 2801 W Kinnickinnic River Pkwy # 680, Milwaukee, WI 53215 | 2014-09-12 |
| 1992105621 | Nicole R Hall | Nurse Practitioner | 2901 S Kinnickinnic Ave, Milwaukee, WI 53215 | 2014-08-29 |
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| Taxonomy Code | 2083X0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Occupational Medicine |
| Occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881701282 | Nancy Berkas Petro | Preventive Medicine | 4111 W Mitchell St Ste 300, Milwaukee, WI 53215-1748 | 2006-08-23 |
| 1760433510 | William Greaves | Preventive Medicine | 8851 N Bayside Dr, Milwaukee, WI 53217-1910 | 2006-05-15 |
| 1689817959 | David Wehby | Preventive Medicine | 3003 W Good Hope Rd, Milwaukee, WI 53209-2042 | 2009-04-15 |
| 1396925616 | Peter Schnapp | Preventive Medicine | 8923 W Brown Deer Rd, Milwaukee, WI 53224-2120 | 2007-11-05 |
| 1235259623 | Maureen P. Lavin | Preventive Medicine | 180 N Milwaukee St, Milwaukee, WI 53202-6013 | 2007-03-30 |
| 1639299266 | Timothy J. Vanliere | Preventive Medicine | 5007 S Howell Ave, Milwaukee, WI 53207-6157 | 2007-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154947737 | Agnesian Healthcare Inc | Preventive Medicine | 250 Camelot Dr, Fond Du Lac, WI 54935-8029 | 2020-06-19 |
| 1730677881 | Mark A Roberts | Preventive Medicine | 10552 N Watts Springs Park Rd, Edgerton, WI 53534-8947 | 2018-04-24 |
| 1588914667 | Chris Boyson Chiropractic | Preventive Medicine | 2000 S Memorial Dr, Front, Appleton, WI 54915-1284 | 2012-09-14 |
| 1811258775 | David Allen Goodman | Preventive Medicine | 3939 Monona Dr, 101, Monona, WI 53716-1175 | 2012-06-06 |
| 1689853681 | Magdalen Stepek | Preventive Medicine | 14555 W National Ave Ste 195, New Berlin, WI 53151-4484 | 2007-10-26 |
| 1083830335 | Gregory Kaftan | Preventive Medicine | 5555 30th Ave, Kenosha, WI 53144-2871 | 2007-04-17 |
| 1881754992 | James Paul Martin | Preventive Medicine | 520 Handeyside Lane, Suite 3, Fort Atkinson, WI 53558 | 2006-12-11 |
| 1821168600 | Robbin Elizabeth Papendick | Preventive Medicine | 18945 Danbury Ct, Brookfield, WI 53045-8163 | 2006-11-08 |
| 1942201967 | Eric W Newgent | Preventive Medicine | 191 Memorial Dr, Suite 300, Berlin, WI 54923-1241 | 2005-08-02 |
| 1831715721 | Agnesian Healthcare Inc | Preventive Medicine | 420 E Division St, Fond Du Lac, WI 54935-4560 | 2020-06-17 |
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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.