MILWAUKEE NEUROLOGICAL INSTITUTE, SC (NPI# 1992743397) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992743397 |
| Entity Type | Organization |
| Organization Name | MILWAUKEE NEUROLOGICAL INSTITUTE, SC |
| Practice Address |
960 N 12th St Suite 1800 Milwaukee WI 53233-1306 |
| Practice Telephone | 4142789000 |
| Practice Fax Number | 4142789005 |
| Mailing Telephone | 4142789000 |
| Mailing Fax Number | 4142789005 |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2009-03-17 |
| Authorized Official Name | MR. JOHN F. BEHM (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 4142789000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207T00000X | Neurological Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 21298100 | 05 |
| Street Address |
960 N 12TH ST SUITE 1800 |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53233-1306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871576256 | Kristin Ann Skoraczewski | Physician Assistant | 960 N 12th St, Suite 1800, Milwaukee, WI 53233-1306 | 2005-11-21 |
| 1518269927 | Jessica Tjaden | Nurse Practitioner | 960 N 12th St, Suite 1800, Milwaukee, WI 53233-1306 | 2010-11-18 |
| 1306939079 | Melanie Castle | Physician Assistant | 960 N 12th St, Suite 1800, Milwaukee, WI 53233-1306 | 2006-10-02 |
| 1720026339 | Kelley E Farnsworth | Physician Assistant | 960 N 12th St, Suite 1800, Milwaukee, WI 53233-1306 | 2006-06-04 |
| 1124071402 | Nicholas Knoernschild | Physician Assistant | 960 N 12th St, Suite 1800, Milwaukee, WI 53233-1306 | 2006-05-18 |
| 1649221516 | Joaquin Solis | Internal Medicine | 960 N 12th St, Suite 400, Milwaukee, WI 53233 | 2006-05-15 |
| 1992774467 | Abraham-rami Gal | Internal Medicine | 960 N 12th St, Suite 400, Milwaukee, WI 53233 | 2006-03-16 |
| 1104893296 | Ijaz A Malik | Internal Medicine | 960 N 12th St, Suite 400, Milwaukee, WI 53233 | 2006-03-07 |
| 1942277587 | Heart Care Associates LLC | Internal Medicine | 960 N 12th St, Suite 400, Milwaukee, WI 53233 | 2006-03-02 |
| 1821065467 | Yoseph Shalev | Internal Medicine | 960 N 12th St, Suite 400, Milwaukee, WI 53233 | 2006-03-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104454750 | Henok Desta Hardilo | Student in an Organized Health Care Education/Training Program | Aurora Sinai Medical Center 945 N 12th Street, Milwaukee, WI 53233 | 2020-03-30 |
| 1821633314 | Ann E Millard | Occupational Therapist | 560 N. 16th Street, Room 214a, Milwaukee, WI 53233 | 2019-11-08 |
| 1306480918 | Teng Kai Ong | Dentist | 1801 West Wisconsin Ave., Milwaukee, WI 53233 | 2019-11-06 |
| 1356800478 | Nebiyu Abera Tilahun | Student in an Organized Health Care Education/Training Program | Aurora Sinai Medical Center, 945 N. 12th Street, Milwaukee, WI 53233 | 2019-03-18 |
| 1548748387 | Emily Claire Goetz | Physical Therapist | 945 N. 12th St. Suite 1100, Milwaukee, WI 53233 | 2018-08-03 |
| 1801373378 | Froedtert & The Medical College of Wisconsin Community Physicians | Non-Pharmacy Dispensing Site | 1721 W Canal St, Milwaukee, WI 53233 | 2018-07-26 |
| 1184170706 | Lauren Troll | Physical Therapist | 925 N 12th Street, Milwaukee, WI 53233 | 2016-09-01 |
| 1942694401 | Iryna Nemesh | Internal Medicine | 1020 N 12th St Fl 2, Milwaukee, WI 53233 | 2015-03-23 |
| 1649676032 | Matina Angelopoulou | Dentist | 1801 West Winsconsin Ave, Milwaukee, WI 53233 | 2014-11-12 |
| 1780007831 | John Ladisa | Technician, Other | 1637 W. Wisconsin Ave, Room 311, Milwaukee, WI 53233 | 2014-01-27 |
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| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952545014 | Irene Kim | Neurological Surgery | 999 N 92nd St Ste 310, Milwaukee, WI 53226-4875 | 2009-04-20 |
| 1649419169 | Walter P Jacobsen | Neurological Surgery | 2801 W Kinnickinnic River Pkwy Ste 680, Milwaukee, WI 53215-3669 | 2009-02-05 |
| 1013093178 | Cully R White | Neurological Surgery | 2901 W Kinnickinnic River Parkway, Suite 201, Milwaukee, WI 53215 | 2006-10-31 |
| 1235232810 | Neurological Surgery Sc | Neurological Surgery | 3201 So 16th Street, Suite 2025, Milwaukee, WI 53215-4534 | 2006-09-07 |
| 1194346585 | Mohammed Yanallah Alghamdi | Neurological Surgery | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2020-04-27 |
| 1801356878 | Omar M Hussain | Neurological Surgery | 8701 W Watertown Plank Rd, Milwaukee, WI 53226-3548 | 2019-03-25 |
| 1073005971 | Huy Q Truong | Neurological Surgery | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2018-06-06 |
| 1093183543 | Raphael Sacho | Neurological Surgery | 9200 W. Wisconsin Avenue, Department of Neurosurgery, Milwaukee, WI 53226-3522 | 2015-09-14 |
| 1528453453 | Karl Walter Janich | Neurological Surgery | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2015-03-30 |
| 1801288816 | Mohamed Am Labib | Neurological Surgery | 2801 W Kinnickinnic River Pkwy, Suite 630, Milwaukee, WI 53215-3669 | 2015-02-27 |
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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.