VITTAL RAMACHANDRA NAGAR (NPI# 1245599760) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245599760 |
| Entity Type | Individual |
| Full Name | VITTAL RAMACHANDRA NAGAR |
| Credential | M.D |
| Practice Address |
235 E State St Saint Croix Falls WI 54024-4117 |
| Practice Telephone | (715) 483-3221 |
| Practice Fax Number | 7154830507 |
| Mailing Telephone | (715) 483-3221 |
| Mailing Fax Number | 7154830507 |
| Enumeration Date | 2012-05-04 |
| Last Update Date | 2017-06-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208100000X | Physical Medicine & Rehabilitation | 66489 | WI | Allopathic & Osteopathic Physicians |
| N | 208100000X | Physical Medicine & Rehabilitation | R2994 | KY | Allopathic & Osteopathic Physicians |
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
66489 | WI | Allopathic & Osteopathic Physicians |
| Street Address |
235 E STATE ST |
| City | SAINT CROIX FALLS |
| State | WI |
| Zip Code | 54024-4117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467457457 | Jonn B. Dinnies | Physician Assistant | 235 E State St, Saint Croix Falls, WI 54024-4117 | 2005-06-16 |
| 1093335796 | Alyssa Rose Everson | Physician Assistant | 235 E State St, Saint Croix Falls, WI 54024-4117 | 2020-04-22 |
| 1427600584 | Stephanie June Mysicka | Nurse Practitioner | 235 E State St, Saint Croix Falls, WI 54024-4117 | 2019-07-09 |
| 1962962670 | Amanda Novak | Pharmacist | 235 E State St, Saint Croix Falls, WI 54024-4117 | 2019-03-20 |
| 1023587581 | Phillip E Petrowitz | Physical Therapy Assistant | 235 E State St, Saint Croix Falls, WI 54024-4117 | 2018-11-14 |
| 1538635479 | Janine Marie Crotty | Nurse Practitioner | 235 E State St, Saint Croix Falls, WI 54024-4117 | 2018-10-18 |
| 1326556507 | Jamie Fahrenkrug | Specialist/Technologist | 235 E State St, Saint Croix Falls, WI 54024-4117 | 2018-01-22 |
| 1417474115 | Megan E Swenson | Specialist/Technologist | 235 E State St, Saint Croix Falls, WI 54024-4117 | 2017-08-24 |
| 1043661978 | Jenna B Mazour | Nurse Practitioner | 235 E State St, Saint Croix Falls, WI 54024-4117 | 2016-06-22 |
| 1750731725 | Lauren Victoria Greene | Family Medicine | 235 E State St, Saint Croix Falls, WI 54024-4117 | 2016-06-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063078210 | Carson Cannon | Dentist | 230 South Washington St, St. Croix Falls, WI 54024 | 2019-05-14 |
| 1467743435 | Sarie Chieko Transue | Occupational Therapy Assistant | 450 East Lousiana St, St. Croix Falls, WI 54024 | 2011-04-26 |
| 1982909578 | Anita Melodee Bont | Marriage & Family Therapist | 144 N. Adams Street, St. Croix Falls, WI 54024 | 2011-01-13 |
| 1346407376 | Joy Kathleen Zasadny | Chiropractor | 520 S. Washington St, St. Croix Falls, WI 54024 | 2008-05-19 |
| 1093990822 | Counseling Associates of St. Croix, Inc | Community/Behavioral Health | 809 Us Hwy 8 East, St. Croix Falls, WI 54024 | 2007-12-28 |
| 1710169263 | School District of St. Croix Falls | Local Education Agency (LEA) | 740 Maple Drive, St. Croix Falls, WI 54024 | 2007-11-27 |
| 1225151558 | Patrick Earl Mcdonough | Family Medicine | 235 State Street, St. Croix Falls, WI 54024 | 2007-04-10 |
| 1366577488 | Valerie A Zellmer | Marriage & Family Therapist | 809 Us Hwy 8, St. Croix Falls, WI 54024 | 2007-02-22 |
| 1689709511 | Linda M Amundson | Marriage & Family Therapist | 809 Us Highway 8, St. Croix Falls, WI 54024 | 2007-02-22 |
| 1194850016 | Donna L. Hill | Counselor | 809 Us Highway 8 East, St. Croix Falls, WI 54024 | 2007-02-22 |
| Find all providers in zip 54024 | ||||
| Taxonomy Code | 2081P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pain Medicine |
| A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295894640 | Rae Jean Muchenberger | Physical Medicine & Rehabilitation | 8802 W Becher, West Allis, WI 53227-1628 | 2006-12-08 |
| 1366473597 | Aspen Orthopedic and Rehabilation Specalist | Physical Medicine & Rehabilitation | 19475 W. North Ave, Suite 201, Brookfield, WI 53045-4199 | 2006-07-05 |
| 1881681294 | Kenneth L Klein | Physical Medicine & Rehabilitation | 1969 W Hart Rd, Beloit, WI 53511-2230 | 2005-09-30 |
| 1053955682 | Kayla Smith | Physical Medicine & Rehabilitation | 1700 W Bender Rd, Glendale, WI 53209-3852 | 2019-11-06 |
| 1609220664 | Chen Cui | Physical Medicine & Rehabilitation | 600 Highland Ave, Madison, WI 53792-9055 | 2016-04-15 |
| 1477948834 | Brittany Bickelhaupt | Physical Medicine & Rehabilitation | 225000 Hummingbird Rd, Wausau, WI 54401-2948 | 2015-04-02 |
| 1881034627 | Matthew James Kortes | Physical Medicine & Rehabilitation | 500 E Veterans St, Tomah, WI 54660-3105 | 2013-06-25 |
| 1285908970 | Baycare Clinic, LLP | Physical Medicine & Rehabilitation | 2401 Holmgren Way, Green Bay, WI 54304-5224 | 2012-02-28 |
| 1376738336 | Oscar C Wille | Physical Medicine & Rehabilitation | 2301 N Lake Dr, Milwaukee, WI 53211-4508 | 2007-09-12 |
| 1427102631 | Susan L Husslein | Physical Medicine & Rehabilitation | 8802 W Becher St, West Allis, WI 53227 | 2007-01-23 |
| Find all providers with the same taxonomy | ||||
| City | SAINT CROIX FALLS |
| Zip Code | 54024 |
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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.