CARDIOVASCULAR MEDICINE OF WAUKESHA, S.C. (NPI# 1013026285) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1013026285 |
Entity Type | Organization |
Organization Name | CARDIOVASCULAR MEDICINE OF WAUKESHA, S.C. |
Practice Address |
721 American Ave Suite 410 Waukesha WI 53188-5071 |
Practice Telephone | 2625212101 |
Practice Fax Number | 2625211482 |
Mailing Telephone | 2625212101 |
Mailing Fax Number | 2625211482 |
Enumeration Date | 2006-08-30 |
Last Update Date | 2007-09-11 |
Authorized Official Name | DR. IMAD AHMAD KATIB (PRESIDENT) |
Authorized Official Telephone | 2625212101 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
Street Address |
721 AMERICAN AVE SUITE 410 |
City | WAUKESHA |
State | WI |
Zip Code | 53188-5071 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710987987 | Patrick R Helfenbein | Psychiatry & Neurology | 721 American Ave, Suite 501, Waukesha, WI 53188-5071 | 2005-07-28 |
1407397938 | Ryan Sershon | Counselor | 721 American Ave, Suite 501, Waukesha, WI 53188-5071 | 2017-03-16 |
1346780038 | Elena Striepling | Nurse Practitioner | 721 American Ave, Ste 508, Waukesha, WI 53188-5071 | 2017-03-01 |
1003268277 | Stephanie Pattengale | Counselor | 721 American Ave, Ste 501, Waukesha, WI 53188-5071 | 2016-07-12 |
1295103000 | Kara Pierce | Counselor | 721 American Ave, Suite 501, Waukesha, WI 53188-5071 | 2015-09-10 |
1538542519 | Andrew C Kennedy | Physician Assistant | 721 American Ave, Suite 510, Waukesha, WI 53188-5071 | 2015-07-08 |
1700271822 | Jill High | Nurse Practitioner | 721 American Ave, Suite 410, Waukesha, WI 53188-5071 | 2015-04-06 |
1073906384 | Arlene L Marcell | Nurse Practitioner | 721 American Ave, Suite 403, Waukesha, WI 53188-5071 | 2015-03-11 |
1174937882 | Rebecca M Kinnunen | Social Worker | 721 American Ave, Suite 501, Waukesha, WI 53188-5071 | 2014-06-20 |
1578977831 | Jonathan Nolte | Counselor | 721 American Ave, Suite 501, Waukesha, WI 53188-5071 | 2014-06-16 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336787126 | Nicole Lee Berg-johnson | Nurse Practitioner | 820 Crestwood Dr., Waukesha, WI 53188 | 2019-12-12 |
1013475706 | Rachel Mueller | Occupational Therapist | 29667 Summit Ave, S11, Waukesha, WI 53188 | 2019-03-12 |
1861962649 | Emily Elizabeth Seefeld | Occupational Therapy Assistant | 29667 Summit Ave S11, Waukesha, WI 53188 | 2018-12-05 |
1003393307 | Ashley Susan Callahan | Dental Hygienist | 711 W. Moreland Blvd., Suite 204, Waukesha, WI 53188 | 2018-07-19 |
1245741321 | Melissa Weir | Case Manager/Care Coordinator | 514 Riverview Avenue, Waukesha, WI 53188 | 2017-10-17 |
1093233629 | Patricia Marie Sombrio | Dental Hygienist | 711 Moreland Blvd 204, Waukesha, WI 53188 | 2017-09-04 |
1134660244 | Bdg of Wisconsin, Inc. | Behavioral Analyst | N19w2309 Riverwood Drive, Suite 350 Pmb 314, Waukesha, WI 53188 | 2017-03-09 |
1255888731 | Lynne Sarah Alva | Dental Hygienist | 711 Moreland Blvd, Suite 204, Waukesha, WI 53188 | 2016-09-01 |
1881069730 | Michelle Koch | Occupational Therapist | 29667 Summit Ave. S11, Waukesha, WI 53188 | 2015-12-03 |
1952711012 | Rhonda Schroeder | Dental Hygienist | W286 N991 Shepherds Way, Waukesha, WI 53188 | 2014-04-29 |
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Taxonomy Code | 207RC0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Cardiovascular Disease |
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952499196 | Peter N Dionisopoulos | Internal Medicine | 721 American Ave Ste 403, Waukesha, WI 53188-5071 | 2006-10-11 |
1659666378 | Staudacher Cardiology Services, Sc | Internal Medicine | 721 American Ave, Suite 411, Waukesha, WI 53188-5071 | 2011-06-10 |
1366691016 | Nakash Paul Grant | Internal Medicine | 725 American Ave, Waukesha, WI 53188-5031 | 2008-09-17 |
1093856635 | Matthew Nathan Weinberg | Internal Medicine | 721 American Ave, Suite 403, Waukesha, WI 53188-5071 | 2007-02-08 |
1508806522 | William B Burns | Internal Medicine | 721 American Ave, Suite 403, Waukesha, WI 53188-5071 | 2006-06-07 |
1740237601 | Imad Katib | Internal Medicine | 721 American Ave, Suite 410, Waukesha, WI 53188-5071 | 2006-05-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215414727 | Telemedico Physicians of Wisconsin Sc | Internal Medicine | 301 S Bedford St Ste 1, Madison, WI 53703-3691 | 2018-07-26 |
1649682667 | James King | Internal Medicine | 4540 S Sommerset Dr, New Berlin, WI 53151-6876 | 2014-05-26 |
1548686470 | Cullinane Cardiovascular Consultants, Sc | Internal Medicine | 317 N Lake Rd, Oconomowoc, WI 53066-7101 | 2014-03-17 |
1235492455 | David James Coulter | Internal Medicine | 2025 W Oklahoma Ave Ste 105, Milwaukee, WI 53215-4455 | 2012-06-21 |
1619234937 | Daniel R Harland | Internal Medicine | 2801 W Kinnickinnic River Pkwy Ste 880, Milwaukee, WI 53215-3678 | 2012-04-12 |
1295053106 | Setu D Trivedi | Internal Medicine | 10400 75th St Ste 212, Kenosha, WI 53142 | 2010-05-17 |
1336467554 | Expert Care Inc | Internal Medicine | 1111 E Sumner St, Suite A, Hartford, WI 53027-1609 | 2010-05-12 |
1548582547 | Moe Zafarani | Internal Medicine | 3215 W Lawrence St Ste 3, Appleton, WI 54914-4274 | 2010-02-18 |
1073844932 | James Harry Thomsen | Internal Medicine | 7709 Twinflower Dr, Madison, WI 53719-4544 | 2010-01-15 |
1740419019 | Thomas James Karras | Internal Medicine | 212 S Turtle Bay, Elkhart Lake, WI 53020-1985 | 2009-07-08 |
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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.