LISA R WENGER (NPI# 1225592199) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225592199 |
| Entity Type | Individual |
| Full Name | LISA R WENGER |
| Practice Address |
W244n4850 Swan Rd Pewaukee WI 53072-1402 |
| Practice Telephone | 4143334128 |
| Mailing Telephone | 4143334128 |
| Enumeration Date | 2019-01-24 |
| Last Update Date | 2019-01-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
26572-81 | WI | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891187183 | Lisa Wenger | Social Worker | 1115 Ball Ave Ne, Grand Rapids, MI 49505-5904 | 2015-02-24 |
| 1487826459 | Lisa Dianne Wenger | Counselor | 600 Medical Dr, Wentzville, MO 63385-3426 | 2008-03-29 |
| Street Address |
W244N4850 SWAN RD |
| City | PEWAUKEE |
| State | WI |
| Zip Code | 53072-1402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053875336 | The Healing Haven of Wisconsin LLC | Durable Medical Equipment & Medical Supplies | W244n4850 Swan Rd, Pewaukee, WI 53072-1402 | 2019-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740805423 | Froedtert Health Neighborhood Hospital, LLC | General Acute Care Hospital | 209 Pewaukee Rd, Pewaukee, WI 53072 | 2020-06-09 |
| 1871122556 | Mary Kofigah | Nurse Practitioner | 21150 W. Capital Dr., Brookfield, WI 53072 | 2020-04-05 |
| 1609436559 | Brianna Kelly Bates | Optometrist | 1440 Capitol Drive, Suite B, Pewaukee, WI 53072 | 2019-06-13 |
| 1932767316 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 1440 Capital Drive, Suite B, Pewaukee, WI 53072 | 2019-05-31 |
| 1417426925 | Edward Dow | Psychologist | W268n1988 Shooting Star Road, Pewaukee, WI 53072 | 2018-11-14 |
| 1346664869 | Jane Sweney | Counselor | 325 Forest Grove Drive, Pewaukee, WI 53072 | 2014-02-05 |
| 1093082182 | Kristin Elizabeth Thieneman | Pharmacist | 443 Pewaukee Road, Pewaukee, WI 53072 | 2011-11-17 |
| 1922318393 | Ariane Machin | Psychologist | 161 W. Wisconsin Ave #2b, Pewaukee, WI 53072 | 2010-10-19 |
| 1083930879 | Scott Robert Borkenhagen | Student in an Organized Health Care Education/Training Program | 384 Willow Grove Dr., Unit D, Pewaukee, WI 53072 | 2010-04-19 |
| 1912174988 | Robert Thomas Lynch | Dentist | 234 Oakton Ave, Pewaukee, WI 53072 | 2008-05-09 |
| Find all providers in zip 53072 | ||||
| Taxonomy Code | 332BC3200X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Customized Equipment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952707390 | Better Sleep Solutions, Inc | Durable Medical Equipment & Medical Supplies | N28w23000 Roundy Dr, Suite 100, Pewaukee, WI 53072-7300 | 2014-11-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700402401 | Retinal Recovery LLC | Durable Medical Equipment & Medical Supplies | 9036 S Carollton Dr, Oak Creek, WI 53154-4128 | 2020-06-18 |
| 1811512437 | Stuart Kuntzelman | Durable Medical Equipment & Medical Supplies | W2678 Town Center Rd, Juda, WI 53550-9565 | 2020-06-09 |
| 1487289716 | Hale Healthcare Products & Services LLC | Durable Medical Equipment & Medical Supplies | 2441 W Monroe St, Milwaukee, WI 53206-1063 | 2020-03-06 |
| 1801429121 | Advent Dme LLC | Durable Medical Equipment & Medical Supplies | 8500 75th St Ste 101, Kenosha, WI 53142-8213 | 2020-02-14 |
| 1619519923 | Baby Express Wellness Center | Durable Medical Equipment & Medical Supplies | 2913 Durand Ave, Racine, WI 53403-3969 | 2019-10-09 |
| 1184288896 | Thomas Carl Jonson | Durable Medical Equipment & Medical Supplies | 9036 S Carollton Dr., Oak Creek, WI 53154 | 2019-04-29 |
| 1164986717 | Rxlink Medical | Durable Medical Equipment & Medical Supplies | N922 Tower View Dr Ste 202, Greenville, WI 54942 | 2019-01-29 |
| 1164992194 | Konrad Joeseph Haase | Durable Medical Equipment & Medical Supplies | 3153 Rudolph Dr, Racine, WI 53406-1548 | 2018-12-03 |
| 1720555196 | Facedown Rental, LLC | Durable Medical Equipment & Medical Supplies | W188n11770 Maple Rd # Door4, Germantown, WI 53022-2410 | 2018-10-24 |
| 1316444219 | John M Korolewski Dds LLC | Durable Medical Equipment & Medical Supplies | 1407 N 8th St Ste 101, Sheboygan, WI 53081-3400 | 2018-04-09 |
| 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.