SRIDHAR VALLABHANENI (NPI# 1164740122) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164740122 |
| Entity Type | Individual |
| Full Name | SRIDHAR VALLABHANENI |
| Credential | M.D. |
| Practice Address |
2901 W Kinnickinnic River Pkwy Ste 310 Milwaukee WI 53215-5643 |
| Mailing Address |
3301 W Forest Home Ave Milwaukee WI 53215-2843 |
| Practice Telephone | 4146493300 |
| Practice Fax Number | 4146497012 |
| Mailing Telephone | 4146493300 |
| Mailing Fax Number | 4146497012 |
| Enumeration Date | 2010-05-14 |
| Last Update Date | 2020-01-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation | 72134 | WI | Allopathic & Osteopathic Physicians |
| N | 208100000X | Physical Medicine & Rehabilitation | 036.137251 | IL | Allopathic & Osteopathic Physicians |
| N | 208100000X | Physical Medicine & Rehabilitation | 01074949A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | CAQH | 12591405 | 01 |
| IN | 201297670 | 05 | |
| WI | 100095270 | 05 | |
| IL | 036137251 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2450 Wolf Rd, Suite D, Westchester, IL 601545643 | 2194880165 | 7085620129 |
| Street Address |
2901 W KINNICKINNIC RIVER PKWY STE 310 |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53215-5643 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477928000 | Nanette Cherba | Nurse Practitioner | 2901 W Kinnickinnic River Pkwy Ste 310, Milwaukee, WI 53215-3660 | 2015-12-08 |
| 1295118487 | Jessica A Roadt | Physician Assistant | 2901 W Kinnickinnic River Pkwy Ste 310, Milwaukee, WI 53215-3660 | 2015-07-07 |
| 1396001327 | Peter V Gikas | Physical Medicine & Rehabilitation | 2901 W Kinnickinnic River Pkwy Ste 310, Milwaukee, WI 53215-3660 | 2012-04-03 |
| 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 |
|---|---|---|---|---|
| 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 |
| 1124068259 | Kandavar Gopal | Physical Medicine & Rehabilitation | 3200 S 20th St, Milwaukee, WI 53215-4442 | 2006-06-07 |
| 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.