DR. RODRIGO ITABLE (NPI# 1003826892) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003826892 |
| Entity Type | Individual |
| Full Name | DR. RODRIGO ITABLE |
| Credential | M.D. |
| Practice Address |
2745 W Layton Ave Suite 201 Milwaukee WI 53221-2651 |
| Mailing Address |
5714 Gladstone Ln Greendale WI 53129-1511 |
| Practice Telephone | 4142810050 |
| Practice Fax Number | 4142810733 |
| Mailing Telephone | 4145293448 |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 20287 | WI | Allopathic & Osteopathic Physicians |
| Street Address |
2745 W LAYTON AVE SUITE 201 |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53221-2651 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871586560 | Fernando T. Itable | Internal Medicine | 2745 W Layton Ave, Suite 3201, Milwaukee, WI 53221-2651 | 2005-08-26 |
| 1245672856 | Ageless Wellness Center, Inc | General Practice | 2745 W Layton Ave, Suite 203, Milwaukee, WI 53221-2651 | 2013-07-24 |
| 1730440470 | Maximo L. Cueto Jr. M.d.s.c. | Clinic/Center | 2745 W Layton Ave, Suite 102, Milwaukee, WI 53221-2651 | 2012-05-30 |
| 1447580881 | Kaushalya Beniwal M D S C | Family Medicine | 2745 W Layton Ave, Suite 104, Milwaukee, WI 53221-2651 | 2010-01-07 |
| 1639353204 | Anilkumar Singh Md Sc | Surgery | 2745 W Layton Ave, Suite 202, Milwaukee, WI 53221-2651 | 2007-12-19 |
| 1316051063 | National Pedorthic Services, Inc. | Prosthetic/Orthotic Supplier | 2745 W Layton Ave, Suite 103, Milwaukee, WI 53221-2651 | 2006-08-19 |
| 1760408058 | Kaushalya Beniwal | Family Medicine | 2745 W Layton Ave, Suite # 104, Milwaukee, WI 53221-2651 | 2006-07-14 |
| 1902879810 | Debra L Kneisler | Physician Assistant | 2745 W Layton Ave, Suite 206, Milwaukee, WI 53221-2651 | 2006-02-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487205944 | Hayat Pharmacy 20 LLC | Pharmacy | 805 W. Layton Ave., Suite B, Milwaukee, WI 53221 | 2019-09-26 |
| 1962053421 | Hayat Pharmacy 19 LLC | Pharmacy | 805 W. Layton Ave. Suite A, Milwaukee, WI 53221 | 2019-09-26 |
| 1407343965 | Informe Healthcare LLC | Counselor | 2741 W Layton Ave., Suite 106, Milwaukee, WI 53221 | 2018-04-19 |
| 1447781992 | Itamar Yaakov Gnatt | Emergency Medicine | 2900 W Oklahoma Ave, St Lukes Medical Center, Milwaukee, WI 53221 | 2017-03-27 |
| 1194277160 | Suzanne Derosier | Licensed Practical Nurse | 3910 W Bridge, Greenfield, WI 53221 | 2016-10-26 |
| 1265988117 | Obi Home Care | Clinic/Center | 4439 S 20th St, Milwaukee, WI 53221 | 2016-08-31 |
| 1427430602 | Zezenya Health Care S.c. | Pain Medicine | 5114 S 27th St # 763, Milwaukee, WI 53221 | 2015-06-24 |
| 1851771091 | Feisal J Salahadyn | Counselor | 4800 South 10th Street, Milwaukee, WI 53221 | 2015-06-03 |
| 1114312386 | Holistic Home Health Care Incorporated | Adult Companion | 3422 West Howard Ave, Greenfield, WI 53221 | 2015-04-03 |
| 1841698834 | Srt Prosthetics & Orthotics LLC | Prosthetic/Orthotic Supplier | 5220 S 27th St., Milwaukee, WI 53221 | 2014-12-08 |
| Find all providers in zip 53221 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730679804 | Vicki Milroy | Family Medicine | 2778 S 35th St Ste 102, Milwaukee, WI 53215-3578 | 2018-05-15 |
| 1376050450 | Independent Physicians of Wisconsin, LLC | Family Medicine | 5233 S 27th St, Milwaukee, WI 53221-3764 | 2018-01-10 |
| 1427565548 | Independent Physicians of Wisconsin, LLC | Family Medicine | 3201 S 16th St Ste 2020, Milwaukee, WI 53215-4532 | 2018-01-10 |
| 1962932970 | Mary Kuder | Family Medicine | 176 N Broadway, Milwaukee, WI 53202-6015 | 2017-06-13 |
| 1386178804 | Dane A Olsen | Family Medicine | 801 W Kinnickinnic River Pkwy., Suite 250, Milwaukee, WI 53215 | 2017-04-12 |
| 1598296212 | Leslie J Rabaut | Family Medicine | 2801 W Kk River Pkwy Ste 250, Milwaukee, WI 53215-3678 | 2017-03-23 |
| 1871975920 | Independent Physicians of Wisconsin, LLC | Family Medicine | 5434 W Capitol Dr Ste 3, Milwaukee, WI 53216-2298 | 2015-06-25 |
| 1952717928 | Mobile Medical Clinic, Inc | Family Medicine | 2418 W Edgerton Ave, Milwaukee, WI 53221-3412 | 2014-07-10 |
| 1437572831 | Pathfinder Medical Group | Family Medicine | 216 Milwaukee St, Suite 2d, Milwaukee, WI 53202 | 2014-01-22 |
| 1376897413 | Sandra Kathleen Mahkorn | Family Medicine | 3050 S Superior St, Milwaukee, WI 53207-3064 | 2012-10-26 |
| Find all providers in MILWAUKEE | ||||
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| 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.