MUSTAFA KHAN (NPI# 1104873652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104873652 |
Entity Type | Individual |
Full Name | MUSTAFA KHAN |
Credential | M.D. |
Practice Address |
1218 W Kilbourn Ave Ste 301 Milwaukee WI 53233-1325 |
Practice Telephone | 4142766000 |
Practice Fax Number | 4142761758 |
Mailing Telephone | 4142766000 |
Mailing Fax Number | 4142761758 |
Enumeration Date | 2006-05-30 |
Last Update Date | 2017-10-11 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
35.096184 | OH | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OH | 2746863 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275885147 | Mustafa Khan | Internal Medicine | 7501 E Mcdowell Rd Apt 2087, Scottsdale, AZ 85257-3565 | 2012-10-03 |
1952891509 | Mustafa Khan | Student in an Organized Health Care Education/Training Program | 5 Perryridge Road, Greenwich, CT 06830 | 2018-05-18 |
1881191773 | Mustafa Tamim Alam Khan | Student in an Organized Health Care Education/Training Program | 4502 Medical Dr, San Antonio, TX 78229-4402 | 2018-04-09 |
1316479942 | Mustafa Ali Khan | Student in an Organized Health Care Education/Training Program | 4733 W Sunset Blvd Fl 3, Los Angeles, CA 90027-6021 | 2017-04-02 |
1710253430 | Mustafa Khan | Physical Medicine & Rehabilitation | 9961 Sierra Ave, Fontana, CA 92335-6720 | 2012-03-27 |
1124331582 | Mustafa Sardar Khan | Radiology | 3200 Blue Ridge Rd Ste 100, Raleigh, NC 27612-8087 | 2010-07-14 |
1861489601 | Mustafa A Khan | Psychiatry & Neurology | 100 Nicolls Rd, Stony Brook, NY 11794-5151 | 2005-10-05 |
Street Address |
1218 W KILBOURN AVE STE 301 |
City | MILWAUKEE |
State | WI |
Zip Code | 53233-1325 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447665880 | Joseph Jacob Meeuwsen | Physician Assistant | 1218 W Kilbourn Ave Ste 301, Milwaukee, WI 53233-1325 | 2014-06-24 |
1124297031 | Erik Dygulski | Specialist/Technologist | 1218 W Kilbourn Ave Ste 301, Milwaukee, WI 53233-1325 | 2008-02-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104454750 | Henok Desta Hardilo | Student in an Organized Health Care Education/Training Program | Aurora Sinai Medical Center 945 N 12th Street, Milwaukee, WI 53233 | 2020-03-30 |
1821633314 | Ann E Millard | Occupational Therapist | 560 N. 16th Street, Room 214a, Milwaukee, WI 53233 | 2019-11-08 |
1306480918 | Teng Kai Ong | Dentist | 1801 West Wisconsin Ave., Milwaukee, WI 53233 | 2019-11-06 |
1356800478 | Nebiyu Abera Tilahun | Student in an Organized Health Care Education/Training Program | Aurora Sinai Medical Center, 945 N. 12th Street, Milwaukee, WI 53233 | 2019-03-18 |
1548748387 | Emily Claire Goetz | Physical Therapist | 945 N. 12th St. Suite 1100, Milwaukee, WI 53233 | 2018-08-03 |
1801373378 | Froedtert & The Medical College of Wisconsin Community Physicians | Non-Pharmacy Dispensing Site | 1721 W Canal St, Milwaukee, WI 53233 | 2018-07-26 |
1184170706 | Lauren Troll | Physical Therapist | 925 N 12th Street, Milwaukee, WI 53233 | 2016-09-01 |
1942694401 | Iryna Nemesh | Internal Medicine | 1020 N 12th St Fl 2, Milwaukee, WI 53233 | 2015-03-23 |
1649676032 | Matina Angelopoulou | Dentist | 1801 West Winsconsin Ave, Milwaukee, WI 53233 | 2014-11-12 |
1780007831 | John Ladisa | Technician, Other | 1637 W. Wisconsin Ave, Room 311, Milwaukee, WI 53233 | 2014-01-27 |
Find all providers in zip 53233 |
Taxonomy Code | 207XS0117X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
Specialization | Orthopaedic Surgery of the Spine |
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659879930 | Joint Replacement Cin of Milwaukee LLC | Orthopaedic Surgery | 310 E Buffalo St Ste 203, Milwaukee, WI 53202-5808 | 2018-01-31 |
1477051753 | Spine Cin of Milwaukee LLC | Orthopaedic Surgery | 310 E Buffalo St Ste 206, Milwaukee, WI 53202-5808 | 2018-01-31 |
1124359880 | Milwaukee Spinal Specialists, S.c. | Orthopaedic Surgery | 575 W. River Woods Pkwy, Suite 305, Milwaukee, WI 53212-1003 | 2010-01-20 |
1912919002 | Stephen P Delahunt | Orthopaedic Surgery | 2801 W Kinnickinnic River Pkwy Ste 355, Milwaukee, WI 53215-3695 | 2006-08-13 |
1619018819 | Midwest Spinal Center | Orthopaedic Surgery | 2015 E Newport Ave, Suite 605, Milwaukee, WI 53211-2949 | 2007-02-09 |
1891746723 | Thomas J Flatley | Orthopaedic Surgery | Froedtert & Med College Clin - East, 9200 West Wisconsin Avenue, Milwaukee, WI 53226 | 2006-05-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003898255 | Clay Jamison Frank | Orthopaedic Surgery | 601 N 99th St, Suite 101, Wauwatosa, WI 53226-4339 | 2005-11-15 |
1770032765 | Waypoint Spine, S.c. | Orthopaedic Surgery | 520 Vincent St, Stevens Point, WI 54481-1848 | 2016-10-01 |
1386061844 | Mary Lundgren | Orthopaedic Surgery | 3033 W Layton Ave, Greenfield, WI 53221-2628 | 2014-03-23 |
1306054390 | Seth K. Williams | Orthopaedic Surgery | 621 Science Dr, Madison, WI 53711-1074 | 2007-05-21 |
1053321620 | Neurospine Center of Wisconsin, S.c. | Orthopaedic Surgery | 5320 Michaels Dr, Appleton, WI 54913-8446 | 2006-08-08 |
1134158447 | Holy Family Memorial Inc | Orthopaedic Surgery | 1650 S 41st St, Manitowoc, WI 54220-7316 | 2006-06-30 |
1871531749 | Andrew Richard Greene | Orthopaedic Surgery | 1305 W American Dr, Neenah, WI 54956-1993 | 2006-06-03 |
1245212414 | Integrated Spine Care, S.c. | Orthopaedic Surgery | 601 N 99th St, Suite 101, Wauwatosa, WI 53226-4339 | 2005-11-15 |
1265424485 | David Charles Dewitt | Orthopaedic Surgery | 5320 W Michaels Drive, Appleton, WI 54913 | 2005-08-16 |
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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.