KANDAVAR GOPAL (NPI# 1124068259) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124068259 |
| Entity Type | Individual |
| Full Name | KANDAVAR GOPAL |
| Credential | MD |
| Practice Address |
3200 S 20th St Milwaukee WI 53215-4442 |
| Practice Telephone | 4143893200 |
| Practice Fax Number | 2626416880 |
| Mailing Telephone | 4143893200 |
| Mailing Fax Number | 2626416880 |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation | 21194 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 30291300 | 05 |
| Street Address |
3200 S 20TH ST |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53215-4442 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881255669 | Daniel Jacobsen | Physical Therapy Assistant | 3200 S 20th St, Milwaukee, WI 53215-4442 | 2019-06-24 |
| 1174182240 | Gabrielle Chaumet | Occupational Therapy Assistant | 3200 S 20th St, Milwaukee, WI 53215-4442 | 2019-06-11 |
| 1528592821 | Sarah Hardcastle | Physical Therapist | 3200 S 20th St, Milwaukee, WI 53215-4442 | 2017-04-13 |
| 1568911857 | Michael Hagerty | Speech-Language Pathologist | 3200 S 20th St, Milwaukee, WI 53215-4442 | 2016-09-27 |
| 1457804676 | Jacquelyn Marie Delfosse | Physical Therapist | 3200 S 20th St, Milwaukee, WI 53215-4442 | 2016-07-25 |
| 1881075620 | Kelly Bensing | Occupational Therapist | 3200 S 20th St, Milwaukee, WI 53215-4442 | 2015-06-17 |
| 1790198695 | Jessica Boyles | Speech-Language Pathologist | 3200 S 20th St, Milwaukee, WI 53215-4442 | 2014-06-09 |
| 1457786469 | Kathrine Kolden | Occupational Therapist | 3200 S 20th St, Milwaukee, WI 53215-4442 | 2013-09-09 |
| 1982955522 | Judy Thao-xiong | Occupational Therapist | 3200 S 20th St, Milwaukee, WI 53215-4442 | 2012-09-23 |
| 1104063833 | Jennifer L Kramer | Occupational Therapist | 3200 S 20th St, Milwaukee, WI 53215-4442 | 2009-01-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841829918 | Joshua Michael Brooks | Student in an Organized Health Care Education/Training Program | Aurora St. Lukes Medical Center 2901 W Oklahoma Ave, Milwaukee, WI 53215 | 2020-04-02 |
| 1053967091 | Kristina Strupp | Clinical Nurse Specialist | 2900 W. Oaklahoma Avenue, Milwaukee, WI 53215 | 2019-08-15 |
| 1427510296 | Madelyn Pickle | Student in an Organized Health Care Education/Training Program | 2801 W. Kinnickinnic Rd Ste 250, Milwaukee, WI 53215 | 2019-04-02 |
| 1932601838 | Elizabeth D Morawski | Nurse Practitioner | 2801 Kinnickinnic Parkway, Suite 630, Milwaukee, WI 53215 | 2018-03-06 |
| 1457872673 | Canzata Kimberly Dent | Counselor | 2727 W. Cleveland Suite 204, Milwaukee, WI 53215 | 2017-06-28 |
| 1538689955 | Christian Pena | Durable Medical Equipment & Medical Supplies | 2800 W Forest Home Ave, Suite 100, Milwaukee, WI 53215 | 2017-06-27 |
| 1386178804 | Dane A Olsen | Family Medicine | 801 W Kinnickinnic River Pkwy., Suite 250, Milwaukee, WI 53215 | 2017-04-12 |
| 1811443492 | Thomas Diamond | Physical Therapist | 2901 Kinnickinnic Parkway, Milwaukee, WI 53215 | 2016-09-01 |
| 1487055133 | Sam Khalili | Otolaryngology | 2801 W Kinnickinnic River Pkwy # 680, Milwaukee, WI 53215 | 2014-09-12 |
| 1992105621 | Nicole R Hall | Nurse Practitioner | 2901 S Kinnickinnic Ave, Milwaukee, WI 53215 | 2014-08-29 |
| Find all providers in zip 53215 | ||||
| Taxonomy Code | 208100000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. American Osteopathic Board of Physical Medicine and Rehabilitation, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Physical Medicine and Rehabilitation. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164740122 | Sridhar Vallabhaneni | Physical Medicine & Rehabilitation | 2901 W Kinnickinnic River Pkwy Ste 310, Milwaukee, WI 53215-5643 | 2010-05-14 |
| 1235393844 | Callenda A Hacker | Physical Medicine & Rehabilitation | 2323 N Lake Dr Rm W1736, Milwaukee, WI 53211-4508 | 2008-07-12 |
| 1750416343 | Renuka Lingam Kumar | Physical Medicine & Rehabilitation | 2901 W Kinnickinnic River Pkwy Ste 106, Milwaukee, WI 53215-3660 | 2007-02-22 |
| 1649231028 | Ellis B Zussman | Physical Medicine & Rehabilitation | 7220 W Capitol Dr, Milwaukee, WI 53216-2054 | 2006-03-28 |
| 1033170428 | Benjamin S Gozon IIi | Physical Medicine & Rehabilitation | 8518 W Capitol Dr, Milwaukee, WI 53222-1827 | 2006-03-28 |
| 1255328308 | Robert Marc Stern | Physical Medicine & Rehabilitation | 5000 W Chambers St, Milwaukee, WI 53210-1650 | 2005-10-04 |
| 1194712455 | Tracy A Park | Physical Medicine & Rehabilitation | 4111 W Mitchell St, Ste 300, Milwaukee, WI 53215-1748 | 2005-10-03 |
| 1639788748 | Amanda Ruekert | Physical Medicine & Rehabilitation | 5000 W Chambers St, Milwaukee, WI 53210-1650 | 2020-07-24 |
| 1679111793 | Shane Slaasted | Physical Medicine & Rehabilitation | 10101 W Wisconsin Ave, Milwaukee, WI 53226-4861 | 2019-12-19 |
| 1275095044 | Christopher Ng | Physical Medicine & Rehabilitation | 8701 W Watertown Plank Rd, Milwaukee, WI 53226-3548 | 2019-04-02 |
| 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.