IAM INTEGRATIVE & AESTHETIC MEDICINE, LTD. (NPI# 1568866150) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1568866150 |
Entity Type | Organization |
Organization Name | IAM INTEGRATIVE & AESTHETIC MEDICINE, LTD. |
Practice Address |
10602 N Port Washington Rd Ste. 101 Mequon WI 53092-5079 |
Practice Telephone | 4158668757 |
Enumeration Date | 2014-10-10 |
Last Update Date | 2014-10-10 |
Authorized Official Name | ADAM C MILLER (PRESIDENT) |
Authorized Official Telephone | 4158668757 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261Q00000X | Clinic/Center | 6702-20 | WI | Ambulatory Health Care Facilities |
Street Address |
10602 N PORT WASHINGTON RD STE. 101 |
City | MEQUON |
State | WI |
Zip Code | 53092-5079 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306837794 | Adam Christopher Miller | Dentist | 10602 N Port Washington Rd, Ste. 101, Mequon, WI 53092-5079 | 2005-11-03 |
1619248598 | Anne Sherman | Nurse Practitioner | 10602 N Port Washington Rd, Suite 101, Mequon, WI 53092-5079 | 2012-01-24 |
1710120878 | Janet C. Halonen | Acupuncturist | 10602 N Port Washington Rd, Suite 101, Mequon, WI 53092-5079 | 2009-04-19 |
1629252606 | Rodica Nmi Iancu-loebel | Dentist | 10602 N Port Washington Rd, Suite 102, Mequon, WI 53092-5079 | 2007-12-26 |
1538248711 | Megan Elizabeth Mckean | Speech-Language Pathologist | 10602 N Port Washington Rd, Mequon, WI 53092-5079 | 2006-11-06 |
1871670836 | Christine Kay Cayo | Occupational Therapist | 10602 N Port Washington Rd, Mequon, WI 53092-5079 | 2006-11-01 |
1750463915 | Christine Tracy Anderson | Speech-Language Pathologist | 10602 N Port Washington Rd, 101, Mequon, WI 53092-5079 | 2006-10-19 |
1740379189 | Cynthia Michalak | Speech-Language Pathologist | 10602 N Port Washington Rd, Suite 101, Mequon, WI 53092-5079 | 2006-10-12 |
1225126238 | Patricia Ann Jaworski | Occupational Therapist | 10602 N Port Washington Rd, Suite 101, Mequon, WI 53092-5079 | 2006-10-11 |
1649366766 | Barbara Kay Hypes | Physical Therapist | 10602 N Port Washington Rd, Mequon, WI 53092-5079 | 2006-10-05 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942790761 | Kathryn Mueller | Specialist/Technologist | 117 Linden Lane, Apt 7, Thiensville, WI 53092 | 2018-05-17 |
1427547082 | Shopko Stores Operating Co LLC | Eyewear Supplier (Equipment, not the service) | 10996 N Port Washington Rd, Mequon, WI 53092 | 2018-05-08 |
1912437252 | Froedtert & The Medical College of Wisconsin Community Physicians Inc | Durable Medical Equipment & Medical Supplies | 11430 Port Washington Road, Mequon, WI 53092 | 2017-06-19 |
1629437256 | Sean S Tsang | Acupuncturist | 909 W. Mequon Rd., Mequon, WI 53092 | 2016-02-10 |
1497128433 | Nancy Snoots | Counselor | 4430 W Tarrytown Ln, Mequon, WI 53092 | 2015-11-12 |
1609265214 | Evan Guettel | Physical Therapist | 11363 N. Port Washington Road, Mequon, WI 53092 | 2015-01-20 |
1881091148 | Sarah Krueger | Counselor | 216 N Green Bay Rd Suite 108, Thiensville, WI 53092 | 2014-12-01 |
1245667088 | Lora Transportation, LLC | Non-emergency Medical Transport (VAN) | 1228 West Baldwin Crt., Mequon, WI 53092 | 2013-10-10 |
1710314000 | Roxxi M Davis | Social Worker | 7113 Tamarack Ct, Mequon, WI 53092 | 2013-10-01 |
1225473713 | Forefront Dermatology, S.c. | Dermatology | 10303 N Port Washington Rd Ste 101, Mequon, WI 53092 | 2013-05-09 |
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Taxonomy Code | 261Q00000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609820729 | Aurora Quick Care, LLC | Clinic/Center | 11270 N Port Washington Rd, Mequon, WI 53092 | 2006-05-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437757986 | Wonderland Therapy LLC | Clinic/Center | 2116 Winnebago St, La Crosse, WI 54601-5060 | 2020-10-15 |
1124633870 | Aspirus Riverview Hospital & Clinics, Inc. | Clinic/Center | 146 N Central Ave, Marshfield, WI 54449-2173 | 2020-09-10 |
1952915639 | Gundersen Clinic Ltd | Clinic/Center | 2615 George St, La Crosse, WI 54603-1670 | 2020-09-01 |
1194337212 | Accident and Injury Rehab Center, Inc | Clinic/Center | 6114 W Capitol Dr Ste 100-102, Milwaukee, WI 53216-2147 | 2020-08-19 |
1275159147 | American Current Care P.a. | Clinic/Center | 6302 75th St, Kenosha, WI 53142-3506 | 2020-06-17 |
1326683749 | A.b.d.h. Counseling Services LLC | Clinic/Center | 518 E Concordia Avenue, Milwaukee, WI 53212 | 2019-11-08 |
1598318818 | Acorn Dietetics, LLC | Clinic/Center | 906 10th Ave, New Glarus, WI 53574-9765 | 2019-07-17 |
1205493582 | Freedom Family Chiropractic | Clinic/Center | 809 Phillips Blvd, Sauk City, WI 53583-1313 | 2019-05-22 |
1376001578 | Lowtwillc | Clinic/Center | 2323 N Mayfair Rd Ste 104, Wauwatosa, WI 53226-1506 | 2019-03-06 |
1154889749 | Positive Directions Inc | Clinic/Center | 3510 W Saint Paul Ave # 6, Milwaukee, WI 53208-4125 | 2019-03-04 |
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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.