PREMIER WOUND SPECIALISTS, LLC (NPI# 1245410851) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245410851 |
| Entity Type | Organization |
| Organization Name | PREMIER WOUND SPECIALISTS, LLC |
| Practice Address |
2400 Golf Rd Pewaukee WI 53072-5590 |
| Mailing Address |
9875 S Franklin Dr Franklin WI 53132-8895 |
| Practice Telephone | 2625242784 |
| Mailing Telephone | 4148582200 |
| Mailing Fax Number | 4148582230 |
| Enumeration Date | 2007-11-12 |
| Last Update Date | 2007-11-12 |
| Authorized Official Name | JEFFREY A NIEZGODA (PRESIDENT) |
| Authorized Official Telephone | 2625242784 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PE0005X |
Emergency Medicine Specialization: Undersea and Hyperbaric Medicine |
WI | Allopathic & Osteopathic Physicians |
| Street Address |
2400 GOLF RD |
| City | PEWAUKEE |
| State | WI |
| Zip Code | 53072-5590 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831123819 | Lifecare Hospitals of Milwaukee, Inc | Long Term Care Hospital | 2400 Golf Rd, Pewaukee, WI 53072-5590 | 2006-07-10 |
| 1457714271 | Waukesha Surgery Center, LLC | Clinic/Center | 2400 Golf Rd, Pewaukee, WI 53072-5590 | 2016-03-30 |
| 1811330509 | New Lifecare Hospitals of Milwaukee LLC | Long Term Care Hospital | 2400 Golf Rd, Pewaukee, WI 53072-5590 | 2013-04-11 |
| 1740572619 | Infectious Disease Specialists, Sc | Clinic/Center | 2400 Golf Rd, Pewaukee, WI 53072-5590 | 2011-05-10 |
| 1831413723 | Milwaukee Kidney Institute Inc | Emergency Medicine | 2400 Golf Rd, Pewaukee, WI 53072-5590 | 2010-03-21 |
| 1629235346 | Lifecare Hospitals | General Acute Care Hospital | 2400 Golf Rd, Pewaukee, WI 53072-5590 | 2008-05-20 |
| 1790963411 | Lifecare Hospital of Wisconsin | Special Hospital | 2400 Golf Rd, Pewaukee, WI 53072-5590 | 2008-02-05 |
| 1811043730 | Debra Thompson | Internal Medicine | 2400 Golf Rd, Pewaukee, WI 53072-5590 | 2007-01-25 |
| 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 | 207PE0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Undersea and Hyperbaric Medicine |
| A specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns, and bone infections. This specialist also serves as a consultant to other physicians in all aspects of hyperbaric chamber operations, and assesses risks and applies appropriate standards to prevent disease and disability in divers and other persons working in altered atmospheric conditions. |
| Notes: Source: American Board of Emergency Medicine [7/1/2008: source added, additional resources added] Additional Resources: Additional Resources: www.abem.org & American Board of Preventive Medicine www.abprevmed.org |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831413723 | Milwaukee Kidney Institute Inc | Emergency Medicine | 2400 Golf Rd, Pewaukee, WI 53072-5590 | 2010-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447781992 | Itamar Yaakov Gnatt | Emergency Medicine | 2900 W Oklahoma Ave, St Lukes Medical Center, Milwaukee, WI 53221 | 2017-03-27 |
| 1215593009 | Ihc-wound Care Services LLC | Emergency Medicine | 6308 8th Ave, Kenosha, WI 53143-5031 | 2019-05-16 |
| 1083179238 | Ihc-wound Care Services LLC | Emergency Medicine | 9555 76th St, Pleasant Prairie, WI 53158-1984 | 2019-02-01 |
| 1780032219 | Azh Wound Center Mke LLC | Emergency Medicine | 2500 W Layton Ave, Suite 30, Milwaukee, WI 53221-5420 | 2016-05-25 |
| 1487098950 | Ihc-wound Care Services LLC | Emergency Medicine | 900 W Clairemont Ave, Eau Claire, WI 54701-6122 | 2013-04-26 |
| 1750629408 | Ihc-wound Care Services LLC | Emergency Medicine | 950 W Clairemont Ave, Eau Claire, WI 54701-6192 | 2013-01-30 |
| 1649543711 | Ihc-wound Care Services LLC | Emergency Medicine | 2661 County Highway I, Chippewa Falls, WI 54729-5407 | 2012-02-20 |
| 1922371095 | Ihc-wound Care Services LLC | Emergency Medicine | 1506 S Oneida St, Appleton, WI 54915-1305 | 2012-02-20 |
| 1942573019 | Ihc-wound Care Services LLC | Emergency Medicine | 3100 Superior Ave, Sheboygan, WI 53081-1948 | 2012-02-20 |
| 1831119379 | Hyperbaric and Wound Care Associates of Fox Valley, Sc | Emergency Medicine | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 | 2006-07-20 |
| 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.