IAM INTEGRATIVE & AESTHETIC MEDICINE, LTD.


Address: 10602 N Port Washington Rd, Ste. 101, Mequon, WI 53092-5079
Phone: 4158668757

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261Q00000X Clinic/Center 6702-20 WI Ambulatory Health Care Facilities

Office Location

Street Address 10602 N PORT WASHINGTON RD
STE. 101
City MEQUON
State WI
Zip Code 53092-5079

Providers in the same location

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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Providers in the same zip code

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 Information

Taxonomy Code 261Q00000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center

Taxonomy Definition

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).

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1609820729 Aurora Quick Care, LLC Clinic/Center 11270 N Port Washington Rd, Mequon, WI 53092 2006-05-22

Providers in the same taxonomy and state

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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Competitor

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City MEQUON
Zip Code 53092

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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