DR. ALEXANDER A ROMASHKO (NPI# 1831163963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831163963 |
| Entity Type | Individual |
| Full Name | DR. ALEXANDER A ROMASHKO |
| Credential | MD |
| Practice Address |
4805 S Moorland Rd Moorland Reserve Health Center New Berlin WI 53151-7401 |
| Practice Telephone | 2627987200 |
| Practice Fax Number | 2617987201 |
| Mailing Telephone | 2627987200 |
| Mailing Fax Number | 2617987201 |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2014-09-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YX0007X |
Otolaryngology Specialization: Plastic Surgery within the Head & Neck |
47616 020 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 1831163963 | 05 |
| Street Address |
4805 S MOORLAND RD MOORLAND RESERVE HEALTH CENTER |
| City | NEW BERLIN |
| State | WI |
| Zip Code | 53151-7401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649268061 | Roger William Beaumont | Family Medicine | 4805 S Moorland Rd, New Berlin, WI 53151-7401 | 2005-10-10 |
| 1730710898 | Froedtert Health Neighborhood Hospital, LLC | General Acute Care Hospital | 4805 S Moorland Rd, New Berlin, WI 53151-7401 | 2020-01-28 |
| 1891359311 | Samantha Marie Pangborn | Physical Therapist | 4805 S Moorland Rd, New Berlin, WI 53151-7401 | 2019-04-30 |
| 1376027664 | Brooke Fula | Nurse Practitioner | 4805 S Moorland Rd, New Berlin, WI 53151-7401 | 2018-09-21 |
| 1669951737 | Rachel Kriz | Nurse Practitioner | 4805 S Moorland Rd, New Berlin, WI 53151-7401 | 2018-08-09 |
| 1225534605 | Cynthia Louise Shicotte | Speech-Language Pathologist | 4805 S Moorland Rd, New Berlin, WI 53151-7401 | 2018-04-04 |
| 1073046520 | Bryan Beaumont | Family Medicine | 4805 S Moorland Rd, New Berlin, WI 53151-7401 | 2017-04-11 |
| 1730635657 | Froedtert & The Medical College of Wisconsin Community Physicians, Inc | Durable Medical Equipment & Medical Supplies | 4805 S Moorland Rd, New Berlin, WI 53151-7401 | 2016-08-31 |
| 1912452533 | Adam Edward Carow | Physical Therapist | 4805 S Moorland Rd, New Berlin, WI 53151-7401 | 2016-08-24 |
| 1104284025 | Emily Jacobson | Physical Therapist | 4805 S Moorland Rd, Moorland Reserve Health Center, New Berlin, WI 53151-7401 | 2016-02-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629527486 | Natural Look Salon and Wigs LLC | Durable Medical Equipment & Medical Supplies | 4805 S. Moorland Rd, New Berlin, WI 53151 | 2016-09-22 |
| 1396193033 | New Berlin Medical Services, LLC | Clinic/Center | 15324 W Beloit Road, New Berlin, WI 53151 | 2016-06-02 |
| 1063899680 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 15300 West Grange Avenue, New Berlin, WI 53151 | 2015-05-04 |
| 1871970368 | Mary Spath | Physical Therapy Assistant | 2810 South Acredale Road, New Berlin, WI 53151 | 2015-05-04 |
| 1669885471 | Wauwatosa Prescription Center, Inc. | Pharmacy | 4855 S Moorland Road, New Berlin, WI 53151 | 2014-06-09 |
| 1750711446 | Pure Family Chiropractic LLC | Chiropractor | 3504 S. Moorland Road, New Berlin, WI 53151 | 2013-11-18 |
| 1336578202 | Hamilton John Dowden | Chiropractor | 3504 S Moorland Rd, New Berlin, WI 53151 | 2013-11-01 |
| 1053653618 | Danielle Lynn Lucio | Acupuncturist | 15807 W. National Ave., New Berlin, WI 53151 | 2013-03-21 |
| 1306195110 | Marlena J Friedrich | Registered Nurse | 1709 S. 171st Street, New Berlin, WI 53151 | 2012-09-07 |
| 1548519176 | Patricia M Friedrich | Licensed Practical Nurse | 1709 So. 171st Street, New Berlin, WI 53151 | 2012-08-29 |
| Find all providers in zip 53151 | ||||
| Taxonomy Code | 207YX0007X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Plastic Surgery within the Head & Neck |
| An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy is currently provided in the subspecialty of Otolaryngology/Facial Plastic Surgery (see Taxonomy Code 207YX0905X) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518159599 | Anand D Patel | Otolaryngology | 19275 W Capitol Dr, Suite 205, Brookfield, WI 53045-2742 | 2007-08-14 |
| 1326462540 | Visage Facial Plastic Surgery Sc | Otolaryngology | 19275 W Capitol Dr, Suite 205, Brookfield, WI 53045-2742 | 2014-02-07 |
| 1497708143 | John S Rhee | Otolaryngology | 9200 W Wisconsin Ave, Department of Otolaryngology, Milwaukee, WI 53226-3522 | 2006-05-17 |
| 1508819178 | Ear Nose and Throat Specialists of Wisconsin Sc | Otolaryngology | 119 E Bell St, Neenah, WI 54956-4993 | 2006-05-17 |
| 1427052307 | Brian M Sieck | Otolaryngology | 1836 South Ave, La Crosse, WI 54601-5429 | 2005-06-09 |
| City | NEW BERLIN |
| Zip Code | 53151 |
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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.