NEIL E. WAHLBERG


Address: 2015 E Newport Ave, Suite 118, Milwaukee, WI 53211-2984
Phone: 4149618886

NEIL E. WAHLBERG (NPI# 1982651154) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1982651154
Entity Type Individual
Full Name NEIL E. WAHLBERG
Credential M.D.
Practice Address 2015 E Newport Ave
Suite 118
Milwaukee
WI 53211-2984
Practice Telephone 4149618886
Practice Fax Number 4149641223
Mailing Telephone 4149618886
Mailing Fax Number 4149641223
Enumeration Date 2006-05-31
Last Update Date 2007-07-11
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine 23290 WI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
WI 30307300 05

Office Location

Street Address 2015 E NEWPORT AVE
SUITE 118
City MILWAUKEE
State WI
Zip Code 53211-2984

Providers in the same location

NPI Name Taxonomy Address Enumeration
1366433815 Columbia St. Mary's Hospital Milwaukee, Inc Pharmacy 2015 E Newport Ave, Ste M121, Milwaukee, WI 53211-2984 2005-11-03
1295967511 Kim Ann Heim Nurse Practitioner 2015 E Newport Ave, Suite 409, Milwaukee, WI 53211-2984 2009-08-20
1497937999 Kristine M. Dunlap Psychologist 2015 E Newport Ave, Suite 409, Milwaukee, WI 53211-2984 2007-11-27
1144417023 Aurora Advanced Healthcare, Inc. Durable Medical Equipment & Medical Supplies 2015 E Newport Ave, Milwaukee, WI 53211-2984 2007-09-25
1144428269 Craig A. Siverhus, Md Sc Surgery 2015 E Newport Ave, Suite 305, Milwaukee, WI 53211-2984 2007-07-10
1487852505 Joseph P Regan Md Sc Surgery 2015 E Newport Ave, Suite305, Milwaukee, WI 53211-2984 2007-07-10
1457558603 Alexander C Stolarski Psychologist 2015 E Newport Ave, Suite 409, Milwaukee, WI 53211-2984 2007-06-29
1255535324 Milwaukee Urological Sc Urology 2015 E Newport Ave, Suite 500, Milwaukee, WI 53211-2984 2007-06-13
1689885303 James R. Rice Registered Nurse 2015 E Newport Ave, Suite 409, Milwaukee, WI 53211-2984 2007-05-24
1013037969 Robert Stanley Stemberger Dentist 2015 E Newport Ave, 405, Milwaukee, WI 53211-2984 2007-03-31
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1639617665 Edward Min Chi Internal Medicine 2320 N Lake Dr Ste 3603, Milwaukee, WI 53211-4507 2017-02-09
1750743159 Andrew Charles Rose Internal Medicine 999 N 92nd St Ste 730, Milwaukee, WI 53226-4875 2016-03-24
1942694401 Iryna Nemesh Internal Medicine 1020 N 12th St Fl 2, Milwaukee, WI 53233 2015-03-23
1376955492 Ashish Chaddha Internal Medicine 900 North 92nd Street, Milwaukee, WI 53226 2014-05-22
1518305671 Aishah Aslam Internal Medicine 3070 N 51st St Ste 106, Milwaukee, WI 53210-1661 2013-06-11
1578822318 Joel S Weiner Internal Medicine 720 E Wisconsin Ave, 2w440, Milwaukee, WI 53202-4703 2012-05-14
1174800049 John Herman Esser Internal Medicine 1050 W Acacia Rd, Milwaukee, WI 53217 2011-11-07
1467731570 Valena Grbic Internal Medicine 2311 N Prospect Avenue, Milwaukee, WI 53211 2011-08-06
1629396965 Catherine A Kim Internal Medicine 3003 W Good Hope Rd Bldg 1642nd, Milwaukee, WI 53209-2042 2010-05-11
1730402892 Robert Anthony Kebbekus Internal Medicine 8200 Warren Ave, Milwaukee, WI 53213-2124 2010-03-03
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Competitor

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City MILWAUKEE
Zip Code 53211

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Dataset Information

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.

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