Dr. Hendrikus G Krouwer
Psychiatry & Neurology (Neurology)

Address: 2350 N Lake Dr. Ste G01, Csm Cancer Center-milwaukee, Milwaukee, WI 53211-4528
Phone: 4142987250

Dr. Hendrikus G Krouwer (NPI# 1770534513) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1770534513
Entity Type Individual
Full Name Dr. Hendrikus G Krouwer
Credential MD
Gender Male
Practice Address 2350 N Lake Dr. Ste G01
Csm Cancer Center-milwaukee
Milwaukee
WI 53211-4528
Practice Telephone 4142987250
Mailing Address 2350 N Lake Dr. Ste G01
Csm Cancer Center-milwaukee
Milwaukee
WI 53211-4528
Mailing Telephone 4142987250
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2006-05-15
Last Update Date 2019-03-04

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 2084N0400X Psychiatry & Neurology · Neurology Allopathic & Osteopathic Physicians 36347 WI

Other Provider Identifier

State Identifier Issuer Type Code
002000173O OTHER HUMANA
WI 32110400 MEDICAID

Physician Overview

NPI 1770534513
PAC ID by PECOS 3375642903
Professional Enrollment ID I20070622000447
Full Name Hendrikus G Krouwer
Organization Legal Name PROHEALTH CARE MEDICAL ASSOCIATES INC
Gender M
Credential MD
Graduation Year 1978
Primary Specialty NEUROLOGY
Secondary Specialties MEDICAL ONCOLOGY
Group Practice PAC ID 3476465188
Number of Group Practice Members 373
Accepts Medicare Assignment Y
Report Quality Measures Y
Use Electronic Health Records Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
520008 WAUKESHA MEMORIAL HOSPITAL

Office Location

Street Address 2350 N LAKE DR. STE G01
CSM CANCER CENTER-MILWAUKEE
City MILWAUKEE
State WI
Zip Code 53211-4528

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1922597384 Katelyn Ritari Baltes Physician Assistant 2311 N Prospect Ave Ste 4a, Milwaukee, WI 53211 2018-05-01
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
1164771093 Justin Dwayne Howell Registered Nurse 2221 E. Beverly Rd, Milwaukee, WI 53211 2012-09-06
1891064754 Brad A Richards Pharmacist 2950 N Oakland Avenue, Milwaukee, WI 53211 2011-12-22
Find all providers in zip 53211

Taxonomy Information

Taxonomy Code 2084N0400X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Neurology

Taxonomy Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1295997435 Waldo R Guerrero Psychiatry & Neurology 2801 W Kinnickinnic River Pkwy Ste 680, Milwaukee, WI 53215-3669 2008-06-30
1295919173 Denis Nathan Psychiatry & Neurology 2589 N Terrace Ave, Milwaukee, WI 53211-3821 2007-12-27
1235355496 Ayman Ahmad Gheith Psychiatry & Neurology 2801 W Kinnickinnic River Pkwy Ste 630, Milwaukee, WI 53215-5212 2007-04-17
1669405742 Marc Jeffrey Novom Psychiatry & Neurology 8989 N Port Washington Road, Suite 122, Milwaukee, WI 53217 2006-07-09
1356389258 Veronica N Sosa Psychiatry & Neurology 2801 W Kinnickinnic Pkwy, Suite 570, Milwaukee, WI 53215-3669 2006-06-03
1194776922 Serena Wan-si Wan-si Hung Psychiatry & Neurology Froedtert & Med College Clin - West, 9200 West Wisconsin Avenue, Milwaukee, WI 53226 2006-05-15
1861489536 Rizwanullah Arain Psychiatry & Neurology 6026 W Lisbon Ave, Milwaukee, WI 53210-2114 2005-09-28
1700316122 Kevin Chow Psychiatry & Neurology 8701 W Watertown Plank Rd, Milwaukee, WI 53226-3548 2017-06-18
1275064792 Brandon Overholt Psychiatry & Neurology 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 2017-03-26
1144614173 Xuan Kang Psychiatry & Neurology 8701 W Watertown Plank Rd, Milwaukee, WI 53226-3548 2015-03-27
Find all providers in MILWAUKEE

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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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