MIDWEST SPINAL CENTER (NPI# 1619018819) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619018819 |
| Entity Type | Organization |
| Organization Name | MIDWEST SPINAL CENTER |
| Practice Address |
2015 E Newport Ave Suite 605 Milwaukee WI 53211-2949 |
| Practice Telephone | 4149628600 |
| Practice Fax Number | 4149629947 |
| Mailing Telephone | 4149628600 |
| Mailing Fax Number | 4149629947 |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. JAMES E STOLL JR. (PRESIDENT) |
| Authorized Official Telephone | 4149628600 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
Allopathic & Osteopathic Physicians | ||
| X | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
2015 E NEWPORT AVE SUITE 605 |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53211-2949 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366433815 | Columbia St. Mary's Hospital Milwaukee, Inc | Pharmacy | 2015 E Newport Ave, Ste M121, Milwaukee, WI 53211-2984 | 2005-11-03 |
| 1295967511 | Kim Ann Heim | Nurse Practitioner | 2015 E Newport Ave, Suite 409, Milwaukee, WI 53211-2984 | 2009-08-20 |
| 1497937999 | Kristine M. Dunlap | Psychologist | 2015 E Newport Ave, Suite 409, Milwaukee, WI 53211-2984 | 2007-11-27 |
| 1144417023 | Aurora Advanced Healthcare, Inc. | Durable Medical Equipment & Medical Supplies | 2015 E Newport Ave, Milwaukee, WI 53211-2984 | 2007-09-25 |
| 1144428269 | Craig A. Siverhus, Md Sc | Surgery | 2015 E Newport Ave, Suite 305, Milwaukee, WI 53211-2984 | 2007-07-10 |
| 1487852505 | Joseph P Regan Md Sc | Surgery | 2015 E Newport Ave, Suite305, Milwaukee, WI 53211-2984 | 2007-07-10 |
| 1457558603 | Alexander C Stolarski | Psychologist | 2015 E Newport Ave, Suite 409, Milwaukee, WI 53211-2984 | 2007-06-29 |
| 1255535324 | Milwaukee Urological Sc | Urology | 2015 E Newport Ave, Suite 500, Milwaukee, WI 53211-2984 | 2007-06-13 |
| 1689885303 | James R. Rice | Registered Nurse | 2015 E Newport Ave, Suite 409, Milwaukee, WI 53211-2984 | 2007-05-24 |
| 1013037969 | Robert Stanley Stemberger | Dentist | 2015 E Newport Ave, 405, Milwaukee, WI 53211-2984 | 2007-03-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821602335 | Gabriella Caitrin Emanuele | Occupational Therapist | Harborchase of Shorewood, 1111 E Capitol Drive, Shorewood, WI 53211 | 2020-09-02 |
| 1710527783 | Sage Specialty Pharmacy Inc. | Pharmacy | 4001 N. Oakland Ave, Shorewood, WI 53211 | 2020-01-08 |
| 1861043952 | Rosina Bloomingdale Norton | Nurse Practitioner | 1921 E Harford Ave, Milwaukee, WI 53211 | 2019-09-20 |
| 1528556255 | Renee Reckelberg | Specialist/Technologist | 3409 North Downer Avenue, Pavilion, Suite 350, Milwaukee, WI 53211 | 2018-04-27 |
| 1700325602 | Wisconsin Vision, Inc. | Optometrist | 4163 N Oakland Ave, Shorewood, WI 53211 | 2017-02-13 |
| 1750827556 | Daniel Butz M.d., S.c. | Plastic Surgery | 2350 N Lake Dr Ste 304, Milwaukee, WI 53211 | 2017-01-17 |
| 1528517232 | Therese Simonis | Speech-Language Pathologist | 2390 N Lake Drive, Milwaukee, WI 53211 | 2016-09-23 |
| 1982075701 | Katie Michel | Specialist/Technologist | 3409 N. Downer Ave, Milwaukee, WI 53211 | 2015-10-20 |
| 1255776365 | Sarah Elizabeth Brill | Social Worker | 4433 N Oakland Ave Ste D, Shorewood, WI 53211 | 2013-05-02 |
| 1679814537 | Nicole Anne Parulski | Physical Therapist | 2301 North Lake Dr, Milwaukee, WI 53211 | 2013-03-01 |
| Find all providers in zip 53211 | ||||
| Taxonomy Code | 207XS0117X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Surgery of the Spine |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659879930 | Joint Replacement Cin of Milwaukee LLC | Orthopaedic Surgery | 310 E Buffalo St Ste 203, Milwaukee, WI 53202-5808 | 2018-01-31 |
| 1477051753 | Spine Cin of Milwaukee LLC | Orthopaedic Surgery | 310 E Buffalo St Ste 206, Milwaukee, WI 53202-5808 | 2018-01-31 |
| 1124359880 | Milwaukee Spinal Specialists, S.c. | Orthopaedic Surgery | 575 W. River Woods Pkwy, Suite 305, Milwaukee, WI 53212-1003 | 2010-01-20 |
| 1912919002 | Stephen P Delahunt | Orthopaedic Surgery | 2801 W Kinnickinnic River Pkwy Ste 355, Milwaukee, WI 53215-3695 | 2006-08-13 |
| 1104873652 | Mustafa Khan | Orthopaedic Surgery | 1218 W Kilbourn Ave Ste 301, Milwaukee, WI 53233-1325 | 2006-05-30 |
| 1891746723 | Thomas J Flatley | Orthopaedic Surgery | Froedtert & Med College Clin - East, 9200 West Wisconsin Avenue, Milwaukee, WI 53226 | 2006-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003898255 | Clay Jamison Frank | Orthopaedic Surgery | 601 N 99th St, Suite 101, Wauwatosa, WI 53226-4339 | 2005-11-15 |
| 1770032765 | Waypoint Spine, S.c. | Orthopaedic Surgery | 520 Vincent St, Stevens Point, WI 54481-1848 | 2016-10-01 |
| 1386061844 | Mary Lundgren | Orthopaedic Surgery | 3033 W Layton Ave, Greenfield, WI 53221-2628 | 2014-03-23 |
| 1306054390 | Seth K. Williams | Orthopaedic Surgery | 621 Science Dr, Madison, WI 53711-1074 | 2007-05-21 |
| 1053321620 | Neurospine Center of Wisconsin, S.c. | Orthopaedic Surgery | 5320 Michaels Dr, Appleton, WI 54913-8446 | 2006-08-08 |
| 1134158447 | Holy Family Memorial Inc | Orthopaedic Surgery | 1650 S 41st St, Manitowoc, WI 54220-7316 | 2006-06-30 |
| 1871531749 | Andrew Richard Greene | Orthopaedic Surgery | 1305 W American Dr, Neenah, WI 54956-1993 | 2006-06-03 |
| 1245212414 | Integrated Spine Care, S.c. | Orthopaedic Surgery | 601 N 99th St, Suite 101, Wauwatosa, WI 53226-4339 | 2005-11-15 |
| 1265424485 | David Charles Dewitt | Orthopaedic Surgery | 5320 W Michaels Drive, Appleton, WI 54913 | 2005-08-16 |
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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.