JENNA CUSIC (NPI# 1831457860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831457860 |
| Entity Type | Individual |
| Full Name | JENNA CUSIC |
| Credential | MD |
| Practice Address |
N4w22370 Bluemound Rd Waukesha WI 53186-1683 |
| Practice Telephone | 2629705605 |
| Mailing Telephone | 2629705605 |
| Enumeration Date | 2012-04-27 |
| Last Update Date | 2020-07-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2082S0105X |
Plastic Surgery Specialization: Surgery of the Hand |
61535-20 | WI | Allopathic & Osteopathic Physicians |
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
61535-20 | WI | Allopathic & Osteopathic Physicians |
| Street Address |
N4W22370 BLUEMOUND RD |
| City | WAUKESHA |
| State | WI |
| Zip Code | 53186-1683 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245297464 | Thomas G Korkos | Plastic Surgery | N4w22370 Bluemound Rd, 100, Waukesha, WI 53186-1683 | 2006-05-01 |
| 1942684428 | Kimberly Marilyn Beres | Audiologist | N4w22370 Bluemound Rd, Waukesha, WI 53186-1683 | 2015-07-15 |
| 1366854929 | Connect Hearing, Inc. | Audiologist | N4w22370 Bluemound Rd, Ste 202a, Waukesha, WI 53186-1683 | 2014-05-29 |
| 1598061640 | Grace Dent P.a. | Chiropractor | N4w22370 Bluemound Rd, Waukesha, WI 53186-1683 | 2011-02-08 |
| 1295917003 | Radiology Consultants of Wisconsin Sc | Radiology | N4w22370 Bluemound Rd, Suite 201, Waukesha, WI 53186-1683 | 2007-12-04 |
| 1710107743 | Bluemound Surgery Center Ltd | Clinic/Center | N4w22370 Bluemound Rd, Waukesha, WI 53186-1683 | 2007-05-01 |
| 1194866962 | Waukesha Health Care Inc | Family Medicine | N4w22370 Bluemound Rd, Waukesha, WI 53186-1683 | 2007-02-12 |
| 1992876544 | Thomas G. Korkos M.d.s.c. | Plastic Surgery | N4w22370 Bluemound Rd, Suite 100, Waukesha, WI 53186-1683 | 2006-11-13 |
| 1831260405 | Cj Hussussian Md Sc | Plastic Surgery | N4w22370 Bluemound Rd, Suite 100, Waukesha, WI 53186-1683 | 2006-11-13 |
| 1710058375 | George J. Korkos M.d.s.c | Plastic Surgery | N4w22370 Bluemound Rd, Suite 100, Waukesha, WI 53186-1683 | 2006-11-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295391472 | Christine Lowdon Triggs | Dentist | 21680 West Bluemound Rd, Waukesha, WI 53186 | 2019-05-14 |
| 1881182889 | Allure Medical of Wisconsin Pllc | Clinic/Center | 1930 W Bluemound Rd Ste 340, Waukesha, WI 53186 | 2018-04-25 |
| 1316462104 | Mary B Mckee | Dietitian, Registered | 22370 W Bluemound Rd, #102, Waukesha, WI 53186 | 2017-08-14 |
| 1740738343 | Rebecca Menelle | Physical Therapist | 1809 Shepherd Ct, Apt 206, Waukesha, WI 53186 | 2016-09-13 |
| 1568919876 | Dianne Isnard | Physical Therapist | W231n1440 Corporate Court, Waukesha, WI 53186 | 2016-09-02 |
| 1982065991 | Brandon James Decker | Nurse Practitioner | 21775 Hillcrest Drive, Waukesha, WI 53186 | 2016-03-18 |
| 1598142937 | Sophia Marie Klingbiel | Social Worker | 1515 Paramount Dr., Waukesha, WI 53186 | 2015-05-06 |
| 1326478165 | Glen D Haberman | Dentist | 141 Wisconsin Avenue, Waukesha, WI 53186 | 2013-11-14 |
| 1487991014 | Sara Nicole Francis | Counselor | 217 Wisconsin Ave Ste 211, Waukesha, WI 53186 | 2013-01-16 |
| 1770862054 | Alex Colque, M.d. S.c. | Plastic Surgery | 21675 E Moreland Blvd, Suite 100, Waukesha, WI 53186 | 2011-08-04 |
| Find all providers in zip 53186 | ||||
| Taxonomy Code | 2086S0122X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Plastic and Reconstructive Surgery |
| A surgeon who specializes in plastic and reconstructive surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366409658 | Aesthetic and Reconstructive Surgery Associates Sc | Surgery | W 231 N1440 Corporate Ct, Ste 201, Waukesha, WI 53186 | 2006-04-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598070179 | Daniel Butz | Surgery | 10604 N Port Washington Rd, Mequon, WI 53092 | 2010-08-08 |
| 1598834129 | Kant Y.k. Lin | Surgery | 1155 N Mayfair Rd Ste T2600, Milwaukee, WI 53226-3464 | 2006-11-07 |
| 1003867508 | David L Larson | Surgery | 8700 Watertown Plank Road, Wisconsin Athletic Club Bldg, Milwaukee, WI 53226 | 2006-05-12 |
| 1760464655 | Richard B Schaefer | Surgery | 1088 S Main St, Fond Du Lac, WI 54935-6102 | 2005-11-16 |
| 1548617962 | Shady Elmaraghi | Surgery | Uw Hospitals and Clinics 600 Highland Ave, Madison, WI 53792-0001 | 2016-05-16 |
| 1275913733 | Alexander Henry Slocum Jr. | Surgery | 1155 N Mayfair Rd, Wauwatosa, WI 53226 | 2015-05-31 |
| 1669868709 | Oksana Babchenko | Surgery | Uw Hospital and Clinics 600 Highland Ave, Madison, WI 53792-0001 | 2015-04-14 |
| 1659767309 | Katherine Shaum | Surgery | Uw Hospital and Clinics, 600 Highland Ave, Madison, WI 53792-0001 | 2015-04-09 |
| 1649664434 | Merit Dermatology, S.c. | Surgery | 6233 Bankers Rd, Suite 20, Mount Pleasant, WI 53403-9700 | 2015-03-19 |
| 1922427939 | Rebecca Leigh Farmer | Surgery | Uw Hospital and Clinics, 600 Highland Ave, Madison, WI 53792-0001 | 2014-04-08 |
| 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.