HOLLEY WILLENBERG TOLAT (NPI# 1528006863) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528006863 |
| Entity Type | Individual |
| Full Name | HOLLEY WILLENBERG TOLAT |
| Other Name | HOLLEY J WILLENBERG |
| Credential | DPM |
| Practice Address |
W231n1440 Corporate Ct Waukesha WI 53186-1303 |
| Practice Telephone | 2628966000 |
| Mailing Telephone | 2628966000 |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2011-10-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
909 | WI | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 43241100 | 05 |
| Street Address |
W231N1440 CORPORATE CT |
| City | WAUKESHA |
| State | WI |
| Zip Code | 53186-1303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699769596 | Cindy B Catania | Family Medicine | W231n1440 Corporate Ct, Waukesha, WI 53186-1303 | 2005-09-07 |
| 1518588672 | Amy Gelhaar | Physical Therapist | W231n1440 Corporate Ct, Waukesha, WI 53186-1303 | 2020-04-29 |
| 1801441167 | Megan R Menapace | Physician Assistant | W231n1440 Corporate Ct, Waukesha, WI 53186-1303 | 2019-08-05 |
| 1770006835 | Kari Brueck | Nurse Practitioner | W231n1440 Corporate Ct, Waukesha, WI 53186-1303 | 2017-07-20 |
| 1114479672 | Janet Harte | Physical Therapist | W231n1440 Corporate Ct, Waukesha, WI 53186-1303 | 2016-11-01 |
| 1649720145 | Jennifer Seeger-jaeschke | Occupational Therapist | W231n1440 Corporate Ct, Waukesha, WI 53186-1303 | 2016-10-07 |
| 1477003275 | Jennifer Vanderkamp | Physical Therapy Assistant | W231n1440 Corporate Ct, Waukesha, WI 53186-1303 | 2016-10-05 |
| 1609230861 | Danielle C Orrey | Family Medicine | W231n1440 Corporate Ct, Waukesha, WI 53186-1503 | 2016-04-13 |
| 1013393768 | Renelle L Staus | Nurse Practitioner | W231n1440 Corporate Ct, Waukesha, WI 53186 | 2015-08-05 |
| 1477943918 | Elyse M Hahn | Nurse Practitioner | W231n1440 Corporate Ct, Waukesha, WI 53186-1303 | 2015-02-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295391472 | Christine Lowdon Triggs | Dentist | 21680 West Bluemound Rd, Waukesha, WI 53186 | 2019-05-14 |
| 1881182889 | Allure Medical of Wisconsin Pllc | Clinic/Center | 1930 W Bluemound Rd Ste 340, Waukesha, WI 53186 | 2018-04-25 |
| 1316462104 | Mary B Mckee | Dietitian, Registered | 22370 W Bluemound Rd, #102, Waukesha, WI 53186 | 2017-08-14 |
| 1740738343 | Rebecca Menelle | Physical Therapist | 1809 Shepherd Ct, Apt 206, Waukesha, WI 53186 | 2016-09-13 |
| 1568919876 | Dianne Isnard | Physical Therapist | W231n1440 Corporate Court, Waukesha, WI 53186 | 2016-09-02 |
| 1982065991 | Brandon James Decker | Nurse Practitioner | 21775 Hillcrest Drive, Waukesha, WI 53186 | 2016-03-18 |
| 1598142937 | Sophia Marie Klingbiel | Social Worker | 1515 Paramount Dr., Waukesha, WI 53186 | 2015-05-06 |
| 1326478165 | Glen D Haberman | Dentist | 141 Wisconsin Avenue, Waukesha, WI 53186 | 2013-11-14 |
| 1487991014 | Sara Nicole Francis | Counselor | 217 Wisconsin Ave Ste 211, Waukesha, WI 53186 | 2013-01-16 |
| 1770862054 | Alex Colque, M.d. S.c. | Plastic Surgery | 21675 E Moreland Blvd, Suite 100, Waukesha, WI 53186 | 2011-08-04 |
| Find all providers in zip 53186 | ||||
| Taxonomy Code | 213EP1101X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Primary Podiatric Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700126562 | Antonio Ippolito Montemurro | Podiatrist | 9697 Saint Catherines Dr Ste 300, Pleasant Prairie, WI 53158-2118 | 2013-02-15 |
| 1588706626 | Northland Podicare Ltd. | Podiatrist | 9251 County Rd J, Minocqua, WI 54548-9251 | 2007-02-13 |
| 1184610685 | Garry M Martin | Podiatrist | 503 S Chestnut Ave, Marshfield, WI 54449-3605 | 2005-09-21 |
| 1093711491 | Timothy Kevin Tougas | Podiatrist | 1301 E Northland Ave, Suite B, Appleton, WI 54911-8582 | 2005-06-22 |
| 1447645080 | Morgan Mack | Podiatrist | 201 Cedar Falls Rd, Menomonie, WI 54751 | 2015-03-31 |
| 1144615907 | Samuel Elsner | Podiatrist | 201 Cedar Falls Rd, Menomonie, WI 54751 | 2015-03-30 |
| 1235561473 | Family Foot & Ankle Clinics of Wisconsin LLC | Podiatrist | 3535 30th Ave, Suite 203, Kenosha, WI 53144-1632 | 2013-07-30 |
| 1063534030 | Foot and Ankle Associates of Wi Ltd | Podiatrist | 2835 N Grandview Blvd, Ste 300, Pewaukee, WI 53072 | 2007-04-03 |
| 1184632341 | Stephen C Bogue | Podiatrist | 6661 Odana Road, Madison, WI 53719 | 2006-08-04 |
| 1386668143 | Thomas Evan Sinnett | Podiatrist | 5000 W National Ave, Milwaukee, WI 53295-0001 | 2006-07-26 |
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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.