PHYSICAL MEDICINE INSTITUTE OF WISCONSIN (NPI# 1295093235) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295093235 |
| Entity Type | Organization |
| Organization Name | PHYSICAL MEDICINE INSTITUTE OF WISCONSIN |
| Practice Address |
1370 Padst Farms Circle Suite 345 Oconomowoc WI 53066-4879 |
| Practice Telephone | 2622002700 |
| Mailing Telephone | 2622002700 |
| Enumeration Date | 2012-04-27 |
| Last Update Date | 2012-04-27 |
| Authorized Official Name | DR. SCOTT RISE (PRESIDENT) |
| Authorized Official Telephone | 2622002700 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | 2772820 | WI | Allopathic & Osteopathic Physicians |
| Street Address |
1370 PADST FARMS CIRCLE SUITE 345 |
| City | OCONOMOWOC |
| State | WI |
| Zip Code | 53066-4879 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376109082 | Sharon Legwinski | Occupational Therapist | 2195 N. Summit Way, Oconomowoc, WI 53066 | 2019-05-17 |
| 1033676390 | Paladina Health, LLC | Family Medicine | Paladina Health Oconomowoc Sentry Equipment Circle, 966 Blue Ribbon Circle N, Oconomowoc, WI 53066 | 2019-02-22 |
| 1689145500 | Oconomowoc Developmental Training Center of Wisconsin LLC | Residential Treatment Facility, Emotionally Disturbed Children | 36100 Genesee Lake School, Oconomowoc, WI 53066 | 2018-12-17 |
| 1649748203 | Ginny Dacquisto | Dietitian, Registered | 1134 Lily Rd, Oconomowoc, WI 53066 | 2018-11-12 |
| 1174000764 | Aimee M Metzger | Social Worker | 405 E Forest St Ste 113, Oconomowoc, WI 53066 | 2018-07-26 |
| 1023482569 | Forefront Dermatology, S.c. | Dermatology | 1320 Pabst Farms Cir, Suite 180, Oconomowoc, WI 53066 | 2015-11-20 |
| 1962890475 | Monica Rodriguez | Counselor | 405 East Forest Street, Suite 119, Oconomowoc, WI 53066 | 2015-01-06 |
| 1518384643 | Kimberley Bevan | Pharmacist | 1284 East Summit Avenue, Suite 100, Oconomowoc, WI 53066 | 2014-03-26 |
| 1699098905 | Heidi Eckroth Nunnemacher | Counselor | 35315 Genesee Lake Road, Oconomowoc, WI 53066 | 2010-03-02 |
| 1669705240 | Oconomowoc Development Training Center Ll | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3222 N. Silver Cedar Rd., Oconomowoc, WI 53066 | 2009-09-14 |
| Find all providers in zip 53066 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114066719 | Terrence J Gaynor | Anesthesiology | 791 Summit Ave, Oconomowoc, WI 53066-3844 | 2007-02-06 |
| 1710934328 | Clifford J. Opatken, M.d., S.c. | Anesthesiology | 791 E Summit Ave, Oconomowoc, WI 53066-3844 | 2006-05-28 |
| 1861449506 | Howard V. Elconin, M.d., S.c. | Anesthesiology | 791 E Summit Ave, Oconomowoc, WI 53066-3844 | 2006-05-28 |
| 1396792164 | Terrence J. Gaynor, M.d., S.c. | Anesthesiology | 791 E Summit Ave, Oconomowoc, WI 53066-3844 | 2006-05-27 |
| 1356397475 | Oaac, S.c. | Anesthesiology | 791 E Summit Ave, Oconomowoc, WI 53066-3844 | 2006-05-26 |
| 1346296613 | Jeffery Ceschi, M.d., S.c. | Anesthesiology | 791 E Summit Ave, Oconomowoc, WI 53066-3844 | 2006-05-26 |
| 1346296597 | Raina L. Hollenbaugh, M.d., S.c. | Anesthesiology | 791 E Summit Ave, Oconomowoc, WI 53066-3844 | 2006-05-26 |
| 1194708644 | Palmira A Janusonis | Anesthesiology | 791 E Summit Ave, Oconomowoc, WI 53066-3844 | 2005-11-29 |
| 1710960422 | Jeffrey Ceschi | Anesthesiology | 791 E Summit Ave, Oconomowoc, WI 53066-3844 | 2005-11-28 |
| 1437132248 | Raina L Hollenbaugh | Anesthesiology | 791 E Summit Ave, Oconomowoc, WI 53066-3844 | 2005-11-25 |
| Find all providers in OCONOMOWOC | ||||
| City | OCONOMOWOC |
| Zip Code | 53066 |
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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.