ST NICHOLAS HEALTH INSTITUTE SC (NPI# 1689813545) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689813545 |
| Entity Type | Organization |
| Organization Name | ST NICHOLAS HEALTH INSTITUTE SC |
| Practice Address |
1033 N Mayfair Rd Suite 303 Wauwatosa WI 53226-3442 |
| Practice Telephone | 4147781455 |
| Practice Fax Number | 4148104052 |
| Mailing Telephone | 4147781455 |
| Mailing Fax Number | 4147781865 |
| Enumeration Date | 2009-02-16 |
| Last Update Date | 2010-09-02 |
| Authorized Official Name | DR. BOB GOUNTIS (PRESIDENT) |
| Authorized Official Telephone | 4147781455 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NX0800X |
Chiropractor Specialization: Orthopedic |
3517-012 | WI | Chiropractic Providers |
| Street Address |
1033 N MAYFAIR RD SUITE 303 |
| City | WAUWATOSA |
| State | WI |
| Zip Code | 53226-3442 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043287717 | Robert Michael Molloy | Internal Medicine | 1033 N Mayfair Rd, Suite 101, Wauwatosa, WI 53226-3442 | 2006-03-02 |
| 1629513577 | Jennifer Ann Eggert | Counselor | 1033 N Mayfair Rd, Suite 305, Wauwatosa, WI 53226-3442 | 2017-01-02 |
| 1619350824 | Heather Chernetski | Counselor | 1033 N Mayfair Rd, Suite 305, Wauwatosa, WI 53226-3442 | 2015-07-07 |
| 1962880856 | Meagan Grosskreutz | Counselor | 1033 N Mayfair Rd, Suite 305, Wauwatosa, WI 53226-3442 | 2015-05-11 |
| 1518368299 | Lauryn Firkus | Nurse Practitioner | 1033 N Mayfair Rd, Suite # 101, Wauwatosa, WI 53226-3442 | 2014-09-12 |
| 1225439136 | Elizabeth Bakos | Counselor | 1033 N Mayfair Rd, Suite305, Wauwatosa, WI 53226-3442 | 2014-09-10 |
| 1639515000 | Milwaukee Gi Specialists Sc | Internal Medicine | 1033 N Mayfair Rd, Suite 101, Wauwatosa, WI 53226-3442 | 2013-05-13 |
| 1780952986 | Sarah Ann Honeyager | Physician Assistant | 1033 N Mayfair Rd, Suite 101, Wauwatosa, WI 53226-3442 | 2011-12-02 |
| 1821315789 | Karissa Kesselhon | Counselor | 1033 N Mayfair Rd, Suite 305, Wauwatosa, WI 53226-3442 | 2010-04-30 |
| 1578723557 | Kathleen J Vanthiel | Nurse Practitioner | 1033 N Mayfair Rd, Suite 101, Wauwatosa, WI 53226-3442 | 2008-06-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912511155 | Alexander Harlan | Pharmacist | 900 N 92nd St, Milwaukee, WI 53226 | 2020-09-04 |
| 1558985762 | Armghan Haider Ans | Student in an Organized Health Care Education/Training Program | 9200 W. Wisconsin Ave. Froedtert Hospital & Medical Col, Milwaukee, WI 53226 | 2020-06-03 |
| 1669001103 | Kimberly Tyler | Student in an Organized Health Care Education/Training Program | 8701 W Watertown Plank Road, Medical College of Wisconsin Dept of Internal Medicine, Wauwatosa, WI 53226 | 2020-04-06 |
| 1972131993 | Francesca Meloy Devine | Student in an Organized Health Care Education/Training Program | Medical Education Office: Children's Corporate Center, 999 N. 92nd St., Suite 730, Milwaukee, WI 53226 | 2020-03-27 |
| 1285275248 | Sharitta Alford | Technician | 12250 West North Avenue, Apartment 142b, Wauwatosa, WI 53226 | 2019-10-01 |
| 1619528023 | Linda Marie Sabatinelli | Technician | 12107 W. Woodland Ave, Wauwatosa, WI 53226 | 2019-09-26 |
| 1598310195 | Matthew Laviolette | Surgery | Medical College of Wisconsin, 8701 Watertown Plank Rd., Surgical Oncology, Milwaukee, WI 53226 | 2019-08-09 |
| 1962056432 | Lyndsey Marie Bratberg | Physician Assistant | F&mcw Clinical Cancer Center 9200 W. Wisconsin Ave., Milwaukee, WI 53226 | 2019-08-01 |
