DR. DEBORAH L MANJONEY (NPI# 1740245356) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740245356 |
| Entity Type | Individual |
| Full Name | DR. DEBORAH L MANJONEY |
| Credential | MD |
| Practice Address |
1231 George Towne Drive Suite G Pewaukee WI 53072 |
| Practice Telephone | 2627469088 |
| Practice Fax Number | 2627469087 |
| Mailing Telephone | 2627469088 |
| Mailing Fax Number | 2627469087 |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2008-10-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
3365300 | WI | Allopathic & Osteopathic Physicians |
| Street Address |
1231 GEORGE TOWNE DRIVE SUITE G |
| City | PEWAUKEE |
| State | WI |
| Zip Code | 53072 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083732788 | Wisconsin Vein Center and Medispa, Sc | Surgery | 1231 George Towne Drive, Suite G, Pewaukee, WI 53072 | 2007-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740805423 | Froedtert Health Neighborhood Hospital, LLC | General Acute Care Hospital | 209 Pewaukee Rd, Pewaukee, WI 53072 | 2020-06-09 |
| 1871122556 | Mary Kofigah | Nurse Practitioner | 21150 W. Capital Dr., Brookfield, WI 53072 | 2020-04-05 |
| 1609436559 | Brianna Kelly Bates | Optometrist | 1440 Capitol Drive, Suite B, Pewaukee, WI 53072 | 2019-06-13 |
| 1932767316 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 1440 Capital Drive, Suite B, Pewaukee, WI 53072 | 2019-05-31 |
| 1417426925 | Edward Dow | Psychologist | W268n1988 Shooting Star Road, Pewaukee, WI 53072 | 2018-11-14 |
| 1346664869 | Jane Sweney | Counselor | 325 Forest Grove Drive, Pewaukee, WI 53072 | 2014-02-05 |
| 1093082182 | Kristin Elizabeth Thieneman | Pharmacist | 443 Pewaukee Road, Pewaukee, WI 53072 | 2011-11-17 |
| 1922318393 | Ariane Machin | Psychologist | 161 W. Wisconsin Ave #2b, Pewaukee, WI 53072 | 2010-10-19 |
| 1083930879 | Scott Robert Borkenhagen | Student in an Organized Health Care Education/Training Program | 384 Willow Grove Dr., Unit D, Pewaukee, WI 53072 | 2010-04-19 |
| 1912174988 | Robert Thomas Lynch | Dentist | 234 Oakton Ave, Pewaukee, WI 53072 | 2008-05-09 |
| Find all providers in zip 53072 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083732788 | Wisconsin Vein Center and Medispa, Sc | Surgery | 1231 George Towne Drive, Suite G, Pewaukee, WI 53072 | 2007-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649454489 | Warren H De Kraay Sr. | Surgery | 3325 Pleasant Lane, Racine, WI 53405 | 2007-12-27 |
| 1932308186 | Great Lakes Medical & Surgical Center | Surgery | 6000 South 27th Street, Milwaukee, WI 53221 | 2007-07-17 |
| 1215020326 | Richard J Grieshop | Surgery | 2424 S 90th St Ste 300, West Allis, WI 53227-2455 | 2006-10-02 |
| 1104880814 | William D Turnipseed | Surgery | 2128 Bridge Ln, Verona, WI 53593-8838 | 2006-04-12 |
| 1104803352 | John W Oren | Surgery | 10509 N Manor Cir, Mequon, WI 53092-5172 | 2005-12-29 |
| 1649264441 | Milan Jordan | Surgery | 2300 Western Ave, Manitowoc, WI 54220-3712 | 2005-09-07 |
| 1275157943 | Neurospine and Endovascular Center LLC | Surgery | 10500 W Loomis Rd Ste 120, Franklin, WI 53132-8030 | 2020-05-29 |
| 1699200378 | Andrea Um | Surgery | Uw Hospitals and Clinics 600 Highland Ave, Madison, WI 53792-0001 | 2017-05-01 |
| 1861855017 | Alexander Donald Leung | Surgery | Uw Hospitals and Clinics, 600 Highland Ave, Madison, WI 53792-0001 | 2016-04-04 |
| 1053792457 | Eric Whittington | Surgery | 600 Highland Ave, Madison, WI 53792-1511 | 2015-06-11 |
| Find all providers with the same taxonomy | ||||
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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.