David Lee Dzubinski, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

30288 Issued in WI

Practice address

1501 Airport Rd
Waukesha, WI 53188-2461

Phone

(262) 548-7962

Fax

(262) 896-8046

NPI assigned

Jun 4, 2006

Last updated

Mar 31, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Winnebago Mental Health Institute

  • Psychiatric Hospital
  • Winnebago, WI
  • NPI 1164516506
  NPD (past)

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648684800000",
    "number": "1568400182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20825 BROOK PARK CT",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530454645",
            "telephone_number": "262-789-1428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 AIRPORT RD",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531882461",
            "telephone_number": "262-548-7962",
            "fax_number": "262-896-8046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DZUBINSKI",
        "first_name": "DAVID",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-04",
        "last_updated": "2022-03-31",
        "certification_date": "2022-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WI",
            "license": "30288",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31519800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robyn Lynn Dwan, D.O.
• Jamie Lynn Dwyer
• Lorree L Dyoco, MD
• Alexandria Dyszelski, RN
• Mary Catherine Dziegielewski, MS, LPC-IT, ATR-P
• Jay Gerald East, APNP
• Leeanna East
• Easter Seals Southeast Wisconsin
• Easter Seals Southeast Wisconsin
• Easter Seals Southeast Wisconsin

• Psychiatry Physician in Waukesha, WI
• Providers in Waukesha, WI by specialty
• Psychiatry Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2022; 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.