COLIN G STAIR


Address: 36500 Aurora Dr, Summit, WI 53066-4899
Phone: 2624341000

COLIN G STAIR (NPI# 1659766525) 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) 1659766525
Entity Type Individual
Full Name COLIN G STAIR
Credential M.D.
Practice Address 36500 Aurora Dr
Summit
WI 53066-4899
Mailing Address 3301 W Forest Home Ave
Milwaukee
WI 53215-2843
Practice Telephone 2624341000
Mailing Telephone 2624341000
Mailing Fax Number 2624345050
Enumeration Date 2015-03-30
Last Update Date 2020-10-01
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207LP2900X Anesthesiology
Specialization: Pain Medicine
66230-20 WI Allopathic & Osteopathic Physicians
Y 208VP0014X Pain Medicine
Specialization: Interventional Pain Medicine
66230 WI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
WI 100060135 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
9200 W Wisconsin Ave, Milwaukee, WI 532263522 4148056100

Office Location

Street Address 36500 AURORA DR
City SUMMIT
State WI
Zip Code 53066-4899

Providers in the same location

NPI Name Taxonomy Address Enumeration
1346242518 Janice Mary Beaton Audiologist 36500 Aurora Dr, Summit, WI 53066-4899 2005-06-01
1821697863 Mackenzie L Sinnen Audiologist 36500 Aurora Dr, Summit, WI 53066-4899 2020-10-21
1811515661 Kira Greenwood Dietitian, Registered 36500 Aurora Dr, Summit, WI 53066-4899 2020-07-08
1588281802 Makenzie A Kirk Physician Assistant 36500 Aurora Dr, Summit, WI 53066-4899 2020-07-02
1619598786 Olivia Joi Carlton Physical Medicine & Rehabilitation 36500 Aurora Dr, Summit, WI 53066-4899 2020-04-30
1477186633 Aurora Advanced Healthcare Inc Durable Medical Equipment & Medical Supplies 36500 Aurora Dr, Summit, WI 53066-4899 2020-02-17
1285279844 Elizabeth Daniels Physician Assistant 36500 Aurora Dr, Summit, WI 53066-4899 2019-11-07
1265076087 Jessica M Zuerner Nurse Practitioner 36500 Aurora Dr, Summit, WI 53066-4899 2019-11-05
1043860570 Megan E Shea Physician Assistant 36500 Aurora Dr, Summit, WI 53066-4899 2019-09-17
1740835073 Kristal D Timm Nurse Practitioner 36500 Aurora Dr, Summit, WI 53066-4899 2019-08-05
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1376109082 Sharon Legwinski Occupational Therapist 2195 N. Summit Way, Oconomowoc, WI 53066 2019-05-17
1033676390 Paladina Health, LLC Family Medicine Paladina Health Oconomowoc Sentry Equipment Circle, 966 Blue Ribbon Circle N, Oconomowoc, WI 53066 2019-02-22
1689145500 Oconomowoc Developmental Training Center of Wisconsin LLC Residential Treatment Facility, Emotionally Disturbed Children 36100 Genesee Lake School, Oconomowoc, WI 53066 2018-12-17
1649748203 Ginny Dacquisto Dietitian, Registered 1134 Lily Rd, Oconomowoc, WI 53066 2018-11-12
1174000764 Aimee M Metzger Social Worker 405 E Forest St Ste 113, Oconomowoc, WI 53066 2018-07-26
1023482569 Forefront Dermatology, S.c. Dermatology 1320 Pabst Farms Cir, Suite 180, Oconomowoc, WI 53066 2015-11-20
1962890475 Monica Rodriguez Counselor 405 East Forest Street, Suite 119, Oconomowoc, WI 53066 2015-01-06
1518384643 Kimberley Bevan Pharmacist 1284 East Summit Avenue, Suite 100, Oconomowoc, WI 53066 2014-03-26
1699098905 Heidi Eckroth Nunnemacher Counselor 35315 Genesee Lake Road, Oconomowoc, WI 53066 2010-03-02
1669705240 Oconomowoc Development Training Center Ll Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 3222 N. Silver Cedar Rd., Oconomowoc, WI 53066 2009-09-14
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Taxonomy Information

Taxonomy Code 208VP0014X
Grouping Allopathic & Osteopathic Physicians
Classification Pain Medicine
Specialization Interventional Pain Medicine

Taxonomy Definition

Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1790309276 Wisconsin Spine and Pain Sc Pain Medicine 1604 Cedar Bnd, Hartland, WI 53029-8663 2020-06-01
1679119689 Pain Physicians of Wisconsin, Sc Pain Medicine 5007 S Howell Ave Ste 115, Milwaukee, WI 53207-6158 2019-11-25
1619359122 Pain Relief, Inc. Pain Medicine 7520 Us Highway 51, Nwbj, Minocqua, WI 54548-8943 2015-06-19
1093001851 Brian Curtin Pain Medicine 525 W River Woods Pkwy Ste 240, Glendale, WI 53212-1010 2011-06-21
1285924969 Thomas J. Guhl, M.d., S.c. Pain Medicine 3305 S 20th St Ste 150, Milwaukee, WI 53215-4941 2011-04-14
1457459869 Nichole Virgo Pain Medicine 8901 N 76th St Fl 3, Milwaukee, WI 53223-1901 2006-09-20
1740889021 Midwest Interventional Pain and Diagnostics Pain Medicine 525 W River Woods Pkwy Ste 240, Glendale, WI 53212-1010 2020-10-19
1720499759 Ryan William Clark Pain Medicine 12203 Corporate Pkwy, Mequon, WI 53092 2014-05-13
1750791901 David L. Scherwinski, M.d., S.c. Pain Medicine 140 24th St S, Wisconsin Rapids, WI 54494-1906 2014-04-28
1275799264 Alberto C Clar Md Sc Pain Medicine 8901 N 76th St, Milwaukee, WI 53223-1901 2008-07-30
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Competitor

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City SUMMIT
Zip Code 53066

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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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