DR. MUSADDIQ JAVVAD AWAN (NPI# 1205279957) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205279957 |
| Entity Type | Individual |
| Full Name | DR. MUSADDIQ JAVVAD AWAN |
| Credential | M.D. |
| Practice Address |
9200 W Wisconsin Ave Milwaukee WI 53226 |
| Mailing Address |
9200 W Wisconsin Ave Milwaukee WI 53226-3522 |
| Practice Telephone | 4148054400 |
| Practice Fax Number | 4148054369 |
| Mailing Telephone | 4148054400 |
| Mailing Fax Number | 4148054369 |
| Enumeration Date | 2013-04-12 |
| Last Update Date | 2018-08-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
69742 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 1205279957 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7901 S 6th St, Oak Creek, WI 531542010 | 4143468000 | 4143468010 |
| 9000 W Wisconsin Ave, Milwaukee, WI 532264874 | 4146075280 | |
| 5000 W Chambers St, Milwaukee, WI 532101650 | 4148053666 |
| Street Address |
9200 W WISCONSIN AVE |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53226 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255334173 | Froedtert Memorial Lutheran Hospital, Inc. | General Acute Care Hospital | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2005-05-24 |
| 1013518182 | Shelby Koppinger | Pharmacist | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2020-11-05 |
| 1083215065 | Jennifer Lynn Scheffler | Physician Assistant | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2020-11-05 |
| 1306445952 | Elyan Carolina Ruiz Solano | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2020-10-23 |
| 1972101467 | Sarah Emily Ziem | Nurse Practitioner | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2020-10-15 |
| 1912504242 | Matthew Resop | Nurse Practitioner | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2020-10-09 |
| 1043817877 | Jacqueline Jordan Morgan | Nurse Practitioner | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2020-10-05 |
| 1134726227 | Joseph Beiler | Registered Nurse | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2020-10-02 |
| 1316553845 | Nathan Duncan | Pharmacist | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2020-09-21 |
| 1043826035 | Emily Mell | Physician Assistant | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2020-09-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912511155 | Alexander Harlan | Pharmacist | 900 N 92nd St, Milwaukee, WI 53226 | 2020-09-04 |
| 1558985762 | Armghan Haider Ans | Student in an Organized Health Care Education/Training Program | 9200 W. Wisconsin Ave. Froedtert Hospital & Medical Col, Milwaukee, WI 53226 | 2020-06-03 |
| 1669001103 | Kimberly Tyler | Student in an Organized Health Care Education/Training Program | 8701 W Watertown Plank Road, Medical College of Wisconsin Dept of Internal Medicine, Wauwatosa, WI 53226 | 2020-04-06 |
| 1972131993 | Francesca Meloy Devine | Student in an Organized Health Care Education/Training Program | Medical Education Office: Children's Corporate Center, 999 N. 92nd St., Suite 730, Milwaukee, WI 53226 | 2020-03-27 |
| 1285275248 | Sharitta Alford | Technician | 12250 West North Avenue, Apartment 142b, Wauwatosa, WI 53226 | 2019-10-01 |
| 1619528023 | Linda Marie Sabatinelli | Technician | 12107 W. Woodland Ave, Wauwatosa, WI 53226 | 2019-09-26 |
| 1598310195 | Matthew Laviolette | Surgery | Medical College of Wisconsin, 8701 Watertown Plank Rd., Surgical Oncology, Milwaukee, WI 53226 | 2019-08-09 |
| 1962056432 | Lyndsey Marie Bratberg | Physician Assistant | F&mcw Clinical Cancer Center 9200 W. Wisconsin Ave., Milwaukee, WI 53226 | 2019-08-01 |
| 1659832855 | Benjamin David Seadler | Surgery | Mcw, Department of Surgery, 8701 Watertown Plank Road, Milwaukee, WI 53226 | 2019-03-29 |
| 1861953267 | Michael Dryden | Student in an Organized Health Care Education/Training Program | 8701 Watertown Plank Rd., Milwaukee, WI 53226 | 2019-03-27 |
| Find all providers in zip 53226 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| 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 Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861924482 | Katie Johannah Livingston | Radiology | 8701 W Watertown Plank Rd, Milwaukee, WI 53226-3548 | 2017-04-02 |
| 1891157871 | Jacob Samuel Witt | Radiology | 2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 | 2016-03-28 |
| 1679935860 | Amber Ann Retzlaff | Radiology | 8701 W Watertown Plank Rd, Milwaukee, WI 53226-3548 | 2016-03-25 |
| 1912384280 | Saryleine Ortiz De Choudens | Radiology | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2015-05-06 |
| 1396131439 | Nina A Desai | Radiology | 8701 W Watertown Plank Rd, Milwaukee, WI 53226 | 2015-04-14 |
| 1124413422 | Daniel Paul Lindsay | Radiology | 2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 | 2015-04-02 |
| 1699038588 | Lindsay L Puckett | Radiology | 9200 W Wisconsin Ave, Milwaukee, WI 53226 | 2012-06-17 |
| 1265708606 | Hina Saeed | Radiology | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2012-03-29 |
| 1801188230 | Jeffrey Alan Kittel | Radiology | 2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 | 2011-05-03 |
| 1356631139 | John Maclou Longo | Radiology | 9200 W Wisconsin Ave, Radiation Oncology, Milwaukee, WI 53226-3522 | 2011-04-13 |
| Find all providers in MILWAUKEE | ||||
Please comment or provide details below to improve the information on DR. MUSADDIQ JAVVAD AWAN.
| 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.