DR. MARY HALLMAN LEIKNESS (NPI# 1831486117) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831486117 |
| Entity Type | Individual |
| Full Name | DR. MARY HALLMAN LEIKNESS |
| Credential | M.D. |
| Practice Address |
358 S. Oxford Street Pob 207 Wautoma WI 54982-0000 |
| Practice Telephone | 9207877395 |
| Mailing Telephone | 9207877395 |
| Enumeration Date | 2011-07-07 |
| Last Update Date | 2011-07-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 20839-020 | WI | Allopathic & Osteopathic Physicians |
| Street Address |
358 S. OXFORD STREET POB 207 |
| City | WAUTOMA |
| State | WI |
| Zip Code | 54982-0000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780919506 | Virginia Ellen Moon | Counselor | 203 South 16th Court, Wautoma, WI 54982 | 2009-10-13 |
| 1528232832 | County of Waushara | Public Health or Welfare | 230 W. Park Street, Wautoma, WI 54982 | 2008-04-17 |
| 1770770125 | Waushara County Government | Case Management | 205 W Elm St, Wautoma, WI 54982 | 2007-10-01 |
| 1063606325 | Wautoma Area School District | Local Education Agency (LEA) | 556 S Cambridge St, Wautoma, WI 54982 | 2007-08-30 |
| 1013036433 | David J Brown | Dentist | 400 S Townline Road, Box 1440, Wautoma, WI 54982 | 2007-03-28 |
| 1285773820 | Chiroplus Complementary Healthcare Centers, LLC | Chiropractor | W7841 State Rd 21 &73, Wautoma, WI 54982 | 2007-02-06 |
| 1881767887 | Louis Francis Cooper | Psychologist | W7199 Chicago Road, Wautoma, WI 54982 | 2006-11-16 |
| 1902840069 | Ann E. Moore | Pharmacist | 900 E. Divison St, Aurora Pharmacy #300, Wautoma, WI 54982 | 2006-06-16 |
| 1790737443 | Waushara Industries, Inc. | Non-emergency Medical Transport (VAN) | 210 E Townline Rd, Wautoma, WI 54982 | 2006-05-17 |
| 1164414736 | Kim Ownby | Physician Assistant | N2934 Hwy 22 North, Wautoma, WI 54982 | 2005-08-18 |
| Find all providers in zip 54982 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649520180 | George Leonard Apfelbach Jr. | Urology | 4098 Main St, Fish Creek, WI 54212-0067 | 2012-09-12 |
| 1346505708 | Kenneth Lowell Day | Urology | 2603 Teal Ave (residence), Wausau, WI 54401-7162 | 2012-07-11 |
| 1356601587 | Fox Valley Urological Associates Sc | Urology | 2700 E Enterprise Ave Ste A, Appleton, WI 54913-7656 | 2012-05-22 |
| 1730445255 | Anand Patel | Urology | 2424 S 90th St Fl 3, West Allis, WI 53227-2455 | 2012-04-10 |
| 1710293105 | Charles Copland Smith | Urology | 674 Sunset Circle, Green Bay, WI 54301 | 2010-08-24 |
| 1689991200 | Sean Brady Mcadams | Urology | 720 S Vanburen Street, Suite 301, Green Bay, WI 54301 | 2010-04-21 |
| 1730404385 | Robert J Hartman Jr. | Urology | 10400 75th St Ste 204, Kenosha, WI 53142-7884 | 2010-04-06 |
| 1588998538 | Gary Melvin Licklider | Urology | 5002 Prairie Rose Ct, Middleton, WI 53562-2385 | 2009-09-23 |
| 1376793240 | Raymond Harkavy | Urology | 9440 N. Broadmoor Road, Milwaukee, WI 53217-1309 | 2008-09-26 |
| 1356591978 | Randle E Pollard | Urology | 1233 N. Marshall St., #274, Milwaukee, WI 53202 | 2008-09-19 |
| 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.