DR. JOSEPH D GRACIOSA (NPI# 1528173523) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528173523 |
| Entity Type | Individual |
| Full Name | DR. JOSEPH D GRACIOSA |
| Credential | MD |
| Practice Address |
248 Mchenry St Burlington WI 53105 |
| Mailing Address |
3301 W Forest Home Ave Milwaukee WI 53215-2843 |
| Practice Telephone | 2627678259 |
| Practice Fax Number | 2627678212 |
| Mailing Telephone | 4146476326 |
| Mailing Fax Number | 4146718860 |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 24524 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 30466700 | 05 | |
| DEA NUMBER | AG1759262 | 01 |
| Street Address |
248 MCHENRY ST |
| City | BURLINGTON |
| State | WI |
| Zip Code | 53105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295731529 | Carol Ann Seitz | Registered Nurse | 248 Mchenry St, Burlington, WI 53105-1828 | 2005-06-22 |
| 1598310468 | Shelly L P Glascock | Nurse Practitioner | 248 Mchenry St, Burlington, WI 53105-1828 | 2019-08-07 |
| 1649740614 | Kirby Curby-warner | Midwife | 248 Mchenry St, Burlington, WI 53105-1828 | 2018-12-03 |
| 1487150629 | Michael Mesirow | Physician Assistant | 248 Mchenry St, Burlington, WI 53105 | 2018-04-05 |
| 1588181523 | Leroy Spurlock | Physician Assistant | 248 Mchenry St, Burlington, WI 53105-1828 | 2017-08-29 |
| 1447791363 | Desiree A Mengo | Nurse Practitioner | 248 Mchenry St, Burlington, WI 53105 | 2017-03-10 |
| 1184075053 | Corina E Beck | Nurse Practitioner | 248 Mchenry St, Burlington, WI 53105-1828 | 2016-06-22 |
| 1528492469 | Kristina J Krogstad | Nurse Practitioner | 248 Mchenry St, Burlington, WI 53105-1828 | 2013-08-28 |
| 1952666554 | Kora Lane Adam | Physician Assistant | 248 Mchenry St, Burlington, WI 53105-1828 | 2012-07-10 |
| 1831452226 | Danielle D Storm | Physician Assistant | 248 Mchenry St, Burlington, WI 53105-1828 | 2012-06-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720574288 | Wisconsin Pain Management Specialists, LLC | Pain Medicine | 1050 S. Milwaukee Avenue, Suite 102, Burlington, WI 53105 | 2018-07-09 |
| 1952845679 | Jennifer Vozel | Registered Nurse | 40036 Bloomfield Rd, Burlington, WI 53105 | 2016-12-14 |
| 1356884613 | Labadie Family Dentistry, S.c. | Clinic/Center | 5019 Mormon Rd., Burlington, WI 53105 | 2016-11-18 |
| 1043654288 | Maureen Ann Mcnulty | Acupuncturist | 148 East State Street, Suite A, Burlington, WI 53105 | 2013-04-18 |
| 1003166349 | Jessica Robinson | Licensed Practical Nurse | 7656 Highland Ave, Burlington, WI 53105 | 2012-09-13 |
| 1063677334 | Douglas Armin Wild Sr. | Dentist | 2545 Partridge Wds. Ct., Burlington, WI 53105 | 2008-07-25 |
| 1346408945 | William Henry Basil | Dentist | 222 Adams St, Burlington, WI 53105 | 2008-05-30 |
| 1912108689 | Debra Jean Studey Leffelman | Midwife, Lay | 5617 Spring Valley Rd., Burlington, WI 53105 | 2007-05-30 |
| 1215142955 | Michelle Marie Mehring | Licensed Practical Nurse | 541 Kearney Rd, Burlington, WI 53105 | 2007-05-14 |
| 1003982802 | Alan Dean Meike | Chiropractor | 196 W Chestnut Street, Burlington, WI 53105 | 2006-11-27 |
| Find all providers in zip 53105 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215177498 | Adrea D Theodore | Pediatrics | 1206-b Vaughn Road, Burlington, NC 27216 | 2009-02-27 |
| 1992951404 | Howard R. Grant | Pediatrics | Lahey Health System, 41 Mall Rd., Burlington, MA 01805-0001 | 2008-08-15 |
| 1295900793 | Mdfamily Medical Group | Pediatrics | 1205 Maple Ave, Burlington, NC 27215-6958 | 2008-04-25 |
| 1790863058 | Warren Kent Bonney | Pediatrics | 3804 S Church St, Burlington, NC 27215-9134 | 2006-11-02 |
| 1740203215 | Catherine Suzanne Rude | Pediatrics | One South Prospect Street, University Pediatrics, Burlington, VT 05401 | 2006-07-25 |
| 1316968142 | Lewis R. First | Pediatrics | Given Courtyard S 250, Burlington, VT 05405-0001 | 2006-07-21 |
| 1699709519 | Karin Reed Minter | Pediatrics | 530 W Webb Ave, Burlington, NC 27217-3706 | 2006-07-10 |
| 1003859943 | Marcia L Moran | Pediatrics | 2105 Maple Ave, Burlington, NC 27215-6853 | 2006-06-14 |
| 1699726729 | Wendy Sue Davis | Pediatrics | 108 Cherry St, Burlington, VT 05401 | 2006-05-13 |
| 1588621544 | Margarita Maria Goldar | Pediatrics | 113 Trail One, Burlington, NC 27215-5531 | 2006-04-26 |
| Find all providers in BURLINGTON | ||||
| City | BURLINGTON |
| Zip Code | 53105 |
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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.