CENTRAL OTOLOGIC LTD (NPI# 1659330736) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659330736 |
| Entity Type | Organization |
| Organization Name | CENTRAL OTOLOGIC LTD |
| Practice Address |
2750 Golf Road Delafield WI 53018 |
| Mailing Address |
888 Thackeray Trail Ste 108 Oconomowoc WI 53066 |
| Practice Telephone | 2629287055 |
| Mailing Telephone | 2625670505 |
| Mailing Fax Number | 2625670778 |
| Enumeration Date | 2006-03-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. MICHAEL CHARLES JANOWAK (PRESIDENT) |
| Authorized Official Telephone | 2625670505 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | DEAN HEALTH | 567627 | 01 |
| WI | 32684000 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851369771 | Central Otologic Ltd | Otolaryngology | 201 N Mayfair Road, Ste 545, Milwaukee, WI 53266 | 2006-03-08 |
| 1932177862 | Central Otologic Ltd | Otolaryngology | 123 Hospital Drive, Ste 106, Watertown, WI 53098 | 2006-03-08 |
| 1295700565 | Central Otologic Ltd | Otolaryngology | 888 Thackeray Trail, Suite # 108, Oconomowoc, WI 53066 | 2006-02-21 |
| Street Address |
2750 GOLF ROAD |
| City | DELAFIELD |
| State | WI |
| Zip Code | 53018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932172327 | Roger D. Watson | Internal Medicine | 2750 Golf Road, Prohealth Care Medical Associates, Delafield, WI 53018 | 2006-02-08 |
| 1962543751 | Prohealth Care Medical Associates Inc | Obstetrics & Gynecology | 2750 Golf Road, Delafield, WI 53018-2062 | 2007-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063936870 | Balance Within, LLC | Clinic/Center | W314 N720 State Hwy 83, Delafield, WI 53018 | 2017-08-02 |
| 1548717861 | Anne Johnson, LLC | Community/Behavioral Health | W314 N720 Hwy 83, Delafield, WI 53018 | 2016-09-02 |
| 1912374190 | Gals Institute, LLC | Clinic/Center | 383 Williamstowne, Suite 101, Delafield, WI 53018 | 2015-08-24 |
| 1922442722 | Brittany Joelle Meyer | Family Medicine | 2301 Sun Valley Dr Ste 300, Delafield, WI 53018 | 2013-04-23 |
| 1417072497 | Sarah R R Couillard | Licensed Practical Nurse | 901 West Shore Dr, Delafield, WI 53018 | 2007-03-20 |
| 1942332440 | Yolanda Stephenson Wolff | Pediatrics | 3195 Hillside Dr, Delafield, WI 53018 | 2007-03-10 |
| 1568532521 | Maida Ann Parkins | Plastic Surgery | W307 N1497 Golf Rd, Suite 200, Delafield, WI 53018 | 2006-11-08 |
| 1871679126 | David Wolf | Chiropractor | 20 Crossroads Ct., Ste. B, Delafield, WI 53018 | 2006-10-30 |
| 1548237985 | Medical Scanning Consultants Pa | Radiology | 2574 Sun Valley Dr, Ste 100, Delafield, WI 53018 | 2006-03-03 |
| 1902873334 | Cdi Delafield LLC | Radiology | 2574 Sun Valley Drive, Suite 100, Delafield, WI 53018 | 2006-03-03 |
| Find all providers in zip 53018 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| 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 Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972104156 | Alliance Ent and Hearing Center, Sc | Otolaryngology | 2524 E Webster Place, Suite 201, Milwaukee, WI 53211-4257 | 2020-11-04 |
| 1962969915 | Alliance Ent & Hearing Center, S.c. | Otolaryngology | 2500 W Layton Ave Ste 230, Milwaukee, WI 53221-5421 | 2019-02-26 |
| 1851822076 | Fort Health Care Inc | Otolaryngology | 123 Hospital Dr Suite 106a, Watertown, WI 53098 | 2017-03-21 |
| 1184010977 | Chad Michael Ennis | Otolaryngology | 1 S Park St Fl 6, Madison, WI 53715-1375 | 2015-04-08 |
| 1487055133 | Sam Khalili | Otolaryngology | 2801 W Kinnickinnic River Pkwy # 680, Milwaukee, WI 53215 | 2014-09-12 |
| 1760803795 | Gary Miller | Otolaryngology | 3467 Northwood Rd, Suamico, WI 54313-8250 | 2013-12-17 |
| 1629320007 | Peter Uy Lee | Otolaryngology | 1341 Boundary Rd, Middleton, WI 53562-3843 | 2012-10-09 |
| 1700145091 | Kenneth Brian Lewoczko | Otolaryngology | 600 Highland Ave., H4/831, Uw Hospital and Clinics, Madison, WI 53792 | 2012-05-08 |
| 1962768267 | Christopher Joseph Lee | Otolaryngology | 500 W. Drexel Ave, Suite 300, Oak Creek, WI 53154-2060 | 2012-04-11 |
| 1871814715 | Norval Eldred Bernhardt | Otolaryngology | 9 Holt Ct, Madison, WI 53719-3036 | 2010-06-15 |
| Find all providers with the same taxonomy | ||||
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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.