DR. OMAR GLADWIN (NPI# 1417213190) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417213190 |
| Entity Type | Individual |
| Full Name | DR. OMAR GLADWIN |
| Credential | M.D. |
| Practice Address |
1220 Dewey Ave Milwaukee WI 53213-2504 |
| Practice Telephone | 4144546600 |
| Mailing Telephone | 4144546600 |
| Enumeration Date | 2012-04-06 |
| Last Update Date | 2016-08-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
65113 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 1417213190 | 05 |
| Street Address |
1220 DEWEY AVE |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53213-2504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518440866 | Jason Brandeis | Nurse Practitioner | 1220 Dewey Ave, Milwaukee, WI 53213-2504 | 2018-09-12 |
| 1467820464 | Jammie Schrab | Dietitian, Registered | 1220 Dewey Ave, Milwaukee, WI 53213-2504 | 2015-09-08 |
| 1689933376 | Christine M Eckblad | Counselor | 1220 Dewey Ave, Milwaukee, WI 53213-2504 | 2012-05-15 |
| 1760678056 | Fabiola Rodriguez-strande | Marriage & Family Therapist | 1220 Dewey Ave, Milwaukee, WI 53213-2504 | 2007-09-19 |
| 1730244849 | Kristine Werhand | Counselor | 1220 Dewey Ave, Milwaukee, WI 53213-2504 | 2006-12-27 |
| 1598829665 | Joseph J Burgarino | Psychiatry & Neurology | 1220 Dewey Ave, Milwaukee, WI 53213-2504 | 2006-12-21 |
| 1629167085 | Elaine Marie Sorem | Psychiatry & Neurology | 1220 Dewey Ave, Milwaukee, WI 53213-2504 | 2006-10-12 |
| 1427166628 | Bettie Jane Larus | Psychologist | 1220 Dewey Ave, Milwaukee, WI 53213 | 2006-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932682473 | Tracy A Bolton | Nurse Practitioner | 2626 N 76th St Ste 101, Wauwatosa, WI 53213 | 2018-09-11 |
| 1609309129 | Anupriya Dayal | Student in an Organized Health Care Education/Training Program | 7700 Portland Avenue, #227, Milwaukee, WI 53213 | 2017-04-11 |
| 1407202666 | Michael Lenz | Dentist | 1221 N 62nd Street, 201, Wauwatosa, WI 53213 | 2016-05-06 |
| 1164807889 | Myia Mitchell | Massage Therapist | 6012 W. North Avenue, Milwaukee, WI 53213 | 2015-07-23 |
| 1518369420 | Rachel Rakow | Speech-Language Pathologist | 1009 N 92nd St, Wauwatosa, WI 53213 | 2014-09-23 |
| 1821348335 | Mary Kathryn Maxey | Dietitian, Registered | 1515 Mower Court, Wauwatosa, WI 53213 | 2012-09-12 |
| 1134478506 | Andrea Brooke Moosreiner | Dietitian, Registered | 7220 Milwaukee Ave, Wauwatosa, WI 53213 | 2012-08-31 |
| 1467726075 | Stephanie Miller | Social Worker | 2618 N 61st St, Milwaukee, WI 53213 | 2012-02-28 |
| 1396013447 | Ng Enterprise, Inc. | Home Health | 7635 West Bluemound Road, Suite 1b, Milwaukee, WI 53213 | 2011-12-05 |
| 1184908162 | Lisa Anne Behlmer | Pharmacist | 6600 W. State St, Wauwatosa, WI 53213 | 2011-10-07 |
| Find all providers in zip 53213 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740764034 | New Frontiers Tms LLC | Psychiatry & Neurology | 2675 N Mayfair Rd Ste 400, Milwaukee, WI 53226-1305 | 2018-09-21 |
| 1811494628 | Udoyen Health LLC | Psychiatry & Neurology | 1414 W Park Pl, Suite 202, Milwaukee, WI 53224 | 2018-04-09 |
| 1659725497 | Chelsea Maria Sprick | Psychiatry & Neurology | 5000 W National Ave Fl 3, Milwaukee, WI 53295-3133 | 2016-04-18 |
| 1376925065 | Lamberton Psychiatry, LLC | Psychiatry & Neurology | 2025 N Summit Ave, Suite 107, Milwaukee, WI 53202-1362 | 2015-06-18 |
| 1043692700 | Matthew Weinlander | Psychiatry & Neurology | 827 N Cass St # 9, Milwaukee, WI 53202 | 2015-06-18 |
| 1194127514 | New Age Billing Service | Psychiatry & Neurology | 2802 N 47th Street, Milwaukee, WI 53210 | 2014-09-17 |
| 1902061328 | Paul Gregory Stein | Psychiatry & Neurology | 9330 W Lincoln, Greater Milwaukee Free Clinic, Milwaukee, WI 53227 | 2008-07-24 |
| 1497878656 | Raymond S Koziol | Psychiatry & Neurology | 4830 N Port Washington Rd, Milwaukee, WI 53217-5445 | 2007-04-10 |
| 1801958020 | Bruce R Stevens Md Sc | Psychiatry & Neurology | 1601 E Blackthorne Pl, Milwaukee, WI 53211-1139 | 2006-12-14 |
| 1720149362 | Milwaukee County Behavioral Health Medical Associates Psych | Psychiatry & Neurology | 9201 W Watertown Plank Rd, Milwaukee, WI 53226-3558 | 2006-12-13 |
| Find all providers in MILWAUKEE | ||||
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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.