| 1659832855 | Benjamin David Seadler | Surgery | Mcw, Department of Surgery, 8701 Watertown Plank Road, Milwaukee, WI 53226 | 2019-03-29 |
| 1861953267 | Michael Dryden | Student in an Organized Health Care Education/Training Program | 8701 Watertown Plank Rd., Milwaukee, WI 53226 | 2019-03-27 |
| Find all providers in zip 53226 | ||||
| Taxonomy Code | 111NX0800X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Orthopedic |
| Chiropractic Orthopedics is defined as that branch of chiropractic medicine that includes the continued acquisition of knowledge relative to both normal functions and diseases of the human body as they relate to the bones, joints, capsules, discs, muscles, ligaments, tendons, their complete neurological and vascular components, referred organ systems and contiguous tissues. This also includes the development and perfection of skills relative to health maintenance when such exists and when not, the investigations, historical review, physical detection, correlative diagnosis development and complete management of any disorder within the bounds defined herein. Also necessary is the delivery of the combined knowledge and skill on a primary basis to patients who both need and desire this service to the eventual outcome of remissions, whenever resolution is not readily achievable. In addition the certified chiropractic orthopedist provides consultation services at the request of other qualified doctors seeking assistance in the care of their patients. The chiropractic orthopedist may also engage in the teaching and or research of subjects and materials relevant to pursuing the quest for knowledge in the ever changing field of the orthopedic specialty. |
| Notes: Source: American Chiropractic Association, 2008 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417135138 | Michalski Chiropractic Wellness Centre, S.c. | Chiropractor | 11407 W. Blue Mound Rd., Wauwatosa, WI 53226-4031 | 2008-02-05 |
| 1588733083 | Ronald Thadeus Michalski | Chiropractor | 11407 W Bluemound Rd, Wauwatosa, WI 53226-4031 | 2006-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811431539 | Elkhorn Family Chiropractic LLC | Chiropractor | 9 N Wisconsin St, Elkhorn, WI 53121-1737 | 2016-12-14 |
| 1184881039 | Steven John Kumm | Chiropractor | 446 South Knowles Ave, New Richmond, WI 54017-1733 | 2008-05-19 |
| 1720274749 | Groskopp Chiropractic, Sc | Chiropractor | 708 W Ryan St, Brillion, WI 54110-1045 | 2007-09-24 |
| 1528118635 | Roy W Mutsch | Chiropractor | 4680 W Bradley Rd, Brown Deer, WI 53223-3764 | 2007-01-11 |
| 1760563944 | Stender Orthopedic and Chiropractic Clinic Inc | Chiropractor | 824 S Hastings Way, Eau Claire, WI 54701-3426 | 2006-10-17 |
| 1801976279 | John Michael Haase | Chiropractor | 4200 University Ave Ste 2100, Madison, WI 53705-2172 | 2006-10-17 |
| 1356437958 | Mark A Dull | Chiropractor | 237 E. Main St, Twin Lakes, WI 53181 | 2006-10-04 |
| 1750486338 | Donn Thomas Gurske | Chiropractor | 9217 W Center St, Milwaukee, WI 53222-4516 | 2006-09-14 |
| 1861425928 | Christopher Paul Rebholz | Chiropractor | 690 Westfield Way Ste F, Pewaukee, WI 53072-2585 | 2006-07-09 |
| 1699707588 | Robert Michael Newman | Chiropractor | 5050 W Vliet St, Milwaukee, WI 53208-2623 | 2006-07-07 |
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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.