AESTHETIC AND RECONSTRUCTIVE SURGERY ASSOCIATES SC (NPI# 1366409658) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1366409658 |
Entity Type | Organization |
Organization Name | AESTHETIC AND RECONSTRUCTIVE SURGERY ASSOCIATES SC |
Practice Address |
W 231 N1440 Corporate Ct Ste 201 Waukesha WI 53186 |
Practice Telephone | 4143522766 |
Practice Fax Number | 2628966308 |
Mailing Telephone | 4143522766 |
Mailing Fax Number | 2628966308 |
Enumeration Date | 2006-04-28 |
Last Update Date | 2008-10-24 |
Authorized Official Name | MR. NAZIH JOHN YOUSIF (PRESIDENT) |
Authorized Official Telephone | 4143522766 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
24830 | WI | Allopathic & Osteopathic Physicians |
Street Address |
W 231 N1440 CORPORATE CT STE 201 |
City | WAUKESHA |
State | WI |
Zip Code | 53186 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295391472 | Christine Lowdon Triggs | Dentist | 21680 West Bluemound Rd, Waukesha, WI 53186 | 2019-05-14 |
1881182889 | Allure Medical of Wisconsin Pllc | Clinic/Center | 1930 W Bluemound Rd Ste 340, Waukesha, WI 53186 | 2018-04-25 |
1316462104 | Mary B Mckee | Dietitian, Registered | 22370 W Bluemound Rd, #102, Waukesha, WI 53186 | 2017-08-14 |
1740738343 | Rebecca Menelle | Physical Therapist | 1809 Shepherd Ct, Apt 206, Waukesha, WI 53186 | 2016-09-13 |
1568919876 | Dianne Isnard | Physical Therapist | W231n1440 Corporate Court, Waukesha, WI 53186 | 2016-09-02 |
1982065991 | Brandon James Decker | Nurse Practitioner | 21775 Hillcrest Drive, Waukesha, WI 53186 | 2016-03-18 |
1598142937 | Sophia Marie Klingbiel | Social Worker | 1515 Paramount Dr., Waukesha, WI 53186 | 2015-05-06 |
1326478165 | Glen D Haberman | Dentist | 141 Wisconsin Avenue, Waukesha, WI 53186 | 2013-11-14 |
1487991014 | Sara Nicole Francis | Counselor | 217 Wisconsin Ave Ste 211, Waukesha, WI 53186 | 2013-01-16 |
1770862054 | Alex Colque, M.d. S.c. | Plastic Surgery | 21675 E Moreland Blvd, Suite 100, Waukesha, WI 53186 | 2011-08-04 |
Find all providers in zip 53186 |
Taxonomy Code | 2086S0122X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Plastic and Reconstructive Surgery |
A surgeon who specializes in plastic and reconstructive surgery. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598070179 | Daniel Butz | Surgery | 10604 N Port Washington Rd, Mequon, WI 53092 | 2010-08-08 |
1598834129 | Kant Y.k. Lin | Surgery | 1155 N Mayfair Rd Ste T2600, Milwaukee, WI 53226-3464 | 2006-11-07 |
1003867508 | David L Larson | Surgery | 8700 Watertown Plank Road, Wisconsin Athletic Club Bldg, Milwaukee, WI 53226 | 2006-05-12 |
1760464655 | Richard B Schaefer | Surgery | 1088 S Main St, Fond Du Lac, WI 54935-6102 | 2005-11-16 |
1548617962 | Shady Elmaraghi | Surgery | Uw Hospitals and Clinics 600 Highland Ave, Madison, WI 53792-0001 | 2016-05-16 |
1275913733 | Alexander Henry Slocum Jr. | Surgery | 1155 N Mayfair Rd, Wauwatosa, WI 53226 | 2015-05-31 |
1669868709 | Oksana Babchenko | Surgery | Uw Hospital and Clinics 600 Highland Ave, Madison, WI 53792-0001 | 2015-04-14 |
1659767309 | Katherine Shaum | Surgery | Uw Hospital and Clinics, 600 Highland Ave, Madison, WI 53792-0001 | 2015-04-09 |
1649664434 | Merit Dermatology, S.c. | Surgery | 6233 Bankers Rd, Suite 20, Mount Pleasant, WI 53403-9700 | 2015-03-19 |
1922427939 | Rebecca Leigh Farmer | Surgery | Uw Hospital and Clinics, 600 Highland Ave, Madison, WI 53792-0001 | 2014-04-08 |
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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.