FAWAD KHAN (NPI# 1184603755) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184603755 |
| Entity Type | Individual |
| Full Name | FAWAD KHAN |
| Credential | MD |
| Practice Address |
600 Walnut Ridge Dr Hartland WI 53029-9385 |
| Practice Telephone | 2623697040 |
| Mailing Telephone | 2623697040 |
| Enumeration Date | 2006-01-12 |
| Last Update Date | 2012-10-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 38768 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 32334800 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417183435 | Fawad J Khan | Surgery | 100 E Carroll St, Salisbury, MD 21801 | 2009-06-04 |
| 1699978122 | Fawad Ahmed Khan | Psychiatry & Neurology | 1514 Jefferson Hwy, New Orleans, LA 70121-2429 | 2007-06-11 |
| Street Address |
600 WALNUT RIDGE DR |
| City | HARTLAND |
| State | WI |
| Zip Code | 53029-9385 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487103198 | Wiaam Taha | Internal Medicine | 600 Walnut Ridge Dr, Hartland, WI 53029 | 2016-09-23 |
| 1043692627 | Samuel Seunghoon Yoon | Internal Medicine | 600 Walnut Ridge Dr, Hartland, WI 53029-9385 | 2015-06-19 |
| 1558519207 | Aurora Health Care Ventures Inc. | Eyewear Supplier (Equipment, not the service) | 600 Walnut Ridge Dr, Suite 216, Hartland, WI 53029-9385 | 2008-09-07 |
| 1609055623 | Aurora Medical Group, Inc. | Eyewear Supplier (Equipment, not the service) | 600 Walnut Ridge Dr, Hartland, WI 53029-9385 | 2007-10-26 |
| 1972792182 | Christine B Groth | Pharmacist | 600 Walnut Ridge Dr, Hartland, WI 53029-9385 | 2007-10-24 |
| 1598959967 | Veena V Gonuguntla | Pediatrics | 600 Walnut Ridge Dr, Hartland, WI 53029-9385 | 2007-08-29 |
| 1497978621 | Jill A Holz | Family Medicine | 600 Walnut Ridge Dr, Hartland, WI 53029-9385 | 2007-04-10 |
| 1053479287 | Aurora Medical Group,inc. | Durable Medical Equipment & Medical Supplies | 600 Walnut Ridge Dr, Hartland, WI 53029-9385 | 2006-12-04 |
| 1427165620 | Kristin J Simons | Family Medicine | 600 Walnut Ridge Dr, Hartland, WI 53029 | 2006-08-24 |
| 1467567602 | Donna R Daufenbach | Ophthalmology | 600 Walnut Ridge Dr, Hartland, WI 53029 | 2006-08-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063042539 | Marjorie Stuart | Technician | 2410 Hirschman Lane, Hartland, WI 53029 | 2020-01-23 |
| 1063854149 | Madeline M Walter | Dentist | 231 Lawn Street, Modern Touch Dental, Hartland, WI 53029 | 2013-07-18 |
| 1801235403 | Kelly L.m. Newman | Dentist | 139 E. Capitol Dr., Hartland, WI 53029 | 2013-06-18 |
| 1124465323 | Ascension St Francis Hospital, Inc | General Acute Care Hospital | 609 River Meadow Drive, Hartland, WI 53029 | 2013-05-28 |
| 1528313384 | Kristina Johnson | Physical Therapist | 600 Hartbrook Dr Ste 111, Hartland, WI 53029 | 2012-07-18 |
| 1578822565 | Kacie Estes Walters | Chiropractor | 1120 James Dr Ste B, Hartland, WI 53029 | 2012-05-10 |
| 1639485428 | Lisa Renae Herpolsheimer | Social Worker | W331 N9103 West Shore Drive, Hartland, WI 53029 | 2010-08-31 |
| 1063669943 | John Light Atlee Sr. | Anesthesiology | W309 N6698 Caddy Court, John L. Atlee, M.d., Hartland, WI 53029 | 2008-08-22 |
| 1598947053 | Merton Community School District | Local Education Agency (LEA) | W28320 Sussex Road, Hartland, WI 53029 | 2007-11-27 |
| 1407057441 | George Chris Panos | Dentist | N 67 W 31027 Club Circle East, Hartland, WI 53029 | 2007-05-29 |
| Find all providers in zip 53029 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700866274 | Bruce W Terrio | Internal Medicine | 12675 Whalen Lake Dr, Hartland, MI 48353-1513 | 2006-01-19 |
| 1487632196 | Srinivasa R. Pamulapati | Internal Medicine | 1604 E Juniper Way, Hartland, WI 53029-8670 | 2006-01-03 |
| 1487103198 | Wiaam Taha | Internal Medicine | 600 Walnut Ridge Dr, Hartland, WI 53029 | 2016-09-23 |
| 1386785178 | Prohealth Care Medical Associates Inc | Internal Medicine | 1500 Walnut Ridge Dr, Hartland, WI 53029-9317 | 2007-02-12 |
| 1386759397 | Mary L Geralts | Internal Medicine | 600 Walnut Ridge Dr, Hartland, WI 53029 | 2006-08-20 |
| 1013980234 | Beth G Keefe | Internal Medicine | 600 Walnut Ridge Dr, Hartland, WI 53029 | 2006-02-08 |
| 1285605774 | Bruce Terrio Md, PC | Internal Medicine | 12675 Whalen Lake Dr, Hartland, MI 48353-1513 | 2006-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295350973 | Nelson Nwumeh | Internal Medicine | 8338 Gridley Ave, Wauwatosa, WI 53213-3042 | 2020-06-09 |
| 1730718560 | Kevin Mcdonald | Internal Medicine | Uw Hospitals and Clinic 600 Highland Ave, Madison, WI 53792-0001 | 2020-04-03 |
| 1487216560 | Somto Tagbo Nwaedozie | Internal Medicine | 1000 N Oak Ave # 1000, Marshfield, WI 54449-5703 | 2019-06-28 |
| 1851816862 | Cubic Life Integrative Care S.c. | Internal Medicine | 325 Forest Grove Dr Ste 200, Pewaukee, WI 53072-3894 | 2017-08-10 |
| 1407387673 | Navkiran Kaur Dhillon | Internal Medicine | 830 E Deer Ridge Pass, Oak Creek, WI 53154-3300 | 2017-03-21 |
| 1639617665 | Edward Min Chi | Internal Medicine | 2320 N Lake Dr Ste 3603, Milwaukee, WI 53211-4507 | 2017-02-09 |
| 1821542739 | Mark Ridder | Internal Medicine | M120 Highway 97, Marshfield, WI 54449 | 2016-08-09 |
| 1093166266 | Alexa Mary Clare Gavaga | Internal Medicine | 835 S Main St Ste 1, Oconto Falls, WI 54154-1282 | 2016-06-28 |
| 1437513173 | Jonathan Shaffer | Internal Medicine | 4600 N Cramer St, Whitefish Bay, WI 53211-1203 | 2016-04-08 |
| 1750743159 | Andrew Charles Rose | Internal Medicine | 999 N 92nd St Ste 730, Milwaukee, WI 53226-4875 | 2016-03-24 |
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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.