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Deactivated NPI 1700978517 Deactivated / Inactive NPI Male Practitioner

Vladimir D Fiveysky

General Practice • Union Grove, WI

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Vladimir Fiveysky has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 29, 2006
NPI Deactivation Date April 26, 2022
Total Practice Duration ~16 Years of Practice (2006 – 2022)

Professional Overview & Biography Verified Profile Summary

Vladimir Fiveysky was a registered General Practice practicing in Union Grove, WI. Throughout an active medical career spanning 16 years, Vladimir Fiveysky provided care at the practice location at 21425 SPRING ST until profile deactivation on 2022-04-26.

Practice Location & Contact Primary Location

Practice Address

21425 Spring St

Union Grove, WI 531829707

Telephone 2628782411
Associated Practice Facility / Clinic
🏢 Milwaukee Vamc Facility NPI 1326087222

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Union Grove, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.0 Yrs
State Avg: 29.4 Yrs
Regional Practice Density
2 Specialists

Practicing in Union Grove, WI (130 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License WI 25831

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners
Karrylyn Kais

Speech-Language Pathologist

NPI 1003473240
Dr. Joshua Phillips , MD

Psychiatry & Neurology - Psychiatry

NPI 1023139805

Doctor of Medicine (M.D.)

NPI 1063709749

Doctor of Medicine (M.D.)

Savana Bell

Registered Nurse

NPI 1538089867
Dr. Miroslaw Rogalski , MD

Internal Medicine - Adolescent Medicine

NPI 1598868630

Doctor of Medicine (M.D.)

NPI 1790935914

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated April 26, 2022

Record deactivated on April 26, 2022

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 21425 SPRING ST, UNION GROVE, WI 531829707 (Tel: 2628782411)

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Updated Business Mailing Address July 08, 2007

Registered at 21425 SPRING ST, UNION GROVE, WI 531829707

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Provider Name / Credentials Updated July 08, 2007

Recorded as VLADIMIR FIVEYSKY

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

General Practice (License #25831 in WI)

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Initial NPI Registration & Enumeration September 29, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1700978517
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 29, 2006
Last Update: July 08, 2007
Deactivation Date: April 26, 2022

Mailing Address

21425 Spring St

Union Grove, WI 531829707

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.