MEDICAL ART RESOURCES, INC (NPI# 1871588269) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871588269 |
| Entity Type | Organization |
| Organization Name | MEDICAL ART RESOURCES, INC |
| Practice Address |
3400 S 103rd St Suite 200 Milwaukee WI 53227-4159 |
| Practice Telephone | 4145431002 |
| Practice Fax Number | 4145430137 |
| Mailing Telephone | 4145431002 |
| Mailing Fax Number | 4145430137 |
| Enumeration Date | 2005-09-13 |
| Last Update Date | 2008-12-16 |
| Authorized Official Name | MS. JULIE JORDAN BROWN (DIRECTOR) |
| Authorized Official Telephone | 4145431002 |
| Authorized Official Credential | MAMS, CCA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers | ||
| Y | 229N00000X | Anaplastologist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 41653200 | 05 |
| Street Address |
3400 S 103RD ST SUITE 200 |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53227-4159 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386053163 | Amanda Roberson | Specialist/Technologist | 3400 S 103rd St, 300, Milwaukee, WI 53227-4163 | 2014-08-06 |
| 1508298605 | Berry Family Chiropractic, LLC | Chiropractor | 3400 S 103rd St, 300, Milwaukee, WI 53227-4163 | 2013-07-31 |
| 1992944649 | Lisa Anne Berry | Chiropractor | 3400 S 103rd St, 300, Milwaukee, WI 53227-4163 | 2009-02-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205451564 | Ginger Renee Bland | Nurse Practitioner | 11133 W. National Avenue, West Allis, WI 53227 | 2020-06-12 |
| 1003312141 | Dynamic Medical Equipment, LLC | Durable Medical Equipment & Medical Supplies | 10236 W National Ave, West Allis, WI 53227 | 2018-04-05 |
| 1932572641 | Alissa Kristine Walker | Specialist/Technologist | 11601 W Lincoln Ave, West Allis, WI 53227 | 2015-11-03 |
| 1396155990 | Bradly Earl Helinski | Physical Therapy Assistant | 3023 S 84th St., Milwaukee, WI 53227 | 2014-05-05 |
| 1609299783 | Amy Renee Rozumalski | Occupational Therapy Assistant | 10150 W. National Ave, Suite 150, Premiere Medical Staffing Services, LLC, Milwaukee, WI 53227 | 2014-01-27 |
| 1497098438 | Kathleen Marie Schneider | Physical Therapy Assistant | 3023 S. 84th Street, Milwaukee, WI 53227 | 2013-03-28 |
| 1760723373 | Lee Ann Schraith | Physical Therapy Assistant | 3023 S. 84th St, Milwaukee, WI 53227 | 2013-03-06 |
| 1740520725 | Samantha Lynn Wozniak | Physical Therapist | 3023 S. 84th St., Milwaukee, WI 53227 | 2013-02-27 |
| 1831434901 | Andrew Paul Roeder | Physical Therapy Assistant | 3023 S. 89th Street, Milwaukee, WI 53227 | 2012-11-30 |
| 1538418116 | Christine Wilford | Social Worker | 2044 S 96th Street, West Allis, WI 53227 | 2012-08-29 |
| Find all providers in zip 53227 | ||||
| Taxonomy Code | 229N00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Anaplastologist |
| An anaplastologist is a professional who creates prostheses for the face and body. Patients treated include those missing anatomy due to cancer, traumatic injury, or birth differences. Generally, there are no state licensing requirements for anaplastologists. Certification specific to anaplastology is provided through the Board for Certified Clinical Anaplastology (BCCA) with a credential title of Certified Clinical Anaplastologist (CCA). |
| Notes: Source: American Anaplastology Association, www.anaplastology.org. [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083117642 | Julie Jordan Brown | Anaplastologist | 3400 S 103rd St Ste 200, Milwaukee, WI 53227-4163 | 2018-03-09 |
| 1184182578 | Megan Spindel Thomas | Anaplastologist | 3400 S 103rd St Ste 200, Milwaukee, WI 53227-4163 | 2019-03-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003946195 | Medical Art Prosthetics, LLC | Anaplastologist | 7818 Big Sky Dr, Suite 111, Madison, WI 53719-3524 | 2007-03-07 |
Please comment or provide details below to improve the information on MEDICAL ART RESOURCES, INC.
| 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.