Crain Henry Bliwas, M.D.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

19951 Issued in WI

Practice address

11101 W Lincoln Ave
West Allis, WI 53227-1133

Phone

(414) 203-4500

NPI assigned

Nov 1, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

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.

• Crain H. Bliwas M.D., S.C.

  • Psychiatry Physician
  • West Allis, WI
  • NPI 1215122395
  Authorized official Same address or phone
• Rogers Behavioral Health - Wisconsin SC

  dba Rogers Behavioral Health Practice - Wisconsin SC

  • Psychiatry Physician
  • Oconomowoc, WI
  • NPI 1699524751
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861570855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11101 W LINCOLN AVE",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532271133",
            "telephone_number": "414-203-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11101 W LINCOLN AVE",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532271133",
            "telephone_number": "414-203-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLIWAS",
        "first_name": "CRAIN",
        "middle_name": "HENRY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "WI",
            "license": "19951",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30119800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stacie A Binter, NP
• Susan M Bissell, OTA
• Jaime D Blanchard, O.D.
• Sylvana Blanco-Dentino, DDS
• Chloe Helena Blish, APSW
• Diane Kay Bloch, PT
• Charles Donald Blodgett, D.C.
• Terrence Bochte
• Body Works Therapy Center LLC
• Matthew Boeker, DDS

• Clinical Neuropsychologist in West Allis, WI
• Providers in West Allis, WI by specialty
• Clinical Neuropsychologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.