ALLURE MEDICAL OF WISCONSIN PLLC (NPI# 1881182889) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881182889 |
| Entity Type | Organization |
| Organization Name | ALLURE MEDICAL OF WISCONSIN PLLC |
| Practice Address |
1930 W Bluemound Rd Ste 340 Waukesha WI 53186 |
| Mailing Address |
8180 26 Mile Rd Ste 300 Shelby Twp MI 48316-5139 |
| Practice Telephone | 2623499371 |
| Practice Fax Number | 2624085258 |
| Mailing Telephone | 5867865900 |
| Mailing Fax Number | 5869929331 |
| Enumeration Date | 2018-04-25 |
| Last Update Date | 2018-09-04 |
| Authorized Official Name | CHARLES K MOK (PHYSICIAN/OWNER) |
| Authorized Official Telephone | 5867865900 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | VEIN CENTER AT ALLURE MEDICAL SPA, PLLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities | ||
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1239 Corporate Center Dr, Oconomowoc, WI 530664898 | 2623499371 |
| Street Address |
1930 W BLUEMOUND RD STE 340 |
| City | WAUKESHA |
| State | WI |
| Zip Code | 53186 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932678281 | Vein Center At Allure Medical Spa, Pllc | Clinic/Center | 1930 W Bluemound Rd Ste 340, Waukesha, WI 53186-8756 | 2018-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295391472 | Christine Lowdon Triggs | Dentist | 21680 West Bluemound Rd, Waukesha, WI 53186 | 2019-05-14 |
| 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 |
| 1033401443 | Heather Davidson | Chiropractor | 21075 Swenson Drive Suite 700, Waukesha, WI 53186 | 2011-05-04 |
| Find all providers in zip 53186 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649454489 | Warren H De Kraay Sr. | Surgery | 3325 Pleasant Lane, Racine, WI 53405 | 2007-12-27 |
| 1932308186 | Great Lakes Medical & Surgical Center | Surgery | 6000 South 27th Street, Milwaukee, WI 53221 | 2007-07-17 |
| 1215020326 | Richard J Grieshop | Surgery | 2424 S 90th St Ste 300, West Allis, WI 53227-2455 | 2006-10-02 |
| 1740245356 | Deborah L Manjoney | Surgery | 1231 George Towne Drive, Suite G, Pewaukee, WI 53072 | 2006-04-18 |
| 1104880814 | William D Turnipseed | Surgery | 2128 Bridge Ln, Verona, WI 53593-8838 | 2006-04-12 |
| 1104803352 | John W Oren | Surgery | 10509 N Manor Cir, Mequon, WI 53092-5172 | 2005-12-29 |
| 1649264441 | Milan Jordan | Surgery | 2300 Western Ave, Manitowoc, WI 54220-3712 | 2005-09-07 |
| 1275157943 | Neurospine and Endovascular Center LLC | Surgery | 10500 W Loomis Rd Ste 120, Franklin, WI 53132-8030 | 2020-05-29 |
| 1699200378 | Andrea Um | Surgery | Uw Hospitals and Clinics 600 Highland Ave, Madison, WI 53792-0001 | 2017-05-01 |
| 1861855017 | Alexander Donald Leung | Surgery | Uw Hospitals and Clinics, 600 Highland Ave, Madison, WI 53792-0001 | 2016-04-04 |
| 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.