STAUDACHER CARDIOLOGY SERVICES, SC


Address: 721 American Ave, Suite 411, Waukesha, WI 53188-5071
Phone: 2628964608

STAUDACHER CARDIOLOGY SERVICES, SC (NPI# 1659666378) 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) 1659666378
Entity Type Organization
Organization Name STAUDACHER CARDIOLOGY SERVICES, SC
Practice Address 721 American Ave
Suite 411
Waukesha
WI 53188-5071
Practice Telephone 2628964608
Practice Fax Number 2628964643
Mailing Telephone 2628964608
Mailing Fax Number 2628964643
Enumeration Date 2011-06-10
Last Update Date 2011-06-14
Authorized Official Name DR. RICHARD STAUDACHER (DIRECTOR)
Authorized Official Telephone 2622276589
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
31083-20 WI Allopathic & Osteopathic Physicians
Y 207RI0011X Internal Medicine
Specialization: Interventional Cardiology
31083-20 WI Allopathic & Osteopathic Physicians

Office Location

Street Address 721 AMERICAN AVE
SUITE 411
City WAUKESHA
State WI
Zip Code 53188-5071

Providers in the same location

NPI Name Taxonomy Address Enumeration
1710987987 Patrick R Helfenbein Psychiatry & Neurology 721 American Ave, Suite 501, Waukesha, WI 53188-5071 2005-07-28
1407397938 Ryan Sershon Counselor 721 American Ave, Suite 501, Waukesha, WI 53188-5071 2017-03-16
1346780038 Elena Striepling Nurse Practitioner 721 American Ave, Ste 508, Waukesha, WI 53188-5071 2017-03-01
1003268277 Stephanie Pattengale Counselor 721 American Ave, Ste 501, Waukesha, WI 53188-5071 2016-07-12
1295103000 Kara Pierce Counselor 721 American Ave, Suite 501, Waukesha, WI 53188-5071 2015-09-10
1538542519 Andrew C Kennedy Physician Assistant 721 American Ave, Suite 510, Waukesha, WI 53188-5071 2015-07-08
1700271822 Jill High Nurse Practitioner 721 American Ave, Suite 410, Waukesha, WI 53188-5071 2015-04-06
1073906384 Arlene L Marcell Nurse Practitioner 721 American Ave, Suite 403, Waukesha, WI 53188-5071 2015-03-11
1174937882 Rebecca M Kinnunen Social Worker 721 American Ave, Suite 501, Waukesha, WI 53188-5071 2014-06-20
1578977831 Jonathan Nolte Counselor 721 American Ave, Suite 501, Waukesha, WI 53188-5071 2014-06-16
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1336787126 Nicole Lee Berg-johnson Nurse Practitioner 820 Crestwood Dr., Waukesha, WI 53188 2019-12-12
1013475706 Rachel Mueller Occupational Therapist 29667 Summit Ave, S11, Waukesha, WI 53188 2019-03-12
1861962649 Emily Elizabeth Seefeld Occupational Therapy Assistant 29667 Summit Ave S11, Waukesha, WI 53188 2018-12-05
1003393307 Ashley Susan Callahan Dental Hygienist 711 W. Moreland Blvd., Suite 204, Waukesha, WI 53188 2018-07-19
1245741321 Melissa Weir Case Manager/Care Coordinator 514 Riverview Avenue, Waukesha, WI 53188 2017-10-17
1093233629 Patricia Marie Sombrio Dental Hygienist 711 Moreland Blvd 204, Waukesha, WI 53188 2017-09-04
1134660244 Bdg of Wisconsin, Inc. Behavioral Analyst N19w2309 Riverwood Drive, Suite 350 Pmb 314, Waukesha, WI 53188 2017-03-09
1255888731 Lynne Sarah Alva Dental Hygienist 711 Moreland Blvd, Suite 204, Waukesha, WI 53188 2016-09-01
1881069730 Michelle Koch Occupational Therapist 29667 Summit Ave. S11, Waukesha, WI 53188 2015-12-03
1952711012 Rhonda Schroeder Dental Hygienist W286 N991 Shepherds Way, Waukesha, WI 53188 2014-04-29
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Taxonomy Information

Taxonomy Code 207RI0011X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Interventional Cardiology

Taxonomy Definition

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine)

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1437123049 Harinder Singh Gill Internal Medicine 1111 Delafield Street, Suite 215, Waukesha, WI 53188-3403 2006-02-13
1285811000 Lisa Marie Schmitz Internal Medicine 721 American Ave Ste 410, Prohealth Care Medical Associates Inc, Waukesha, WI 53188-5071 2008-01-23
1598734915 Thomas E. Palmer Internal Medicine 721 American Ave, Suite 403, Waukesha, WI 53188-5071 2006-03-16
1073582490 Richard B Leech Internal Medicine 721 American Ave, Suite 403, Waukesha, WI 53188-5071 2006-03-16
1871562298 Terry A Zarling Internal Medicine 721 American Ave, Suite 403, Waukesha, WI 53188-5071 2006-03-16
1063481869 Cardiology Associates of Waukesha, S.c. Internal Medicine 721 American Ave, Suite 403, Waukesha, WI 53188-5071 2006-03-15
1114996915 Kooroush Saeian Internal Medicine 721 American Ave, Suite 403, Waukesha, WI 53188-5071 2006-03-15
1922072248 Sanjay Singh Internal Medicine 1111 Delafield Street, Suite 215, Waukesha, WI 53188-3403 2006-02-14

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1740788025 Cardiac Cin of Milwaukee LLC Internal Medicine 310 E Buffalo St Ste 201, Milwaukee, WI 53202-5808 2018-01-31
1740710748 Robert James Corliss Internal Medicine St. Vincent Fmc, 140east Cook St., Portage, WI 53901 2017-06-13
1669765681 Nolan P Machernis Internal Medicine 2801 W Kinnickinnic River Pkwy Ste 474, Milwaukee, WI 53215-3693 2011-05-24
1912998576 Thomas G Fenske Internal Medicine 2801 W. Kinnickinnic River Pkwy., Suite 925, Milwaukee, WI 53215 2005-11-02
1437660487 Dr Ayhan Zia Sc Internal Medicine 2741 W Layton Ave, Milwaukee, WI 53221-2600 2017-10-17
1861734014 Sean Michael Sliman Internal Medicine 2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 2013-03-25
1730436817 Muhammad Shahreyar Internal Medicine 3801 Spring St, Mount Pleasant, WI 53405 2012-08-08
1811216229 Iyad Azzam Internal Medicine 36500 Aurora Dr, Summit, WI 53066 2010-05-25
1306161500 Gaurav Tyagi Internal Medicine 600 Highland Ave, Madison, WI 53792-0001 2010-03-30
1174847867 Dajun Wang Internal Medicine 2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 2010-03-24
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Competitor

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City WAUKESHA
Zip Code 53188

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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