NEIL BHAMB (NPI# 1629235791) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629235791 |
| Entity Type | Individual |
| Full Name | NEIL BHAMB |
| Credential | M.D. |
| Practice Address |
9697 Saint Catherines Dr Pleasant Prairie WI 53158-2118 |
| Mailing Address |
9555 76th St # 4106 Pleasant Prairie WI 53158-1984 |
| Practice Telephone | 2626717465 |
| Practice Fax Number | 2626717464 |
| Mailing Telephone | 2626717465 |
| Mailing Fax Number | 2626717464 |
| Enumeration Date | 2008-05-17 |
| Last Update Date | 2018-12-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 70011 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | LICENSE | 70011-20 | 01 |
| WI | 1629235791 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 8700 Beverly Blvd, Suite 603, West Hollywood, CA 900481804 | 3104233277 | |
| 400 Parnassus Ave, San Francisco, CA 941432202 | 4154761000 |
| Street Address |
9697 SAINT CATHERINES DR |
| City | PLEASANT PRAIRIE |
| State | WI |
| Zip Code | 53158-2118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265489264 | Michelle Louise Gauthier | Family Medicine | 9697 Saint Catherines Dr, Pleasant Prairie, WI 53158-2118 | 2006-05-27 |
| 1093274425 | Laronda James | Nurse Practitioner | 9697 Saint Catherines Dr, Pleasant Prairie, WI 53158-2118 | 2019-03-15 |
| 1750774253 | Advanced Pain Management Sc | Durable Medical Equipment & Medical Supplies | 9697 Saint Catherines Dr, Suite 101, Pleasant Prairie, WI 53158-2118 | 2015-03-09 |
| 1407152945 | Pain Centers of Wisconsin - Kenosha, LLC | Clinic/Center | 9697 Saint Catherines Dr, Ste 102, Pleasant Prairie, WI 53158-2118 | 2011-02-01 |
| 1922328921 | Brian Christopher Hill | Plastic Surgery | 9697 Saint Catherines Dr, Pleasant Prairie, WI 53158-2118 | 2010-06-02 |
| 1144411653 | Mhd Anas Alsawaf | Orthopaedic Surgery | 9697 Saint Catherines Dr, Ste 200, Pleasant Prairie, WI 53158-2118 | 2007-08-08 |
| 1730119561 | Alan P. Gegenheimer | Orthopaedic Surgery | 9697 Saint Catherines Dr, Suite 200, Pleasant Prairie, WI 53158-2118 | 2006-07-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497393516 | Aurora Surgery Centers, LLC | Clinic/Center | 12500 Aurora Drive, Pleasant Prairie, WI 53158 | 2019-12-19 |
| 1770144297 | Jill Plaisted | Counselor | 8503 75th Street, Suite A, Pleasant Prairie, WI 53158 | 2019-06-25 |
| 1427593847 | Douglas Marion Mcdaniel | Physical Therapy Assistant | 5932 85th St, Pleasant Prairie, WI 53158 | 2016-12-20 |
| 1477095602 | Molly Weber | Speech-Language Pathologist | 8717 82nd St, Apartment 109, Pleasant Prairie, WI 53158 | 2016-11-04 |
| 1568919165 | Nicole Taylor | Specialist/Technologist | 9321 8th Avenue, Pleasant Prairie, WI 53158 | 2016-09-01 |
| 1578980165 | Forefront Dermatology, S.c. | Dermatology | 9020 76th St, Suite E, Pleasant Prairie, WI 53158 | 2014-03-21 |
| 1750603130 | Shelley L Johnson | Nurse Practitioner | 9697 Saint Catherines Dr # 300, Pleasant Prairie, WI 53158 | 2010-02-25 |
| 1194054981 | Jennifer S Stevens | Behavioral Analyst | 10450 72nd Ave, Pleasant Prairie, WI 53158 | 2009-12-08 |
| 1932273398 | Pamela Anderson | Registered Nurse | 11202 79 Street, Pleasant Prairie, WI 53158 | 2006-11-20 |
| 1033205562 | Holly Seidman | Pharmacist | 1309 110th Street, Pleasant Prairie, WI 53158 | 2006-10-04 |
| Find all providers in zip 53158 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235164328 | Michael H. Jacker | Orthopaedic Surgery | 9697 Saint Catherines Dr Ste 200, Pleasant Prairie, WI 53158-2118 | 2006-07-11 |
| 1497011852 | Walter J Kim | Orthopaedic Surgery | 12500 Aurora Dr, Pleasant Prairie, WI 53158 | 2012-04-10 |
| 1144411653 | Mhd Anas Alsawaf | Orthopaedic Surgery | 9697 Saint Catherines Dr, Ste 200, Pleasant Prairie, WI 53158-2118 | 2007-08-08 |
| 1528175726 | Scott C Simmons | Orthopaedic Surgery | 12500 Aurora Dr, Pleasant Prairie, WI 53158-1227 | 2006-08-24 |
| 1730119561 | Alan P. Gegenheimer | Orthopaedic Surgery | 9697 Saint Catherines Dr, Suite 200, Pleasant Prairie, WI 53158-2118 | 2006-07-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700486602 | Butler Orthopedics, LLP | Orthopaedic Surgery | 3237 S 16th St Ste 210, Milwaukee, WI 53215-4526 | 2020-10-29 |
| 1831729276 | Aspen Orthopedic and Rehabilation Specalist | Orthopaedic Surgery | 8907 S Howell Ave Ste 800, Oak Creek, WI 53154-4461 | 2020-01-24 |
| 1710520200 | Aspen Orthopedic and Rehabilation Specalist | Orthopaedic Surgery | 12555 W National Ave Ste 100, New Berlin, WI 53151-4061 | 2019-10-28 |
| 1477015931 | Multiple Care of Wi II, LLC | Orthopaedic Surgery | 8040 Excelsior Dr Ste 400, Madison, WI 53717-2915 | 2019-04-03 |
| 1508321209 | Ellen M Obrien | Orthopaedic Surgery | 5026 N Northwood Trce, Janesville, WI 53545-8990 | 2019-02-06 |
| 1487180238 | Ryan Scott Bailey | Orthopaedic Surgery | 7708 Milwaukee Ave, Wauwatosa, WI 53213-2209 | 2017-05-11 |
| 1932584927 | Anne Margarethe Ryan | Orthopaedic Surgery | 5940 Wild Rose Ln, Eau Claire, WI 54701-8783 | 2015-07-20 |
| 1003202631 | Bellin Memorial Hospital Inc | Orthopaedic Surgery | 218 So Hwy 141, Crivitz, WI 54114-1636 | 2015-04-10 |
| 1952728206 | Jacob R Seiler | Orthopaedic Surgery | 1205 West American Drive, Neenah, WI 54956-1405 | 2014-03-25 |
| 1770920472 | Jonathan Stone | Orthopaedic Surgery | 3111 W Rawson Ave Ste 200205, Franklin, WI 53132-9417 | 2013-06-04 |
| Find all providers with the same taxonomy | ||||
| City | PLEASANT PRAIRIE |
| Zip Code | 53158 |
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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.