FLEMING DERMATOPATHOLOGY, LLC (NPI# 1366776601) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366776601 |
| Entity Type | Organization |
| Organization Name | FLEMING DERMATOPATHOLOGY, LLC |
| Practice Address |
1661 N Water St #500 Milwaukee WI 53202-2085 |
| Mailing Address |
Po Box 1003 Wichita KS 67201-1003 |
| Practice Telephone | 4144463450 |
| Mailing Telephone | 8004256236 |
| Enumeration Date | 2009-09-18 |
| Last Update Date | 2018-09-08 |
| Authorized Official Name | MATTHEW G FLEMING (PRESIDENT) |
| Authorized Official Telephone | 4144463450 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ND0900X |
Dermatology Specialization: Dermatopathology |
Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | FLEMING DERMATOPATHOLOGY, LLC | 4324 W Bradley Rd, Milwaukee, WI 53223-3710 |
| Street Address |
1661 N WATER ST #500 |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53202-2085 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164596615 | Selahattin S. Kurter | Internal Medicine | 1661 N Water St, Suite 301, Milwaukee, WI 53202-2085 | 2006-11-17 |
| 1104094408 | Brandy R Ferrara | Chiropractor | 1661 N Water St, Suite 207, Milwaukee, WI 53202-2085 | 2008-02-20 |
| 1083891592 | Spectrum Healthcare, LLC | Psychiatry & Neurology | 1661 N Water St, Suite 301, Milwaukee, WI 53202-2085 | 2008-01-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053958298 | Melanie Ann Pare | Occupational Therapist | 1414 N. Prospect Ave., Milwaukee, WI 53202 | 2019-12-06 |
| 1568921278 | Sword Health Inc | Health Educator | 1020 North Broadway, Milwaukee, WI 53202 | 2019-03-13 |
| 1619446408 | First Priority Home Care, LLC | Home Health | 342 W. Water Street, Suite 600, Milwaukee, WI 53202 | 2018-11-21 |
| 1346747169 | Creative Counseling of Milwaukee | Counselor | 2266 E Prospect Ave, Suite 304, Milwaukee, WI 53202 | 2018-04-09 |
| 1043692700 | Matthew Weinlander | Psychiatry & Neurology | 827 N Cass St # 9, Milwaukee, WI 53202 | 2015-06-18 |
| 1437572831 | Pathfinder Medical Group | Family Medicine | 216 Milwaukee St, Suite 2d, Milwaukee, WI 53202 | 2014-01-22 |
| 1669819785 | Kate Savage Anzia | Counselor | 2266 North Prospect Avenue, Suite 326, Ravenswood Clinic, Milwaukee, WI 53202 | 2013-05-30 |
| 1164773222 | Rutell Counseling Services, L.L.C. | Counselor | 759 N. Milwaukee St., Suite 600, Milwaukee, WI 53202 | 2012-09-28 |
| 1548563760 | Susan Rose Westergren | Pharmacist | 1400 E. Brady St, Walgreens, Milwaukee, WI 53202 | 2010-12-09 |
| 1174848816 | Brian D Eiche | Emergency Medicine | 111 E. Wisconsin Ave. Ste 2100, Infinity Healthcare, Milwaukee, WI 53202 | 2010-04-06 |
| Find all providers in zip 53202 | ||||
| Taxonomy Code | 207ND0900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | Dermatopathology |
| A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes. |
| 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 Dermatology, 2007. http://www.abderm.org/; American Osteopathic Board of Dermatology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Dermatology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376526095 | Eric Morgan Hanson | Dermatology | 1515 Randolph Ct, Manitowoc, WI 54220-8345 | 2005-11-28 |
| 1578726717 | Kelli Ann Hutchens | Dermatology | 801 York St, Manitowoc, WI 54220-4630 | 2008-07-08 |
| 1457554917 | Willmar Davison Patino Cadavid | Dermatology | 801 York St, Manitowoc, WI 54220-4630 | 2007-06-11 |
| 1932209129 | Ling Xia | Dermatology | 801 York St, Manitowoc, WI 54220-4630 | 2006-09-25 |
| 1073555033 | Fox Cities Dermatology & Skin Cancer Center, Sc | Dermatology | 188 Rockwood Ln, Neenah, WI 54956 | 2006-06-12 |
| 1578515904 | Forefront Dermatology, S.c. | Dermatology | 1515 Randolph Ct, Manitowoc, WI 54220 | 2006-05-16 |
| 1730140245 | Andreas Friedl | Dermatology | 600 Highland Ave, Madison, WI 53792 | 2006-04-01 |
| 1821059346 | Wei Huang | Dermatology | 600 Highland Ave, Madison, WI 53792 | 2006-04-01 |
| 1609835669 | B Jack Longley | Dermatology | 451 Junction Rd, Madison, WI 53717 | 2006-03-20 |
Please comment or provide details below to improve the information on FLEMING DERMATOPATHOLOGY, LLC.
| 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.