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).
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 |
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 |
Street Address |
721 AMERICAN AVE SUITE 411 |
City | WAUKESHA |
State | WI |
Zip Code | 53188-5071 |
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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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 Code | 207RI0011X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Interventional Cardiology |
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) |
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 |
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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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.