Joseph T Makowka

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

306648 Issued in WI

Practice address

5735 Durand Ave Ste a
Mount Pleasant, WI 53406-5011

Phone

(262) 355-4579

NPI assigned

Jan 10, 2019

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1547078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547078400000",
    "number": "1508339706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5632 CAMBRIDGE LN",
            "city": "MOUNT PLEASANT",
            "state": "WI",
            "postal_code": "534062831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5735 DURAND AVE STE A",
            "city": "MOUNT PLEASANT",
            "state": "WI",
            "postal_code": "534065011",
            "telephone_number": "262-355-4579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAKOWKA",
        "first_name": "JOSEPH",
        "middle_name": "T",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-01-10",
        "last_updated": "2019-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Licensed Practical Nurse",
            "state": "WI",
            "license": "306648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valerie Lyvers, LAC, DIPL.OM
• John Peter Maccanelli, PT
• Sarah Marie Madigan
• Kristiana R Maggard, OT
• Yazan Mahmoud
• Natalie Malinski
• Michael G Manske, M.D.
• Karen Diane Marano, RDH
• Mark E Decheck MD SC
• Robert Marsh, DNP, CRNA, APNP

• Licensed Practical Nurse in Mount Pleasant, WI
• Providers in Mount Pleasant, WI by specialty
• Licensed Practical Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.