SHANE CONNOR (NPI# 1285877654) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285877654 |
| Entity Type | Individual |
| Full Name | SHANE CONNOR |
| Credential | DDS, MD |
| Practice Address |
1111 Delafield St Suite 222 Waukesha WI 53188-3417 |
| Practice Telephone | 2625478665 |
| Practice Fax Number | 2625478685 |
| Mailing Telephone | 2625478665 |
| Mailing Fax Number | 2625478685 |
| Enumeration Date | 2009-04-14 |
| Last Update Date | 2015-07-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
6802 | WI | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932732369 | Shane Connor | Physical Therapist | 1445 Bentley Dr, Warrington, PA 18976-1350 | 2020-02-13 |
| Street Address |
1111 DELAFIELD ST SUITE 222 |
| City | WAUKESHA |
| State | WI |
| Zip Code | 53188-3417 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346240959 | W. Patrick Flanagan Jr. | Urology | 1111 Delafield St, Suite 12, Waukesha, WI 53188-3417 | 2005-07-26 |
| 1154839140 | Sandra Koester | Orthopaedic Surgery | 1111 Delafield St, Waukesha, WI 53188 | 2018-01-12 |
| 1467975383 | Deanne Evelyn Dunder | Nurse Practitioner | 1111 Delafield St, Waukesha, WI 53188-3417 | 2017-07-23 |
| 1255868006 | Ryan J Moncada | Physician Assistant | 1111 Delafield St, Suite 207, Waukesha, WI 53188-3417 | 2017-05-11 |
| 1235672239 | Paul B Doenier Md, Sc | Family Medicine | 1111 Delafield St, Suite 321, Waukesha, WI 53188-3417 | 2016-11-22 |
| 1013395078 | Alyssa Kathryn Eisner | Physician Assistant | 1111 Delafield St, Suite 209, Waukesha, WI 53188-3403 | 2015-05-11 |
| 1679950513 | Holly Beth Maciejewski | Nurse Practitioner | 1111 Delafield St, 215, Waukesha, WI 53188-3417 | 2015-04-29 |
| 1184022360 | Moreland Medical Laboratory, LLC | Clinical Medical Laboratory | 1111 Delafield St, Suite 301, Waukesha, WI 53188-3417 | 2014-12-20 |
| 1710395959 | Orthopedic Associates of Wisconsin | Clinic/Center | 1111 Delafield St, Waukesha, WI 53188-3417 | 2014-07-31 |
| 1053729046 | Debra Seiler | Nurse Practitioner | 1111 Delafield St, Suite 215, Waukesha, WI 53188-3417 | 2014-07-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336787126 | Nicole Lee Berg-johnson | Nurse Practitioner | 820 Crestwood Dr., Waukesha, WI 53188 | 2019-12-12 |
| 1013475706 | Rachel Mueller | Occupational Therapist | 29667 Summit Ave, S11, Waukesha, WI 53188 | 2019-03-12 |
| 1861962649 | Emily Elizabeth Seefeld | Occupational Therapy Assistant | 29667 Summit Ave S11, Waukesha, WI 53188 | 2018-12-05 |
| 1003393307 | Ashley Susan Callahan | Dental Hygienist | 711 W. Moreland Blvd., Suite 204, Waukesha, WI 53188 | 2018-07-19 |
| 1245741321 | Melissa Weir | Case Manager/Care Coordinator | 514 Riverview Avenue, Waukesha, WI 53188 | 2017-10-17 |
| 1093233629 | Patricia Marie Sombrio | Dental Hygienist | 711 Moreland Blvd 204, Waukesha, WI 53188 | 2017-09-04 |
| 1134660244 | Bdg of Wisconsin, Inc. | Behavioral Analyst | N19w2309 Riverwood Drive, Suite 350 Pmb 314, Waukesha, WI 53188 | 2017-03-09 |
| 1255888731 | Lynne Sarah Alva | Dental Hygienist | 711 Moreland Blvd, Suite 204, Waukesha, WI 53188 | 2016-09-01 |
| 1881069730 | Michelle Koch | Occupational Therapist | 29667 Summit Ave. S11, Waukesha, WI 53188 | 2015-12-03 |
| 1952711012 | Rhonda Schroeder | Dental Hygienist | W286 N991 Shepherds Way, Waukesha, WI 53188 | 2014-04-29 |
| Find all providers in zip 53188 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174733588 | Kevin James Connor | Dentist | 1111 Delafield Street, Suite 222, Waukesha, WI 53188-3403 | 2007-05-23 |
| 1407935794 | Michael Blair Melugin | Dentist | 20855 Watertown Rd, Suite 240, Waukesha, WI 53186 | 2006-11-06 |
| 1720172992 | Oral Surgery Associates of Milwaukee Sc | Dentist | 20611 Watertown Rd, Waukesha, WI 53186-1871 | 2006-10-03 |
| 1225145998 | Thomas James Raspanti | Dentist | 1111 Delafield St, Suite 222, Waukesha, WI 53188-3417 | 2006-08-25 |
| 1912014697 | Joseph Mark Schmidt | Dentist | 1111 Delafield St, Suite 222, Waukesha, WI 53188-3417 | 2006-08-25 |
| 1881702439 | Joseph Adam Best | Dentist | 1111 Delafield St, Suite 222, Waukesha, WI 53188-3417 | 2006-08-25 |
| 1841307584 | Daniel Joseph D'angelo | Dentist | 1111 Delafield St, Suite 222, Waukesha, WI 53188-3417 | 2006-08-25 |
| 1235247834 | Oral and Maxillofacial Surgery Associates of Waukesha, Ltd. | Dentist | 1111 Delafield St, Suite 222, Waukesha, WI 53188-3403 | 2006-08-25 |
| 1194832824 | Timothy Stephen Novak | Dentist | 1111 Delafield St, Suite 222, Waukesha, WI 53188-3417 | 2006-08-25 |
| 1184732869 | Donald Paul Holzhauer | Dentist | 1111 Delafield St, Suite 222, Waukesha, WI 53188-3417 | 2006-08-25 |
| Find all providers in WAUKESHA | ||||
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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.