MR. MAX O KRUCOFF


Address: 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522
Phone: 4148055400

MR. MAX O KRUCOFF (NPI# 1417216201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1417216201
Entity Type Individual
Full Name MR. MAX O KRUCOFF
Credential MD
Practice Address 9200 W Wisconsin Ave
Milwaukee
WI 53226-3522
Practice Telephone 4148055400
Practice Fax Number 4149550115
Mailing Telephone 4148055400
Mailing Fax Number 4149550115
Enumeration Date 2012-05-14
Last Update Date 2020-08-18
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207T00000X Neurological Surgery 73924 WI Allopathic & Osteopathic Physicians

Office Location

Street Address 9200 W WISCONSIN AVE
City MILWAUKEE
State WI
Zip Code 53226-3522

Providers in the same location

NPI Name Taxonomy Address Enumeration
1255334173 Froedtert Memorial Lutheran Hospital, Inc. General Acute Care Hospital 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 2005-05-24
1013518182 Shelby Koppinger Pharmacist 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 2020-11-05
1083215065 Jennifer Lynn Scheffler Physician Assistant 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 2020-11-05
1306445952 Elyan Carolina Ruiz Solano Thoracic Surgery (Cardiothoracic Vascular Surgery) 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 2020-10-23
1972101467 Sarah Emily Ziem Nurse Practitioner 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 2020-10-15
1912504242 Matthew Resop Nurse Practitioner 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 2020-10-09
1043817877 Jacqueline Jordan Morgan Nurse Practitioner 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 2020-10-05
1134726227 Joseph Beiler Registered Nurse 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 2020-10-02
1316553845 Nathan Duncan Pharmacist 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 2020-09-21
1043826035 Emily Mell Physician Assistant 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 2020-09-16
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1912511155 Alexander Harlan Pharmacist 900 N 92nd St, Milwaukee, WI 53226 2020-09-04
1558985762 Armghan Haider Ans Student in an Organized Health Care Education/Training Program 9200 W. Wisconsin Ave. Froedtert Hospital & Medical Col, Milwaukee, WI 53226 2020-06-03
1669001103 Kimberly Tyler Student in an Organized Health Care Education/Training Program 8701 W Watertown Plank Road, Medical College of Wisconsin Dept of Internal Medicine, Wauwatosa, WI 53226 2020-04-06
1972131993 Francesca Meloy Devine Student in an Organized Health Care Education/Training Program Medical Education Office: Children's Corporate Center, 999 N. 92nd St., Suite 730, Milwaukee, WI 53226 2020-03-27
1285275248 Sharitta Alford Technician 12250 West North Avenue, Apartment 142b, Wauwatosa, WI 53226 2019-10-01
1619528023 Linda Marie Sabatinelli Technician 12107 W. Woodland Ave, Wauwatosa, WI 53226 2019-09-26
1598310195 Matthew Laviolette Surgery Medical College of Wisconsin, 8701 Watertown Plank Rd., Surgical Oncology, Milwaukee, WI 53226 2019-08-09
1962056432 Lyndsey Marie Bratberg Physician Assistant F&mcw Clinical Cancer Center 9200 W. Wisconsin Ave., Milwaukee, WI 53226 2019-08-01
1659832855 Benjamin David Seadler Surgery Mcw, Department of Surgery, 8701 Watertown Plank Road, Milwaukee, WI 53226 2019-03-29
1861953267 Michael Dryden Student in an Organized Health Care Education/Training Program 8701 Watertown Plank Rd., Milwaukee, WI 53226 2019-03-27
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Taxonomy Information

Taxonomy Code 207T00000X
Grouping Allopathic & Osteopathic Physicians
Classification Neurological Surgery

Taxonomy Definition

A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1952545014 Irene Kim Neurological Surgery 999 N 92nd St Ste 310, Milwaukee, WI 53226-4875 2009-04-20
1649419169 Walter P Jacobsen Neurological Surgery 2801 W Kinnickinnic River Pkwy Ste 680, Milwaukee, WI 53215-3669 2009-02-05
1013093178 Cully R White Neurological Surgery 2901 W Kinnickinnic River Parkway, Suite 201, Milwaukee, WI 53215 2006-10-31
1235232810 Neurological Surgery Sc Neurological Surgery 3201 So 16th Street, Suite 2025, Milwaukee, WI 53215-4534 2006-09-07
1194346585 Mohammed Yanallah Alghamdi Neurological Surgery 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 2020-04-27
1801356878 Omar M Hussain Neurological Surgery 8701 W Watertown Plank Rd, Milwaukee, WI 53226-3548 2019-03-25
1073005971 Huy Q Truong Neurological Surgery 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 2018-06-06
1093183543 Raphael Sacho Neurological Surgery 9200 W. Wisconsin Avenue, Department of Neurosurgery, Milwaukee, WI 53226-3522 2015-09-14
1528453453 Karl Walter Janich Neurological Surgery 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 2015-03-30
1801288816 Mohamed Am Labib Neurological Surgery 2801 W Kinnickinnic River Pkwy, Suite 630, Milwaukee, WI 53215-3669 2015-02-27
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Competitor

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City MILWAUKEE
Zip Code 53226

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Dataset Information

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.

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