MSN CARE (NPI# 1669032363) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669032363 |
| Entity Type | Organization |
| Organization Name | MSN CARE |
| Practice Address |
9330 W Lincoln Ave Ste 10 West Allis WI 53227-2300 |
| Mailing Address |
12507 N Emily Ln Mequon WI 53092-2611 |
| Practice Telephone | 4143662985 |
| Mailing Telephone | 4149156255 |
| Enumeration Date | 2019-06-17 |
| Last Update Date | 2019-08-14 |
| Authorized Official Name | MR. VYACHESLAV DUBROVSKY (PRESIDENT) |
| Authorized Official Telephone | 4149156255 |
| Authorized Official Credential | APNP BC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NPI | 1669032363 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4757 N 76th St, Milwaukee, WI 532184732 | 4149156255 |
| Street Address |
9330 W LINCOLN AVE STE 10 |
| City | WEST ALLIS |
| State | WI |
| Zip Code | 53227-2300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205451564 | Ginger Renee Bland | Nurse Practitioner | 11133 W. National Avenue, West Allis, WI 53227 | 2020-06-12 |
| 1003312141 | Dynamic Medical Equipment, LLC | Durable Medical Equipment & Medical Supplies | 10236 W National Ave, West Allis, WI 53227 | 2018-04-05 |
| 1932572641 | Alissa Kristine Walker | Specialist/Technologist | 11601 W Lincoln Ave, West Allis, WI 53227 | 2015-11-03 |
| 1396155990 | Bradly Earl Helinski | Physical Therapy Assistant | 3023 S 84th St., Milwaukee, WI 53227 | 2014-05-05 |
| 1609299783 | Amy Renee Rozumalski | Occupational Therapy Assistant | 10150 W. National Ave, Suite 150, Premiere Medical Staffing Services, LLC, Milwaukee, WI 53227 | 2014-01-27 |
| 1497098438 | Kathleen Marie Schneider | Physical Therapy Assistant | 3023 S. 84th Street, Milwaukee, WI 53227 | 2013-03-28 |
| 1760723373 | Lee Ann Schraith | Physical Therapy Assistant | 3023 S. 84th St, Milwaukee, WI 53227 | 2013-03-06 |
| 1740520725 | Samantha Lynn Wozniak | Physical Therapist | 3023 S. 84th St., Milwaukee, WI 53227 | 2013-02-27 |
| 1831434901 | Andrew Paul Roeder | Physical Therapy Assistant | 3023 S. 89th Street, Milwaukee, WI 53227 | 2012-11-30 |
| 1538418116 | Christine Wilford | Social Worker | 2044 S 96th Street, West Allis, WI 53227 | 2012-08-29 |
| Find all providers in zip 53227 | ||||
| Taxonomy Code | 207QA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Addiction Medicine |
| A family medicine physician who specializes in the diagnosis and treatment of addictions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Family Physicians. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740316181 | Neville Winston Duncan | Family Medicine | 1134 W North Ave Fl 2, Milwaukee, WI 53205 | 2007-02-27 |
| 1689627507 | Kevin A. Weidman | Family Medicine | 950 N. 35th Street, Milwaukee, WI 53208 | 2006-05-19 |
| 1083680417 | Siamak Arassi | Family Medicine | 19115 W Capitol Dr, 117, Brookfield, WI 53045 | 2006-02-26 |
| 1003449752 | Out Health Inc. | Family Medicine | 5231 University Ave, Madison, WI 53705-1361 | 2020-02-20 |
| 1245779578 | Milwaukee Recovery Associates LLC | Family Medicine | 1516 W Mequon Rd Ste 103, Mequon, WI 53092 | 2017-02-20 |
| 1902342868 | Hanna Medical Clinic Sc | Family Medicine | 5310 Valley Ridge Plz, Middleton, WI 53562-2053 | 2017-01-16 |
| 1619355351 | Sacred Heart Hospital of The Hospital Sisters- 3rd Order of St Francis | Family Medicine | 900 W Clairemont Ave, Eau Claire, WI 54701-6122 | 2015-05-14 |
| 1548606767 | Byron Health and Healing Center | Family Medicine | 2405 Northwestern Ave, Lower Level, Ste 15, Racine, WI 53404-2534 | 2013-05-14 |
| 1033282967 | Jose G. Araujo | Family Medicine | 11803 W North Ave, Wauwatosa, WI 53226-2077 | 2006-11-16 |
| 1205845948 | Catherine M Best | Family Medicine | 620 S Wisconsin Dr, Howards Grove, WI 53083 | 2006-08-05 |
| Find all providers with the same taxonomy | ||||
| City | WEST ALLIS |
| Zip Code | 53227 |
Please comment or provide details below to improve the information on MSN CARE.
| 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.