AZH WOUND CENTER MKE LLC (NPI# 1780032219) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780032219 |
| Entity Type | Organization |
| Organization Name | AZH WOUND CENTER MKE LLC |
| Other Organization Name | AZH WOUND CENTER |
| Practice Address |
2500 W Layton Ave Suite 30 Milwaukee WI 53221-5420 |
| Practice Telephone | 4142695336 |
| Mailing Telephone | 4142695336 |
| Enumeration Date | 2016-05-25 |
| Last Update Date | 2016-06-16 |
| Authorized Official Name | DR. JEFFREY NIEZGODA (OWNER/PHYSICIAN) |
| Authorized Official Telephone | 4142695336 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PE0005X |
Emergency Medicine Specialization: Undersea and Hyperbaric Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| AZH Wound Center | Doing Business As Name - Organization |
| Street Address |
2500 W LAYTON AVE SUITE 30 |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53221-5420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063405751 | Constance M. Ganapes | Internal Medicine | 2500 W Layton Ave, Suite 250, Milwaukee, WI 53221-5420 | 2005-08-26 |
| 1669911277 | Garland W. Yarborough M.d S,c | Clinic/Center | 2500 W Layton Ave, Suite250, Milwaukee, WI 53221-5420 | 2017-02-15 |
| 1376087247 | Eric Everson | Occupational Therapist | 2500 W Layton Ave, Suite 160, Milwaukee, WI 53221-5420 | 2016-12-13 |
| 1508312570 | Azh Vascular Center Mke LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2500 W Layton Ave, Suite 40, Milwaukee, WI 53221-5420 | 2016-08-30 |
| 1497105837 | Jill Bergersen | Physical Therapist | 2500 W Layton Ave, Suite 160, Milwaukee, WI 53221-5420 | 2016-06-16 |
| 1528412798 | Kurt P Hackbarth | Physical Therapist | 2500 W Layton Ave, Milwaukee, WI 53221-5420 | 2016-04-14 |
| 1700249992 | Jennifer Zomchek | Nurse Practitioner | 2500 W Layton Ave, Suite 30, Milwaukee, WI 53221-5420 | 2016-04-04 |
| 1588046890 | Rebecca Rudella | Occupational Therapist | 2500 W Layton Ave, Milwaukee, WI 53221-5420 | 2015-06-23 |
| 1154702975 | Stephanie M Mcdonald | Physical Therapist | 2500 W Layton Ave, Suite 160, Milwaukee, WI 53221-5420 | 2015-06-17 |
| 1942698212 | Primary Care of Milwaukee, S.c. | Internal Medicine | 2500 W Layton Ave, Suite 230, Milwaukee, WI 53221-5420 | 2015-01-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487205944 | Hayat Pharmacy 20 LLC | Pharmacy | 805 W. Layton Ave., Suite B, Milwaukee, WI 53221 | 2019-09-26 |
| 1962053421 | Hayat Pharmacy 19 LLC | Pharmacy | 805 W. Layton Ave. Suite A, Milwaukee, WI 53221 | 2019-09-26 |
| 1407343965 | Informe Healthcare LLC | Counselor | 2741 W Layton Ave., Suite 106, Milwaukee, WI 53221 | 2018-04-19 |
| 1447781992 | Itamar Yaakov Gnatt | Emergency Medicine | 2900 W Oklahoma Ave, St Lukes Medical Center, Milwaukee, WI 53221 | 2017-03-27 |
| 1194277160 | Suzanne Derosier | Licensed Practical Nurse | 3910 W Bridge, Greenfield, WI 53221 | 2016-10-26 |
| 1265988117 | Obi Home Care | Clinic/Center | 4439 S 20th St, Milwaukee, WI 53221 | 2016-08-31 |
| 1427430602 | Zezenya Health Care S.c. | Pain Medicine | 5114 S 27th St # 763, Milwaukee, WI 53221 | 2015-06-24 |
| 1851771091 | Feisal J Salahadyn | Counselor | 4800 South 10th Street, Milwaukee, WI 53221 | 2015-06-03 |
| 1114312386 | Holistic Home Health Care Incorporated | Adult Companion | 3422 West Howard Ave, Greenfield, WI 53221 | 2015-04-03 |
| 1841698834 | Srt Prosthetics & Orthotics LLC | Prosthetic/Orthotic Supplier | 5220 S 27th St., Milwaukee, WI 53221 | 2014-12-08 |
| Find all providers in zip 53221 | ||||
| Taxonomy Code | 207PE0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Undersea and Hyperbaric Medicine |
| A specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns, and bone infections. This specialist also serves as a consultant to other physicians in all aspects of hyperbaric chamber operations, and assesses risks and applies appropriate standards to prevent disease and disability in divers and other persons working in altered atmospheric conditions. |
| Notes: Source: American Board of Emergency Medicine [7/1/2008: source added, additional resources added] Additional Resources: Additional Resources: www.abem.org & American Board of Preventive Medicine www.abprevmed.org |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447781992 | Itamar Yaakov Gnatt | Emergency Medicine | 2900 W Oklahoma Ave, St Lukes Medical Center, Milwaukee, WI 53221 | 2017-03-27 |
| 1558313015 | Harry T Whelan | Emergency Medicine | 9000 W Wisconsin Ave, Pediatric Neurology, Milwaukee, WI 53226-4874 | 2006-05-16 |
| 1982655718 | Ann K Helms | Emergency Medicine | 9200 W Wisconsin Ave, Department of Neurology, Milwaukee, WI 53226-3522 | 2006-05-15 |
| 1679537054 | Jeffrey A Niezgoda | Emergency Medicine | 2500 W Layton Ave, Ste 30, Milwaukee, WI 53221-5436 | 2006-04-13 |
| 1710940465 | Hyperbaric and Wound Care Associates, Sc | Emergency Medicine | 2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 | 2006-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215593009 | Ihc-wound Care Services LLC | Emergency Medicine | 6308 8th Ave, Kenosha, WI 53143-5031 | 2019-05-16 |
| 1083179238 | Ihc-wound Care Services LLC | Emergency Medicine | 9555 76th St, Pleasant Prairie, WI 53158-1984 | 2019-02-01 |
| 1487098950 | Ihc-wound Care Services LLC | Emergency Medicine | 900 W Clairemont Ave, Eau Claire, WI 54701-6122 | 2013-04-26 |
| 1750629408 | Ihc-wound Care Services LLC | Emergency Medicine | 950 W Clairemont Ave, Eau Claire, WI 54701-6192 | 2013-01-30 |
| 1649543711 | Ihc-wound Care Services LLC | Emergency Medicine | 2661 County Highway I, Chippewa Falls, WI 54729-5407 | 2012-02-20 |
| 1922371095 | Ihc-wound Care Services LLC | Emergency Medicine | 1506 S Oneida St, Appleton, WI 54915-1305 | 2012-02-20 |
| 1942573019 | Ihc-wound Care Services LLC | Emergency Medicine | 3100 Superior Ave, Sheboygan, WI 53081-1948 | 2012-02-20 |
| 1831413723 | Milwaukee Kidney Institute Inc | Emergency Medicine | 2400 Golf Rd, Pewaukee, WI 53072-5590 | 2010-03-21 |
| 1245410851 | Premier Wound Specialists, LLC | Emergency Medicine | 2400 Golf Rd, Pewaukee, WI 53072-5590 | 2007-11-12 |
| 1831119379 | Hyperbaric and Wound Care Associates of Fox Valley, Sc | Emergency Medicine | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 | 2006-07-20 |
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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.