DR. JENNIFER S MORAVEC (NPI# 1487610853) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487610853 |
| Entity Type | Individual |
| Full Name | DR. JENNIFER S MORAVEC |
| Other Name | DR. JENNIFER S MORAVEC |
| Credential | MD |
| Practice Address |
34700 Valley Rd Oconomowoc WI 53066-4500 |
| Mailing Address |
3930 8th St S Wisconsin Rapids WI 54494-6511 |
| Practice Telephone | 8007674411 |
| Mailing Telephone | 7154232030 |
| Mailing Fax Number | 7154232032 |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2019-04-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
45863 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 34423400 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144501479 | Jennifer E Moravec | Registered Nurse | 3815 Highland Ave, Downers Grove, IL 60515-1500 | 2011-08-31 |
| Street Address |
34700 VALLEY RD |
| City | OCONOMOWOC |
| State | WI |
| Zip Code | 53066-4500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518959436 | Bradley Christopher Riemann | Psychologist | 34700 Valley Rd, Oconomowoc, WI 53066-4500 | 2005-08-17 |
| 1508477142 | Kiah Allen | Nurse Practitioner | 34700 Valley Rd, Oconomowoc, WI 53066-4500 | 2020-08-16 |
| 1477183069 | Beth Marie Calvert | Nurse Practitioner | 34700 Valley Rd, Oconomowoc, WI 53066-4500 | 2020-01-22 |
| 1609410364 | Lateisha Prescott | Registered Nurse | 34700 Valley Rd, Oconomowoc, WI 53066-4599 | 2019-11-05 |
| 1508342130 | Allison Ann Barton | Registered Nurse | 34700 Valley Rd, Oconomowoc, WI 53066-4500 | 2018-07-17 |
| 1821503640 | Nicholas R Farrell | Psychologist | 34700 Valley Rd, Oconomowoc, WI 53066-4500 | 2017-12-04 |
| 1699291757 | Laura Ann Heidelmeier | Nurse Practitioner | 34700 Valley Rd, Oconomowoc, WI 53066-4500 | 2017-08-20 |
| 1508388927 | Hilary Kay Boyd | Nurse Practitioner | 34700 Valley Rd, Oconomowoc, WI 53066-4500 | 2017-07-07 |
| 1275929051 | Nicholas Edward Mahoney | Psychiatry & Neurology | 34700 Valley Rd, Oconomowoc, WI 53066 | 2015-04-08 |
| 1013346725 | Jodi Tompitch | Nurse Practitioner | 34700 Valley Rd, Oconomowoc, WI 53066-4500 | 2013-11-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376109082 | Sharon Legwinski | Occupational Therapist | 2195 N. Summit Way, Oconomowoc, WI 53066 | 2019-05-17 |
| 1033676390 | Paladina Health, LLC | Family Medicine | Paladina Health Oconomowoc Sentry Equipment Circle, 966 Blue Ribbon Circle N, Oconomowoc, WI 53066 | 2019-02-22 |
| 1689145500 | Oconomowoc Developmental Training Center of Wisconsin LLC | Residential Treatment Facility, Emotionally Disturbed Children | 36100 Genesee Lake School, Oconomowoc, WI 53066 | 2018-12-17 |
| 1649748203 | Ginny Dacquisto | Dietitian, Registered | 1134 Lily Rd, Oconomowoc, WI 53066 | 2018-11-12 |
| 1174000764 | Aimee M Metzger | Social Worker | 405 E Forest St Ste 113, Oconomowoc, WI 53066 | 2018-07-26 |
| 1023482569 | Forefront Dermatology, S.c. | Dermatology | 1320 Pabst Farms Cir, Suite 180, Oconomowoc, WI 53066 | 2015-11-20 |
| 1962890475 | Monica Rodriguez | Counselor | 405 East Forest Street, Suite 119, Oconomowoc, WI 53066 | 2015-01-06 |
| 1518384643 | Kimberley Bevan | Pharmacist | 1284 East Summit Avenue, Suite 100, Oconomowoc, WI 53066 | 2014-03-26 |
| 1699098905 | Heidi Eckroth Nunnemacher | Counselor | 35315 Genesee Lake Road, Oconomowoc, WI 53066 | 2010-03-02 |
| 1669705240 | Oconomowoc Development Training Center Ll | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3222 N. Silver Cedar Rd., Oconomowoc, WI 53066 | 2009-09-14 |
| Find all providers in zip 53066 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598974321 | Marta Cristina Muller | Psychiatry & Neurology | 1941 N Battle Creek Rd, Oconomowoc, WI 53066-9468 | 2007-05-21 |
| 1902890692 | Roger Duane Luhn | Psychiatry & Neurology | Rogers Memorial Hospital, 34700 Valley Rd, Oconomowoc, WI 53066 | 2005-09-08 |
| 1053475699 | Erik J Ulland | Psychiatry & Neurology | 34700 Valley Rd, Oconomowoc, WI 53066-4500 | 2006-12-20 |
| 1245318229 | Andrew M Butchart | Psychiatry & Neurology | 34700 Valley Rd, Oconomowoc, WI 53066-4500 | 2006-11-01 |
| 1306830377 | Peter Mathew Lake | Psychiatry & Neurology | 34700 Valley Rd, Rogers Memorial Hospital, Oconomowoc, WI 53066-4500 | 2005-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104384387 | Center for Emotional Wellness LLC. | Psychiatry & Neurology | W156n8327 Pilgrim Rd Ste 301, Menomonee Fls, WI 53051-3776 | 2019-03-06 |
| 1295000255 | Ilsa Bick | Psychiatry & Neurology | 1099 Highland Dr, Kohler, WI 53044-1306 | 2012-03-09 |
| 1215268453 | Richard Carl Zimmerman | Psychiatry & Neurology | 1282 E. Green Lake Dr., West Bend, WI 53090-9069 | 2010-01-28 |
| 1184800880 | William M Buzogany | Psychiatry & Neurology | W350 S1401 Waterville Road, Lad Lake Inc, Dousman, WI 53118 | 2008-01-14 |
| 1033300199 | Monika Drummond Roots | Psychiatry & Neurology | 3140 Oxford Rd, Madison, WI 53705-2224 | 2007-08-05 |
| 1164517082 | Moitreyee Bandyopadhyay Reddy | Psychiatry & Neurology | 9000 W.wisconsin Avenue, Milwaukee, WI 53201-1997 | 2006-10-04 |
| 1639182868 | Thomas E. Wright | Psychiatry & Neurology | 120 East Main Street, Cambridge, WI 53523-0548 | 2006-08-15 |
| 1447262183 | Neil P Fullan | Psychiatry & Neurology | 2475 University Ave Ste A, Green Bay, WI 54302-5099 | 2006-08-12 |
| 1396761276 | Robert Perzacki | Psychiatry & Neurology | 1820 Appleton Rd, Menasha, WI 54952-1110 | 2006-07-14 |
| 1730134412 | Tracey Cornella-carlson | Psychiatry & Neurology | 721 American Ave Ste 501, Waukesha, WI 53188-5071 | 2006-05-23 |
| Find all providers with the same taxonomy | ||||
| City | OCONOMOWOC |
| Zip Code | 53066 |
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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.