AWNI M AL-SUBU


Address: 600 Highland Ave, Madison, WI 53792-0001
Phone: 6082638049

AWNI M AL-SUBU (NPI# 1215165477) 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) 1215165477
Entity Type Individual
Full Name AWNI M AL-SUBU
Credential MD
Practice Address 600 Highland Ave
Madison
WI 53792-0001
Mailing Address 7974 Uw Health Ct
Middleton
WI 53562-5531
Practice Telephone 6082638049
Practice Fax Number 6082615450
Mailing Telephone 6088295485
Mailing Fax Number 6088330999
Enumeration Date 2009-06-26
Last Update Date 2015-08-13
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080P0203X Pediatrics
Specialization: Pediatric Critical Care Medicine
64010-20 WI Allopathic & Osteopathic Physicians

Office Location

Street Address 600 HIGHLAND AVE
City MADISON
State WI
Zip Code 53792-0001

Providers in the same location

NPI Name Taxonomy Address Enumeration
1336141530 Michael A Porte Pediatrics 600 Highland Ave, Madison, WI 53792-0001 2005-06-01
1922606433 Catherine Harnois Radiology 600 Highland Ave, Madison, WI 53792-0001 2020-10-16
1265039812 Sara Brown Nurse Practitioner 600 Highland Ave, Madison, WI 53792-0001 2020-10-07
1063019602 Angela Filauro Schroeder Dietitian, Registered 600 Highland Ave, Madison, WI 53792-0001 2020-10-06
1134736556 Kelly A Kopecki Dietitian, Registered 600 Highland Ave, Madison, WI 53792-0001 2020-09-29
1699382051 Megan Elizabeth Grassl Dietitian, Registered 600 Highland Ave, Madison, WI 53792-0001 2020-09-29
1568079234 Michelle Catherine Sawaya Dietitian, Registered 600 Highland Ave, Madison, WI 53792-0001 2020-09-28
1417564113 Megan Severa Dietitian, Registered 600 Highland Ave, Madison, WI 53792-0001 2020-09-26
1275140055 Danielle Knox Alexander Dietitian, Registered 600 Highland Ave, Madison, WI 53792-0001 2020-09-25
1427665397 Kristan O'toole Dietitian, Registered 600 Highland Ave, Madison, WI 53792-0001 2020-09-25
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1902416969 Cynthia Iradukunda Student in an Organized Health Care Education/Training Program University of Wisconsin School of Medicine and Public H, 600 Highland Ave, B6/319, Madison, WI 53792 2020-08-05
1689162661 Tseun Han James Kong Psychiatry & Neurology Uw Hospitals and Clinics, 600 Highland Ave, Madison, WI 53792 2018-04-25
1194248013 Kyle Erick Rudningen Dermatology Uw Hosptials & Clinics 600 Highland Ave, Madison, WI 53792 2017-07-23
1477083194 Maxwell Joseph Wingelaar Ophthalmology Uw Health University Hospital, Madison, WI 53792 2017-06-14
1790212603 Imad Khan Psychiatry & Neurology Uw Hospitals & Clinics 600 Highland Avenue, Madison, WI 53792 2017-05-23
1700334745 Krista Lee Rieger Pharmacist 600 Higland Avenue, University of Wisconsin Hospital and Clinics, Madison, WI 53792 2016-09-20
1780070086 Christina Amend Pediatrics American Family Childrens Hospital 600 Highland Ave, Madison, WI 53792 2015-04-13
1487040127 Michelle Stoffel Pathology Uw Hospital and Clinics, 600 Highland Ave, Madison, WI 53792 2015-04-09
1417363888 Jenna Bender Pharmacist 600 Highland Avenue, 1530, University of Wisconsin Hospital and Clinics, Madison, WI 53792 2014-07-07
1841619889 Ying Wang Psychiatry & Neurology 600 Highland Ave,h4/831, Uw Hospital and Clinics, Madison, WI 53792 2014-04-07
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Taxonomy Information

Taxonomy Code 2080P0203X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Pediatric Critical Care Medicine

Taxonomy Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. ACGME Accredited Residency Program Requirements: 2 years of training with 3 years Pediatrics plus 1 year Pediatric Critical Care for certification for a total of 6 years. ABMS Approved Subspecialty Certificate (Pediatrics)

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1235512104 Megan Williams Pediatrics 600 Highland Ave, Madison, WI 53792 2015-07-09
1093945800 Megan E Peters Pediatrics Uw Hospital and Clinics, 600 Highland Ave, Madison, WI 53792-0001 2009-07-15
1457594970 Juan P Boriosi Pediatrics 600 Highland Ave., Madison, WI 53792-3284 2009-04-14
1558564062 Melissa Ann Cercone Pediatrics 600 Highland Ave, Madison, WI 53792-0001 2007-06-11
1770707135 Sushant Srinivasan Pediatrics 600 Highland Ave, Madison, WI 53792-0001 2007-04-13
1518992189 Pelin Cengiz Pediatrics 600 Highland Ave, Madison, WI 53792-0001 2006-07-12
1932146735 Peter A Ferrazzano Pediatrics 600 Highland Ave, Madison, WI 53792-0001 2006-06-01
1437119815 Mary Bussey Pediatrics 707 S Mills St, Madison, WI 53715-1849 2006-03-28
1225098676 Karl F Szewczyk Pediatrics 707 S Mills St, Madison, WI 53715-1849 2006-03-27
1114994571 Marlowe W Eldridge Pediatrics 600 Highland Ave, Madison, WI 53792 2006-03-03
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Competitor

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City MADISON
Zip Code 53792

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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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