LMG INC (NPI# 1790224491) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790224491 |
| Entity Type | Organization |
| Organization Name | LMG INC |
| Practice Address |
2727 N Grandview Blvd Suite 100 Waukesha WI 53188-6100 |
| Mailing Address |
2626 N 76th St Suite 105 Wauwatosa WI 53213-1137 |
| Practice Telephone | 2625479422 |
| Practice Fax Number | 2625480644 |
| Mailing Telephone | 4144769400 |
| Mailing Fax Number | 4147554769 |
| Enumeration Date | 2017-02-15 |
| Last Update Date | 2017-02-15 |
| Authorized Official Name | JAY L MACKMAN (OWNER-DIRECTOR) |
| Authorized Official Telephone | 4144769400 |
| Authorized Official Credential | D |
| Is Organization Subpart | Y |
| Parent Organization Name | LMG INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0106X |
Dentist Specialization: Oral and Maxillofacial Pathology |
Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730628330 | Lmg Inc | Dentist | 200 W Silver Spring Dr, Suite 310, Milwaukee, WI 53217-5059 | 2017-02-15 |
| 1891234498 | Lmg Inc | Dentist | 6211 Durand Ave, Suite 202, Mount Pleasant, WI 53406-4956 | 2017-02-15 |
| 1063951663 | Lmg Inc | Dentist | W3132 Van Roy Rd, Appleton, WI 54915-3982 | 2017-02-15 |
| Street Address |
2727 N GRANDVIEW BLVD SUITE 100 |
| City | WAUKESHA |
| State | WI |
| Zip Code | 53188-6100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861594210 | Kellie Jo Lindberg | Occupational Therapist | 2727 N Grandview Blvd, Suite 113, Waukesha, WI 53188-6100 | 2006-09-05 |
| 1427484922 | Michelle Lynn Kotarski | Physical Therapy Assistant | 2727 N Grandview Blvd, Suite 100, Waukesha, WI 53188-6100 | 2013-09-17 |
| 1962632778 | Eric Taibl | Dentist | 2727 N Grandview Blvd, Waukesha, WI 53188-6100 | 2009-07-15 |
| 1124168638 | Waukesha Pediatric Dental Care Sc | Dentist | 2727 N Grandview Blvd, Suite 206, Waukesha, WI 53188-1671 | 2007-02-07 |
| 1629144431 | Jeffrey W Ausen Dds Sc | Dentist | 2727 N Grandview Blvd, Suite 200, Waukesha, WI 53188 | 2006-11-27 |
| 1366539207 | Deanne Yvonne Jacobsen | Physical Therapist | 2727 N Grandview Blvd, Waukesha, WI 53188-6100 | 2006-10-10 |
| 1831280981 | Jeffrey William Ausen | Dentist | 2727 N Grandview Blvd, Ste 200, Waukesha, WI 53188 | 2006-09-27 |
| 1487745394 | Susann Bordini Norwick | Dentist | 2727 N Grandview Blvd, Suite 206, Waukesha, WI 53188-6100 | 2006-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336787126 | Nicole Lee Berg-johnson | Nurse Practitioner | 820 Crestwood Dr., Waukesha, WI 53188 | 2019-12-12 |
| 1013475706 | Rachel Mueller | Occupational Therapist | 29667 Summit Ave, S11, Waukesha, WI 53188 | 2019-03-12 |
| 1861962649 | Emily Elizabeth Seefeld | Occupational Therapy Assistant | 29667 Summit Ave S11, Waukesha, WI 53188 | 2018-12-05 |
| 1003393307 | Ashley Susan Callahan | Dental Hygienist | 711 W. Moreland Blvd., Suite 204, Waukesha, WI 53188 | 2018-07-19 |
| 1245741321 | Melissa Weir | Case Manager/Care Coordinator | 514 Riverview Avenue, Waukesha, WI 53188 | 2017-10-17 |
| 1093233629 | Patricia Marie Sombrio | Dental Hygienist | 711 Moreland Blvd 204, Waukesha, WI 53188 | 2017-09-04 |
| 1134660244 | Bdg of Wisconsin, Inc. | Behavioral Analyst | N19w2309 Riverwood Drive, Suite 350 Pmb 314, Waukesha, WI 53188 | 2017-03-09 |
| 1255888731 | Lynne Sarah Alva | Dental Hygienist | 711 Moreland Blvd, Suite 204, Waukesha, WI 53188 | 2016-09-01 |
| 1881069730 | Michelle Koch | Occupational Therapist | 29667 Summit Ave. S11, Waukesha, WI 53188 | 2015-12-03 |
| 1952711012 | Rhonda Schroeder | Dental Hygienist | W286 N991 Shepherds Way, Waukesha, WI 53188 | 2014-04-29 |
| Find all providers in zip 53188 | ||||
| Taxonomy Code | 1223P0106X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Pathology |
| The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578957411 | Tmj Pain Solutions, Sc | Dentist | N14w23833 Stone Ridge Dr, Suite 240, Waukesha, WI 53188-1157 | 2015-03-27 |
| 1003927625 | Mary K Karkow | Dentist | N14w23833 Stone Ridge Dr, Suite 240, Waukesha, WI 53188-1157 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497098255 | Matthew James Midtling | Dentist | 840 N. 87th Streeth, Sargeant Health Center, Milwaukee, WI 53226 | 2013-03-30 |
| 1407057441 | George Chris Panos | Dentist | N 67 W 31027 Club Circle East, Hartland, WI 53029 | 2007-05-29 |
| 1275753659 | Apple Creek Oral Surgery, Sc | Dentist | 2410 East Evergreen Drive, Appleton, WI 54913 | 2007-04-26 |
| 1053440842 | Oakpark Dental - Platteville | Dentist | 1250 N Water St, Platteville, WI 53818-1450 | 2007-03-05 |
| 1225191067 | Ezedin M Sadeghi | Dentist | 8760 N Seneca Rd, Fox Point, WI 53217-2332 | 2006-12-19 |
| 1669558433 | Yeshwant B Rawal | Dentist | 1801 W Wisconsin Ave Rm 322, Milwaukee, WI 53233-2186 | 2006-10-27 |
| 1225137227 | Guy J Jensen | Dentist | 464 S Hickory St, Suite A, Fond Du Lac, WI 54935-5531 | 2006-09-22 |
| 1134235427 | Lmg, Inc | Dentist | 2626 N 76th Street, Suite 101, Wauwatosa, WI 53213-1137 | 2006-08-21 |
| 1730628330 | Lmg Inc | Dentist | 200 W Silver Spring Dr, Suite 310, Milwaukee, WI 53217-5059 | 2017-02-15 |
| 1891234498 | Lmg Inc | Dentist | 6211 Durand Ave, Suite 202, Mount Pleasant, WI 53406-4956 | 2017-02-15 |
| 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.