MR. JOHN MOONEY (NPI# 1306387337) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306387337 |
| Entity Type | Individual |
| Full Name | MR. JOHN MOONEY |
| Credential | CPO1410 |
| Practice Address |
2555 W Kenboern Dr Glendale WI 53209-1835 |
| Practice Telephone | 4145401202 |
| Mailing Telephone | 4145401202 |
| Enumeration Date | 2017-03-09 |
| Last Update Date | 2017-03-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 222Z00000X | Orthotist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 224P00000X | Prosthetist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386739720 | John T Mooney | Dentist | 333 West Cedar, Pocatello, ID 83201-0000 | 2006-10-03 |
| 1013274158 | John Hartwell Houston Mooney | Internal Medicine | 1348 S 18th St Ste 200, Fernandina Beach, FL 32034 | 2012-04-13 |
| 1740424175 | John J Mooney | Psychiatry & Neurology | Bidmc, 330 Brookline Ave (rabb-2), Boston, MA 02215 | 2009-04-29 |
| 1730390915 | John J. Mooney | Counselor | 402 N Fulton St, Allentown, PA 18102-2002 | 2007-05-27 |
| 1295863074 | John J Mooney | Dentist | 227 Pomfret St, Putnam, CT 06260-1835 | 2007-03-01 |
| 1730283292 | John Thomas Mooney Jr. | Optometrist | 23 Mill St, Leominster, MA 01453-3243 | 2006-09-12 |
| 1003832338 | John M Mooney | Chiropractor | 1980 Broadway, Placerville, CA 95667-9001 | 2006-07-13 |
| 1598796278 | John W Mooney | Oral & Maxillofacial Surgery | 240 S 40th St, Suite 105, Philadelphia, PA 19104-6030 | 2006-07-05 |
| 1548208259 | John P Mooney | Family Medicine | 8923 W Brown Deer Rd, Milwaukee, WI 53224-2120 | 2006-06-03 |
| Street Address |
2555 W KENBOERN DR |
| City | GLENDALE |
| State | WI |
| Zip Code | 53209-1835 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780238253 | Niajcia Brookshire | Counselor | 3900 W Brown Deer Rd Suite 200, Brown Deer, WI 53209 | 2019-08-01 |
| 1740751015 | Mary Fuller | Home Health Aide | 3043 N 29th St., Milwaukee, WI 53209 | 2018-12-16 |
| 1154869410 | Jacksonscott2 | Skilled Nursing Facility | 4573 N. 22nd Street, Milwaukee, WI 53209 | 2017-02-07 |
| 1669910469 | Dimera House | In Home Supportive Care | 4002 W Fairount Ave, Milwaukee, WI 53209 | 2017-02-01 |
| 1891248340 | Amy L May | Nurse Practitioner | 3303 W Good Hope Rd, Milwaukee, WI 53209 | 2016-08-02 |
| 1871980193 | Alan R Rosenthal | Pharmacist | 6930 N Beech Tree Dr, Milwaukee, WI 53209 | 2015-04-24 |
| 1104212380 | Reema Shah | Student in an Organized Health Care Education/Training Program | 2400 W. Villard Ave, Milwaukee, WI 53209 | 2015-04-14 |
| 1336534403 | Robert Michael Kitsis | Family Medicine | 9252 N Green Bay Rd Fl 2, Brown Deer, WI 53209 | 2015-04-05 |
| 1962891994 | Kls Community Outreach Teen Center Consulting and Management L.L.C. | Public Health or Welfare | 8330 North Teutonia Ave Suite 103, Brown Deer, WI 53209 | 2015-01-14 |
| 1548659634 | Kls Community Outreach Teen Center Consulting and Management L.L.C. | Early Intervention Provider Agency | 8330 North Teutonia Avenue Suite 103, Brown Deer, WI 53209 | 2015-01-13 |
| Find all providers in zip 53209 | ||||
| Taxonomy Code | 224P00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Prosthetist |
| A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730668476 | John Jerome Narmontas | Prosthetist | 1577 E Chevy Chase Dr Ste 210, Glendale, CA 91206-4741 | 2018-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952869802 | Clinisha Washington | Prosthetist | 1906 Cameron Dr Apt 4, Madison, WI 53711-3369 | 2019-03-11 |
| 1326420225 | Chandra Adams | Prosthetist | 6330 W North Ave, Wauwatosa, WI 53213-2051 | 2015-06-26 |
| 1134211915 | Jake Richard Wood | Prosthetist | Orthotics and Prosthetics Associates, Inc, 10506 West Bluemound Road, Milwaukee, WI 53226 | 2006-09-29 |
| 1730164534 | Farrell Prosthetics LLC | Prosthetist | 1011 N Mayfair Rd, Suite 100, Wauwatosa, WI 53226-3431 | 2005-12-14 |
| 1952382608 | Charles F Schultz | Prosthetist | 6514 Odana Rd, Madison, WI 53719-1124 | 2005-11-09 |
| 1902891922 | Kempfer Prosthetics Orthotics, Inc | Prosthetist | 4365 W Loomis Rd, Greenfield, WI 53220-4147 | 2005-09-15 |
| 1376549980 | Douglas E Reichert | Prosthetist | 5027 Green Bay Rd, Ste 124, Kenosha, WI 53144-1771 | 2005-06-28 |
| 1740765734 | Jane Karen Wolking | Prosthetist | 6514 Odana Rd, Madison, WI 53719-1124 | 2018-09-26 |
| 1710497656 | Amy L Paulios | Prosthetist | 600 Highland Ave, Madison, WI 53792-0001 | 2017-10-05 |
| 1376083402 | Dennis Farrell | Prosthetist | 1011 N Mayfair Rd, Suite 100, Wauwatosa, WI 53226-3431 | 2017-03-08 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MR. JOHN MOONEY.
| 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.