DR. MINA BOTROS (NPI# 1578074225) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578074225 |
| Entity Type | Individual |
| Full Name | DR. MINA BOTROS |
| Credential | DC |
| Practice Address |
5306 N Port Washington Rd Glendale WI 53217-4913 |
| Practice Telephone | 4143320859 |
| Mailing Telephone | 4143320859 |
| Enumeration Date | 2017-10-21 |
| Last Update Date | 2019-08-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 5295-12 | WI | Chiropractic Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3823 S 108th St Ste A, Greenfield, WI 532281336 | 4144331619 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487281135 | Mina Ashak Botros | Student in an Organized Health Care Education/Training Program | 601 Elmwood Ave, Rochester, NY 14642-0001 | 2020-03-24 |
| 1124660766 | Mina Botros | Behavior Technician | 17911 Sky Park Cir Ste E, Irvine, CA 92614-4303 | 2019-10-15 |
| 1730666595 | Mina Botros | Dentist | 755 W Rancho Vista Blvd, Palmdale, CA 93551-3735 | 2018-07-24 |
| 1477040186 | Mina Botros | Student in an Organized Health Care Education/Training Program | 4500 Parsons Blvd, Flushing, NY 11355-2205 | 2018-04-18 |
| 1295284206 | Mina Botros | Pharmacist | 4400 W Green Oaks Blvd, Arlington, TX 76016-5608 | 2016-10-03 |
| 1669882643 | Mina Botros | Hospitalist | 550 1st Ave, New York, NY 10016-6402 | 2014-04-30 |
| Street Address |
5306 N PORT WASHINGTON RD |
| City | GLENDALE |
| State | WI |
| Zip Code | 53217-4913 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619074689 | Allen D Van Scoyk | Chiropractor | 5306 N Port Washington Rd, Glendale, WI 53217-4913 | 2006-09-20 |
| 1356977334 | Rachel Defnet | Chiropractor | 5306 N Port Washington Rd, Glendale, WI 53217-4913 | 2020-03-21 |
| 1922302231 | Nicholas Hellenbrand | Chiropractor | 5306 N Port Washington Rd, Glendale, WI 53217-4913 | 2010-12-29 |
| 1972667913 | Chiropractic Company S.c. | Chiropractor | 5306 N Port Washington Rd, Glendale, WI 53217-4913 | 2006-12-21 |
| 1598852147 | Bryan R Gerondale | Chiropractor | 5306 N Port Washington Rd, Glendale, WI 53217-4913 | 2006-10-06 |
| 1841387479 | Michael J Kaminski | Chiropractor | 5306 N Port Washington Rd, Glendale, WI 53217-4913 | 2006-10-06 |
| 1700970266 | Tina M Mcleod | Chiropractor | 5306 N Port Washington Rd, Glendale, WI 53217 | 2006-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922632587 | Jasmine Dockery | Pharmacist | 5400 N Port Washington, Glendale, WI 53217 | 2020-02-23 |
| 1174017339 | North Lakes Nursing Home Health Care Agency LLC | Home Health | 225 E Fairmount Ave, Milwaukee, WI 53217 | 2018-06-20 |
| 1083140289 | Miriah Ann King, Ms, Lpc | Counselor | 7805 North Boyd Way, Fox Point, WI 53217 | 2017-05-08 |
| 1245783067 | Lakesha L Jones | Counselor | 5235 N Ironwood Rd, Glendale, WI 53217 | 2016-07-28 |
| 1750783312 | Ibrahim S Abouzeid | Specialist/Technologist, Other | 333 W Brown Deer Road, #240, Milwaukee, WI 53217 | 2014-09-25 |
| 1255733598 | Victoria Gorodetsky | Pharmacist | 229 W Indian Creek Ct, Milwaukee, WI 53217 | 2014-09-18 |
| 1174800049 | John Herman Esser | Internal Medicine | 1050 W Acacia Rd, Milwaukee, WI 53217 | 2011-11-07 |
| 1710298351 | Leann M Harman | Physical Therapist | 5333 N Port Washington Rd Ste B, Glendale, WI 53217 | 2010-06-29 |
| 1306012455 | Emily Marie Gallagher | Speech-Language Pathologist | 6700 N. Port Washington Road, Milwaukee, WI 53217 | 2008-05-07 |
| 1164625455 | Mary Catherine Enderlin | Psychologist | 6110 N Port Washington Road, The Cambridge Group, Glendale, WI 53217 | 2007-06-06 |
| Find all providers in zip 53217 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437750528 | Innovative Pain and Wellness Plc | Chiropractor | 8110 W Union Hills Dr Ste 320, Glendale, AZ 85308-8181 | 2020-11-04 |
| 1174139042 | Fitness Covered Group LLC | Chiropractor | 654 Hawthorne St, Glendale, CA 91204-1002 | 2020-09-16 |
| 1558979732 | Fitness Covered LLC | Chiropractor | 654 Hawthorne St Ste B, Glendale, CA 91204-1002 | 2020-07-14 |
| 1386283182 | Jensen Moore Chiropractic Pllc | Chiropractor | 6033 W Bell Rd Ste H, Glendale, AZ 85308-3764 | 2019-12-27 |
| 1346888336 | Farzan Billimoria | Chiropractor | 18301 N 79th Ave Ste H192, Glendale, AZ 85308-8457 | 2019-12-20 |
| 1083170492 | Flex Pt and Chiropractic Medical Group A Medical Corporation | Chiropractor | 500 N Central Ave Ste 225, Glendale, CA 91203-1994 | 2019-02-11 |
| 1194200493 | Trinity Chiropractic, LLC | Chiropractor | 18275 N 59th Ave Ste 178, Glendale, AZ 85308-1254 | 2018-10-02 |
| 1033600101 | Michael Dellacorte | Chiropractor | 2505 Canada Blvd, Glendale, CA 91208-2042 | 2018-05-24 |
| 1891202909 | The Wellness Center, Inc | Chiropractor | 870 S Colorado Blvd Ste 200, Glendale, CO 80246-2080 | 2018-01-10 |
| 1598295180 | Weathersby Chiropractic | Chiropractor | 6033 W. Bell Road, Suite H, Glendale, AZ 85308-3764 | 2017-06-15 |
| Find all providers in GLENDALE | ||||
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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.