NORTH SHORE CONCIERGE CLINIC (NPI# 1336530336) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336530336 |
| Entity Type | Organization |
| Organization Name | NORTH SHORE CONCIERGE CLINIC |
| Practice Address |
W62n225 Washington Ave Cedarburg WI 53012-2726 |
| Mailing Address |
W77n731 Harvest Ln Cedarburg WI 53012-1744 |
| Practice Telephone | 2624215133 |
| Practice Fax Number | 8558320258 |
| Mailing Telephone | 7154090565 |
| Mailing Fax Number | 8558320258 |
| Enumeration Date | 2015-02-12 |
| Last Update Date | 2015-02-12 |
| Authorized Official Name | TRACY M GEIGER (OWNER) |
| Authorized Official Telephone | 2624215133 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 52008-20 | WI | Allopathic & Osteopathic Physicians |
| Street Address |
W62N225 WASHINGTON AVE |
| City | CEDARBURG |
| State | WI |
| Zip Code | 53012-2726 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851363592 | Janice H Alexander | Family Medicine | W62n225 Washington Ave, Cedarburg, WI 53012-2726 | 2006-02-06 |
| 1578729828 | Janice Alexander Rn, Md,sc | Family Medicine | W62n225 Washington Ave, Cedarburg, WI 53012-2726 | 2008-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639565351 | Angela Marie Phillips | Counselor | 8750 Western Rd, Cedarburg, WI 53012 | 2015-04-09 |
| 1922403641 | Nickolas Wimble | Hearing Instrument Specialist | W62n244 Washinton St, #104, Cedarburg, WI 53012 | 2014-10-23 |
| 1285902429 | Mary B Pistiner | Pharmacist | W62 N190 Washington Ave, Walgreens, Cedarburg, WI 53012 | 2011-12-02 |
| 1285931360 | Accuquest Hearing Centers | Clinic/Center | N54w65 Mill Street, Ste 800, Cedarburg, WI 53012 | 2011-02-25 |
| 1417283532 | Laura Egan Cutler | Speech-Language Pathologist | N87 W6334 Brookdale Dr, Cedarburg, WI 53012 | 2009-10-23 |
| 1790945053 | Diane M Kerkman | Licensed Practical Nurse | W63 N14264 Washington Ave #13, Cedarburg, WI 53012 | 2008-06-11 |
| 1346416856 | Robert H Schwengel | Dentist | W62n179 Washington Ave, Cedarburg, WI 53012 | 2008-05-05 |
| 1174710479 | Assisted Living Concepts Inc | Assisted Living Facility | W56 N225 Mckinley Blvd, Cedarburg, WI 53012 | 2007-10-01 |
| 1699968016 | Jay Timothy Brogelman | Occupational Therapy Assistant | N27 W5707 Lincoln Blvd., Cedar Springs Health and Rehabilitation Center, Cedarburg, WI 53012 | 2007-08-20 |
| 1053517722 | Bruce J Stevens | Dentist | N52 W6295 Mill Street, Cedarburg, WI 53012 | 2007-06-21 |
| Find all providers in zip 53012 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255456653 | Tracy M Geiger | Family Medicine | W63n545 Hanover Ave, Cedarburg, WI 53012-1917 | 2007-03-21 |
| 1598843021 | Maria N Mendoza-lemes | Family Medicine | W62n179 Washington Ave., Cedarburg, WI 53012 | 2006-11-01 |
| 1013007046 | Thomas John Shewczyk | Family Medicine | 4922 Columbia Road, Cedarburg, WI 53012 | 2006-10-13 |
| 1083646871 | Jaime D. Cabatingan, M.d.,s.c. | Family Medicine | N28w5901 Lincoln Blvd, Cedarburg, WI 53012-2557 | 2006-07-06 |
| 1811956451 | Kathleen Rose Moloney | Family Medicine | W62 N179 Washington Ave, Cedarburg, WI 53012 | 2006-03-22 |
| 1437124617 | Donald J. Meyer | Family Medicine | W62n248 Washington Ave, Cedarburg, WI 53012-2768 | 2006-02-21 |
| 1417920828 | Melanie M. Thompson | Family Medicine | N143w6515 Pioneer Rd, Cedarburg, WI 53012-2705 | 2006-02-08 |
| 1851363592 | Janice H Alexander | Family Medicine | W62n225 Washington Ave, Cedarburg, WI 53012-2726 | 2006-02-06 |
| 1578729828 | Janice Alexander Rn, Md,sc | Family Medicine | W62n225 Washington Ave, Cedarburg, WI 53012-2726 | 2008-08-05 |
| 1184899015 | Donald J. Meyer, Dosc | Family Medicine | W62n248 Washington Ave, Cedarburg, WI 53012-2768 | 2008-04-22 |
| Find all providers in CEDARBURG | ||||
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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.