MARK H HERMANOFF


Address: 1055 N Mayfair Rd, Wauwatosa, WI 53226-3436
Phone: 4144792300

MARK H HERMANOFF (NPI# 1447309786) 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) 1447309786
Entity Type Individual
Full Name MARK H HERMANOFF
Credential MD
Practice Address 1055 N Mayfair Rd
Wauwatosa
WI 53226-3436
Mailing Address 3301 W Forest Home Ave
Milwaukee
WI 53215-2843
Practice Telephone 4144792300
Mailing Telephone 4143892233
Enumeration Date 2007-01-09
Last Update Date 2020-05-29
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RA0201X Internal Medicine
Specialization: Allergy & Immunology
40807 WI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
WI 32516900 05

Office Location

Street Address 1055 N MAYFAIR RD
City WAUWATOSA
State WI
Zip Code 53226-3436

Providers in the same location

NPI Name Taxonomy Address Enumeration
1356797609 Khyati Soni Family Medicine 1055 N Mayfair Rd, Wauwatosa, WI 53226-3436 2016-05-05
1255772190 Savan Panchal Family Medicine 1055 N Mayfair Rd, Wauwatosa, WI 53226-3436 2013-07-08
1487999074 Beth E. Stay Nurse Practitioner 1055 N Mayfair Rd, Wauwatosa, WI 53226-3436 2012-12-07
1114287513 Daniel Molinaro Family Medicine 1055 N Mayfair Rd, Wauwatosa, WI 53226-3436 2012-05-21
1871804757 Dheeraj Reddy Internal Medicine 1055 N Mayfair Rd, Wauwatosa, WI 53226 2010-06-25
1801127386 Aurora Advanced Healthcare, Inc. Non-Pharmacy Dispensing Site 1055 N Mayfair Rd, Wauwatosa, WI 53226-3436 2010-01-22
1689860132 Oncology Alliance, S.c. Internal Medicine 1055 N Mayfair Rd, Wauwatosa, WI 53226-3436 2007-09-19
1760531818 William Shaffer Family Medicine 1055 N Mayfair Rd, Wauwatosa, WI 53226-3436 2007-01-09
1417038381 Sara J Nolan Family Medicine 1055 N Mayfair Rd, Wauwatosa, WI 53226-3436 2006-10-18
1831206184 Felicia D Robertson Family Medicine 1055 N Mayfair Rd, Wauwatosa, WI 53226-3436 2006-08-24
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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 207RA0201X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Allergy & Immunology

Taxonomy Definition

An internist doctor of osteopathy that specializes in the treatment of allergy and immunologic disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Special Qualifications in the field of Allergy & Immunology.
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source]
- Additional Resources: http://www.osteopathic.org/certification

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1407963457 Shelley K Watters Internal Medicine 1055 N Mayfair Rd, Wauwatosa, WI 53226-3436 2006-08-24

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1306140439 Jared I Darveaux Internal Medicine 311 Gundersen Dr, Onalaska, WI 54650 2011-01-04
1285841155 Nathan M Lebak Internal Medicine 252 Mchenry St Ste 8, Burlington, WI 53105-1828 2007-05-17
1861468712 Robert J Kriz Internal Medicine 9013 Bentley Grn, Verona, WI 53593-7858 2006-02-28
1053739714 David L Peloza Internal Medicine 1821 S Stoughton Rd, Madison, WI 53716-2257 2014-03-31
1154616795 Ashvini Varadhi Biswas Internal Medicine 10400 75th St, Kenosha, WI 53142-7884 2011-06-11
1770885220 Serenity Health Care Center Sc Internal Medicine 2607 N Grandview Blvd, Waukesha, WI 53188-1686 2010-12-03
1285800367 Wayne Harry Konetzki Internal Medicine 403 N Grand Ave, Waukesha, WI 53186-4913 2008-05-07
1073543096 Anita I Gheller-rigoni Internal Medicine 855 N Westhaven Dr, Oshkosh, WI 54904-7668 2006-07-04
1326084534 Ravi Viswanathan Internal Medicine 451 Junction Rd, Madison, WI 53717-2656 2006-06-22
1598711665 Monica Vasudev Internal Medicine 2414 Kohler Memorial Dr, Sheboygan, WI 53081-3129 2006-05-26
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Competitor

Search similar providers

City WAUWATOSA
Zip Code 53226

Improve Information

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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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