IN-YOUR-HOME MEDICINE & GERIATRICS (NPI# 1831200781) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831200781 |
| Entity Type | Organization |
| Organization Name | IN-YOUR-HOME MEDICINE & GERIATRICS |
| Practice Address |
3915 N Ridgefield Cir Shorewood WI 53211-2451 |
| Mailing Address |
Po Box 11544 Shorewood WI 53211-0544 |
| Practice Telephone | 4147956480 |
| Mailing Telephone | 4147956480 |
| Mailing Fax Number | 4149061758 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. SHAWN DOUGLAS ANTLE (PRESIDENT) |
| Authorized Official Telephone | 4147956480 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
46666 | WI | Allopathic & Osteopathic Physicians |
| Street Address |
3915 N RIDGEFIELD CIR |
| City | SHOREWOOD |
| State | WI |
| Zip Code | 53211-2451 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629260716 | Lisa Lauren Antle | Clinical Nurse Specialist | 3915 N Ridgefield Cir, Shorewood, WI 53211-2451 | 2007-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821602335 | Gabriella Caitrin Emanuele | Occupational Therapist | Harborchase of Shorewood, 1111 E Capitol Drive, Shorewood, WI 53211 | 2020-09-02 |
| 1710527783 | Sage Specialty Pharmacy Inc. | Pharmacy | 4001 N. Oakland Ave, Shorewood, WI 53211 | 2020-01-08 |
| 1861043952 | Rosina Bloomingdale Norton | Nurse Practitioner | 1921 E Harford Ave, Milwaukee, WI 53211 | 2019-09-20 |
| 1528556255 | Renee Reckelberg | Specialist/Technologist | 3409 North Downer Avenue, Pavilion, Suite 350, Milwaukee, WI 53211 | 2018-04-27 |
| 1700325602 | Wisconsin Vision, Inc. | Optometrist | 4163 N Oakland Ave, Shorewood, WI 53211 | 2017-02-13 |
| 1750827556 | Daniel Butz M.d., S.c. | Plastic Surgery | 2350 N Lake Dr Ste 304, Milwaukee, WI 53211 | 2017-01-17 |
| 1528517232 | Therese Simonis | Speech-Language Pathologist | 2390 N Lake Drive, Milwaukee, WI 53211 | 2016-09-23 |
| 1982075701 | Katie Michel | Specialist/Technologist | 3409 N. Downer Ave, Milwaukee, WI 53211 | 2015-10-20 |
| 1255776365 | Sarah Elizabeth Brill | Social Worker | 4433 N Oakland Ave Ste D, Shorewood, WI 53211 | 2013-05-02 |
| 1679814537 | Nicole Anne Parulski | Physical Therapist | 2301 North Lake Dr, Milwaukee, WI 53211 | 2013-03-01 |
| Find all providers in zip 53211 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487015301 | Louis Harvey Frase | Internal Medicine | 2516 E Princeton Ave, Eau Claire, WI 54703-4133 | 2016-03-20 |
| 1588045702 | Maureen Bruns | Internal Medicine | 3054 Maple Grove Dr, Madison, WI 53719-1912 | 2015-06-12 |
| 1952554966 | William Jerold Hisgen | Internal Medicine | 1215 Garfield St, 1215 Garfield St., Madison, WI 53711-2215 | 2008-11-04 |
| 1114005642 | Ahmet U. Demircioglu | Internal Medicine | 2000 E Layton Ave Ste 170, St Francis, WI 53235-6055 | 2006-11-01 |
| 1235229568 | Mary Parish Gavinski | Internal Medicine | 205 Bishops Way, Brookfield, WI 53005-6247 | 2006-10-16 |
| 1376653261 | Paul Joseph Drinkt | Internal Medicine | N2665 County Rd Qq, Wisconsin Veterans Home, King, WI 54946 | 2006-08-30 |
| 1003882994 | Soryal A Soryal | Internal Medicine | 1020 N 12th St, 3rd Floor, Milwaukee, WI 53233-1308 | 2006-02-28 |
| 1467439729 | Kanwardeep Singh | Internal Medicine | 1155 N Honey Creek Pkwy, Wauwatosa, WI 53213-3189 | 2005-12-28 |
| 1528674801 | Pai Participant 23 Sc | Internal Medicine | 1475 Birch Hill Ln, Shawano, WI 54166-3707 | 2020-09-22 |
| 1740717198 | Floreta Shapiro | Internal Medicine | Uw Hospitals & Clinics 600 Highland Ave, Madison, WI 53792-8255 | 2017-05-16 |
| 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.