SURESH K MISRA (NPI# 1174588768) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174588768 |
| Entity Type | Individual |
| Full Name | SURESH K MISRA |
| Credential | MD |
| Practice Address |
3267 S 16th St Suite 208 Milwaukee WI 53215-4500 |
| Mailing Address |
3267 S 16th Street Suite 208 Milwaukee WI 53215 |
| Practice Telephone | 4146437448 |
| Mailing Telephone | 4146437448 |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2013-02-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 21429 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RR MEDICARE | 080172544 | 01 | |
| WI | 30156400 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013228964 | Suresh Kumar Misra | Internal Medicine | 3509 N Broad St, Boyer Pavilion, 2nd Floor, Philadelphia, PA 19140-4105 | 2010-06-25 |
| Street Address |
3267 S 16TH ST SUITE 208 |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53215-4500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780671115 | Kenneth S Scher | Surgery | 3267 S 16th St, Ste 207, Milwaukee, WI 53215-4500 | 2005-09-30 |
| 1700279734 | Emily Plahna | Social Worker | 3267 S 16th St, Ohio Bldg Rm 200, Milwaukee, WI 53215-4500 | 2015-03-16 |
| 1043611205 | Amanda Donath | Counselor | 3267 S 16th St, Ohio Bldg Rm 200, Milwaukee, WI 53215-4500 | 2014-09-08 |
| 1225468325 | Kathleen Conley | Nurse Practitioner | 3267 S 16th St, Ohio Bldg Room 200, Milwaukee, WI 53215-4500 | 2013-11-26 |
| 1073857876 | Ajit B Divgi M.d.,l.l.c. | Internal Medicine | 3267 S 16th St, Suite 208, Milwaukee, WI 53215-4500 | 2012-11-16 |
| 1225382849 | Alison Marie Mangerson | Social Worker | 3267 S 16th St, Ohio Bldg Room 200, Milwaukee, WI 53215-4500 | 2012-11-05 |
| 1508127465 | Damon R Camarata | Social Worker | 3267 S 16th St, Ohio Bldg Rm 200, Milwaukee, WI 53215-4500 | 2012-06-06 |
| 1801125976 | Eddy D Co Md Sc | Internal Medicine | 3267 S 16th St, Ste 105, Milwaukee, WI 53215-4500 | 2009-12-18 |
| 1609104140 | Lingam V Kumar Md Sc | Internal Medicine | 3267 S 16th St, Suite #104, Milwaukee, WI 53215-4500 | 2009-11-20 |
| 1588843809 | Kenneth Cole | Psychologist | 3267 S 16th St, Ohio Bldg Rm 200, Milwaukee, WI 53215-4500 | 2007-11-02 |
| Find all providers in the same location | ||||
| 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 | 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.