DR. MAURICIO E PALENCIA (NPI# 1770558264) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770558264 |
| Entity Type | Individual |
| Full Name | DR. MAURICIO E PALENCIA |
| Credential | MD |
| Practice Address |
2600 Kiley Way Plymouth WI 53073-5020 |
| Practice Telephone | (920) 449-7000 |
| Mailing Telephone | 9204497000 |
| Enumeration Date | 2006-02-20 |
| Last Update Date | 2020-03-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 43429 | WI | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 43429 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 1770558264 | 05 | |
| WI | 34111200 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2130 Big Bend Rd, Waukesha, WI 531897624 | 2629287555 |
| Street Address |
2600 KILEY WAY |
| City | PLYMOUTH |
| State | WI |
| Zip Code | 53073-5020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962016790 | Daniel Myron Lapean | Massage Therapist | 2600 Kiley Way, Plymouth, WI 53073-5020 | 2020-08-31 |
| 1669003463 | Mitchell Adams | Pharmacist | 2600 Kiley Way, Plymouth, WI 53073-5020 | 2020-01-30 |
| 1457911455 | April L Okruszynski | Physical Therapist | 2600 Kiley Way, Plymouth, WI 53073-5020 | 2019-06-20 |
| 1235621228 | Andrea S Seifert | Physical Therapist | 2600 Kiley Way, Plymouth, WI 53073-5020 | 2018-06-05 |
| 1740797851 | Dena Horvath | Nurse Practitioner | 2600 Kiley Way, Plymouth, WI 53073-5020 | 2018-01-10 |
| 1922528710 | Bethany L Graesslin | Physical Therapist | 2600 Kiley Way, Plymouth, WI 53073-5020 | 2017-06-22 |
| 1760911721 | Katie E Thompson | Internal Medicine | 2600 Kiley Way, Plymouth, WI 53073-5020 | 2017-06-05 |
| 1003347451 | Anthony Lazaro | Family Medicine | 2600 Kiley Way, Plymouth, WI 53073-5020 | 2017-03-27 |
| 1841642642 | Andrew Bradford Ingraham | Emergency Medicine | 2600 Kiley Way, Plymouth, WI 53073-5020 | 2016-07-06 |
| 1063822575 | Liya Milgram | Family Medicine | 2600 Kiley Way, Plymouth, WI 53073 | 2014-05-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245889914 | Patricia M. Stone | Technician | 440 Stoneybrook Lane, Plymouth, WI 53073 | 2019-09-05 |
| 1801387501 | Kwon Yang | Dentist | W 9071 Forest Drive, Plymouth, WI 53073 | 2018-05-29 |
| 1396258752 | Advanced Dental Care Clinic Sc | Clinic/Center | 62 S Pleasant View Road, Plymouth, WI 53073 | 2017-11-08 |
| 1164888004 | Lukresse Tatiana Kouam Tchuendem | Registered Nurse | 236 N Milwaukee St, Plymoth, WI 53073 | 2016-01-07 |
| 1831447424 | Lori Ann Schuette | Registered Nurse | 406 Summit Street, Plymouth, WI 53073 | 2012-08-29 |
| 1821360967 | Kristine Marie Van Ess | Case Manager/Care Coordinator | 7135 Rocky Knoll Pkwy, Plymouth, WI 53073 | 2012-02-06 |
| 1750699708 | Shannon Diamond | Physical Therapist | 825 Walton Drive, Plymouth, WI 53073 | 2010-09-23 |
| 1306088265 | Lacey Lyn Schafer | Nurse Practitioner | W9071 Forest Dr, Plymouth, WI 53073 | 2009-03-24 |
| 1275780868 | Stella D. Kaas-lallensack | Occupational Therapist | W5774 Garton Rd, Plymouth, WI 53073 | 2008-08-26 |
| 1912172248 | Judith A Nelson | Registered Nurse | N7116 County Road E, Plymouth, WI 53073 | 2008-04-28 |
| Find all providers in zip 53073 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942662051 | Medexpress Urgent Care Minnesota, P.C. | Emergency Medicine | 16895 County Road 24, Plymouth, MN 55447-1290 | 2016-03-28 |
| 1407110174 | Mark Travis Hemming | Emergency Medicine | 46920 N Territorial Rd, Plymouth, MI 48170-3067 | 2012-06-27 |
| 1194804179 | Vidvud Valdmanis | Emergency Medicine | 16 Hospital Road Speare Memorial Hospital, Emergency Medicine Department, Plymouth, NH 03264 | 2006-11-02 |
| 1013096098 | Douglas Mcvicar | Emergency Medicine | 16 Hospital Road Speare Memorial Hospital, Emergency Medicine Department, Plymouth, NH 03264 | 2006-11-02 |
| 1548349533 | Alex G. Medlicott | Emergency Medicine | 16 Hospital Road, Speare Memorial Hospital, Emergency Medicine Department, Plymouth, NH 03264 | 2006-11-02 |
| 1285672576 | Charles D Schaub IIi | Emergency Medicine | 275 Sandwich Street, Jordan Hospital, Plymouth, MA 02360 | 2006-06-02 |
| 1275570459 | Patricia E Sullivan | Emergency Medicine | 275 Sandwich St., Jordan Hospital, Plymouth, MA 02360 | 2006-05-31 |
| 1376519587 | William J Wagner | Emergency Medicine | N7426 County Road J, Plymouth, WI 53073-2741 | 2006-02-27 |
| 1417937491 | Christopher M Callahan | Emergency Medicine | 14700 28th Ave N Ste 25, Plymouth, MN 55447 | 2006-01-18 |
| 1336126903 | Michael Sochat | Emergency Medicine | 16 Hospital Road, Emergency Medicine Department, Plymouth, NH 03264 | 2005-12-27 |
| Find all providers in PLYMOUTH | ||||
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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.