ANEGUNDI K NAGENDRA


Address: 2080 Windsor Court # 3, Plover, WI 54467
Phone: 4789544362

ANEGUNDI K NAGENDRA (NPI# 1174688683) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174688683
Entity Type Individual
Full Name ANEGUNDI K NAGENDRA
Credential MD
Practice Address 2080 Windsor Court # 3
Plover
WI 54467
Mailing Address Po Box 183
Stevens Point
WI 54481
Practice Telephone 4789544362
Mailing Telephone 7153473025
Enumeration Date 2006-12-26
Last Update Date 2010-07-19
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208800000X Urology 17471 GA Allopathic & Osteopathic Physicians

Office Location

Street Address 2080 WINDSOR COURT # 3
City PLOVER
State WI
Zip Code 54467

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1861813297 Lynn Kuklinski Assisted Living Facility 1592 Okray Ave., Plover, WI 54467 2014-01-03
1700131893 Alyssa Marie Lenze Registered Nurse 711 Eighth St, Plover, WI 54467 2012-07-16
1508031063 Carolyn Klein Speech-Language Pathologist 4880 River Drive, Plover, WI 54467 2008-04-25
1154595841 Lotus Healing Arts LLC Chiropractor 2610 Post Road, Plover, WI 54467 2008-04-15
1699969022 C. Thomas Deroche, Dpm, LLC Podiatrist 2020 County Rd Hh, Plover, WI 54467 2007-08-29
1083776736 Mark F Fenlon Family Medicine 2401 Plover Road, Plover, WI 54467 2006-12-15
1609954049 Mark S Ensweiler Chiropractor 2610 Post Rd, Plover, WI 54467 2006-11-02
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Taxonomy Information

Taxonomy Code 208800000X
Grouping Allopathic & Osteopathic Physicians
Classification Urology

Taxonomy Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1649520180 George Leonard Apfelbach Jr. Urology 4098 Main St, Fish Creek, WI 54212-0067 2012-09-12
1346505708 Kenneth Lowell Day Urology 2603 Teal Ave (residence), Wausau, WI 54401-7162 2012-07-11
1356601587 Fox Valley Urological Associates Sc Urology 2700 E Enterprise Ave Ste A, Appleton, WI 54913-7656 2012-05-22
1730445255 Anand Patel Urology 2424 S 90th St Fl 3, West Allis, WI 53227-2455 2012-04-10
1831486117 Mary Hallman Leikness Urology 358 S. Oxford Street, Pob 207, Wautoma, WI 54982-0000 2011-07-07
1710293105 Charles Copland Smith Urology 674 Sunset Circle, Green Bay, WI 54301 2010-08-24
1689991200 Sean Brady Mcadams Urology 720 S Vanburen Street, Suite 301, Green Bay, WI 54301 2010-04-21
1730404385 Robert J Hartman Jr. Urology 10400 75th St Ste 204, Kenosha, WI 53142-7884 2010-04-06
1588998538 Gary Melvin Licklider Urology 5002 Prairie Rose Ct, Middleton, WI 53562-2385 2009-09-23
1376793240 Raymond Harkavy Urology 9440 N. Broadmoor Road, Milwaukee, WI 53217-1309 2008-09-26
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Competitor

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City PLOVER
Zip Code 54467

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Dataset Information

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.

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