FAHIM UZZAMAN KHAN (NPI# 1235679366) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235679366 |
| Entity Type | Individual |
| Full Name | FAHIM UZZAMAN KHAN |
| Credential | CPO |
| Practice Address |
1900 South Ave La Crosse WI 54601-5467 |
| Mailing Address |
1911 Miller St La Crosse WI 54601-8505 |
| Practice Telephone | 6087754010 |
| Practice Fax Number | 6087756723 |
| Mailing Telephone | 6087754010 |
| Mailing Fax Number | 6087756723 |
| Enumeration Date | 2017-03-08 |
| Last Update Date | 2017-03-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 222Z00000X | Orthotist | CPO02454 | MD | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 224P00000X | Prosthetist | CPO02454 | MD | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245527803 | Fahim Zaman Khan | Internal Medicine | 7950 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2011-07-05 |
| Street Address |
1900 SOUTH AVE |
| City | LA CROSSE |
| State | WI |
| Zip Code | 54601-5467 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073519575 | Jeffrey P Reiland | Counselor | 1900 South Ave, La Crosse, WI 54601-5467 | 2005-06-21 |
| 1205435096 | Mathew Scott Schober | Nurse Practitioner | 1900 South Ave, La Crosse, WI 54601-5467 | 2020-10-22 |
| 1205435062 | Jaclyn Noelle Schlang | Genetic Counselor, MS | 1900 South Ave, La Crosse, WI 54601-5467 | 2020-10-22 |
| 1801402193 | Lisa Elizabeth Knudtson | Nurse Practitioner | 1900 South Ave, La Crosse, WI 54601-5467 | 2020-09-22 |
| 1811511355 | Brittany Cincoski | Physician Assistant | 1900 South Ave, La Crosse, WI 54601-5467 | 2020-06-01 |
| 1316598600 | Kessa Lynn Marie Hughes | Nurse Practitioner | 1900 South Ave, La Crosse, WI 54601-5467 | 2019-09-27 |
| 1396304432 | Lauri L Theisen | Registered Nurse | 1900 South Ave, La Crosse, WI 54601-5467 | 2019-06-12 |
| 1114582558 | Nicole Marie Bujnowski | Occupational Therapist | 1900 South Ave, La Crosse, WI 54601-5467 | 2019-05-01 |
| 1275196693 | Sarah Louise Nelson | Counselor | 1900 South Ave, La Crosse, WI 54601-5467 | 2019-04-22 |
| 1821651563 | Leighton A Becher | Pharmacy Technician | 1900 South Ave, La Crosse, WI 54601-5496 | 2019-04-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891324265 | Meagan Mcrae | Student in an Organized Health Care Education/Training Program | 1725 State St., 4051 Health Science Center, La Crosse, WI 54601 | 2020-04-07 |
| 1255969671 | Erin Dingman | Student in an Organized Health Care Education/Training Program | 1751 State Street, 4051 Health Science Center, La Crosse, WI 54601 | 2020-03-31 |
| 1619505047 | Nicole Kay Lynch | Student in an Organized Health Care Education/Training Program | 4051 Health Science Center, 1725 State St, La Crosse, WI 54601 | 2020-03-31 |
| 1174151757 | Jenna Sells | Student in an Organized Health Care Education/Training Program | 4051 Health Science Center, 1725 State Street, La Crosse, WI 54601 | 2020-03-30 |
| 1740818301 | Katie Irene Tahtinen | Student in an Organized Health Care Education/Training Program | Uwl- 4051 Health Science Center, 1725 State St., La Crosse, WI 54601 | 2020-03-30 |
| 1932737517 | Margaret May Grimm | Student in an Organized Health Care Education/Training Program | Univesity of Wisconsin-la Crosse, 4051 Health Science Center, 1725 State Street, La Crosse, WI 54601 | 2020-03-30 |
| 1831727312 | Matthew Timothy Axler | Student in an Organized Health Care Education/Training Program | 4051 Health Science Center, 1725 State Street, La Crosse, WI 54601 | 2020-03-30 |
| 1093340473 | Denise Stinson | Technician | 1311 Badger St, Apt 505, La Crosse, WI 54601 | 2020-03-06 |
| 1922632397 | Ibrahim Ahsan | Pharmacist | 1105 Wi-16, La Crosse, WI 54601 | 2020-02-25 |
| 1750913356 | Liza R Collins | Massage Therapist | 1415 State Wi 16, La Crosse, WI 54601 | 2020-02-11 |
| Find all providers in zip 54601 | ||||
| Taxonomy Code | 222Z00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Orthotist |
| A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144469867 | Carol Preston Pate | Orthotist | 1900 South Ave, La Crosse, WI 54601-5467 | 2009-02-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952949414 | Nps Foot Health, LLC | Orthotist | 1334 Applegate Rd Ste 200, Madison, WI 53713-3184 | 2019-12-16 |
| 1235607011 | Jose Luis Gonzales | Orthotist | 12075 Corporate Pkwy Ste 120, Mequon, WI 53092-2664 | 2018-11-09 |
| 1871061069 | Kathleen Elizabeth White | Orthotist | 6790 W. Layton Ave, Greenfield, WI 53220 | 2018-11-06 |
| 1871024810 | Curt Bertram | Orthotist | W292n6880 Dorn Rd, Hartland, WI 53029-9245 | 2017-03-22 |
| 1306387337 | John Mooney | Orthotist | 2555 W Kenboern Dr, Glendale, WI 53209-1835 | 2017-03-09 |
| 1699140814 | Thaddeus Holgado | Orthotist | 12075 Corporate Pkwy, Suite 120, Mequon, WI 53092-2665 | 2015-12-14 |
| 1124459664 | Charles Hall | Orthotist | 2578 N Martin Luther King Dr, Milwaukee, WI 53212-2710 | 2013-12-10 |
| 1952498990 | Ross L Bosetti | Orthotist | 2926 Post Rd, Stevens Point, WI 54481-6417 | 2006-10-10 |
| 1407944069 | Morfey's Limbs & Braces Inc | Orthotist | 11109 W. Bluemound Road, Wauwatosa, WI 53226 | 2006-10-10 |
| 1114019817 | Thomas Joseph Flatley Jr. | Orthotist | 10506 W Bluemound Rd, Milwaukee, WI 53226-4332 | 2006-09-29 |
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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.