MR. VIVEK NAIR (NPI# 1275896367) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275896367 |
| Entity Type | Individual |
| Full Name | MR. VIVEK NAIR |
| Credential | AA |
| Practice Address |
4025 N 92nd St Milwaukee WI 53222-1613 |
| Practice Telephone | 4143585431 |
| Practice Fax Number | 4143585421 |
| Mailing Telephone | 4143585431 |
| Mailing Fax Number | 4143585421 |
| Enumeration Date | 2012-06-22 |
| Last Update Date | 2017-03-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367H00000X | Anesthesiologist Assistant | 91-017 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| N | 367H00000X | Anesthesiologist Assistant | 1343 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 1275896367 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801824065 | Vivek Vasudevan Nair | Internal Medicine | 4660 Kenmore Ave, Suite 710, Alexandria, VA 22304-1313 | 2006-06-28 |
| Street Address |
4025 N 92ND ST |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53222-1613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558729277 | Aurora Health Care | Anesthesiologist Assistant | 4025 N 92nd St, Milwaukee, WI 53222-1613 | 2016-02-09 |
| 1326410002 | Gary Cheung | Anesthesiologist Assistant | 4025 N 92nd St, Milwaukee, WI 53222-1613 | 2015-10-21 |
| 1104169556 | Richard Joseph Deklotz | Anesthesiology | 4025 N 92nd St, Milwaukee, WI 53222-1613 | 2013-04-04 |
| 1376856195 | Laurence Donahue | Internal Medicine | 4025 N 92nd St, Milwaukee, WI 53222-1613 | 2010-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477101673 | Dalaina Y Holliman | Technician | 7719 W Fiebrantz Ave, Milwaukee, WI 53222 | 2019-08-30 |
| 1083183016 | Umenia Marie White | Respite Care | 7726 W. Center Street, Apt 1, Milwaukee, WI 53222 | 2018-11-20 |
| 1003399445 | For Eyes Optical Co of Pennsylvania | Eyewear Supplier (Equipment, not the service) | 11450 W. Burleigh St, Wauwatosa, WI 53222 | 2018-09-12 |
| 1558852673 | Joseph Fleming | Physical Therapist | 11450 W Burleigh St, Ste 120, Wauwatosa, WI 53222 | 2018-05-24 |
| 1942739206 | Yolanda D. Burdine | Licensed Practical Nurse | 8327 W. Center St., Apt. 2, Milwaukee, WI 53222 | 2017-06-08 |
| 1558807131 | Midwest Nephrology Associates, Sc | Clinic/Center | 7797 W Appleton Avenue, Milwaukee, WI 53222 | 2017-01-06 |
| 1477097269 | Benjamin David Kluge | Pharmacist | 11111 W Burleigh Rd, Wauwatosa, WI 53222 | 2016-12-13 |
| 1841746989 | Elissa Hornick | Physician Assistant | 2885 N. Mayfair Rd., Wauwatosa, WI 53222 | 2016-08-29 |
| 1598218562 | Riley's Residential Home Care, LLC | In Home Supportive Care | 10111 W. Capitol Dr, Wauwatosa, WI 53222 | 2016-07-26 |
| 1346696796 | Respiratory and Sleep Services LLC | Durable Medical Equipment & Medical Supplies | 6529 W Fond Du Lac Avenue, Milwaukee, WI 53222 | 2016-05-04 |
| Find all providers in zip 53222 | ||||
| Taxonomy Code | 367H00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Anesthesiologist Assistant |
| An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831705664 | Fauzan Ali | Anesthesiologist Assistant | 2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 | 2020-09-17 |
| 1659991891 | Isaac Alghoosen | Anesthesiologist Assistant | 2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 | 2020-04-17 |
| 1073132437 | Brett P Siemon | Anesthesiologist Assistant | 2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 | 2020-04-15 |
| 1972122448 | Mallory A Mews | Anesthesiologist Assistant | 2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 | 2020-04-14 |
| 1568090504 | Nechemiah Leib Kushner | Anesthesiologist Assistant | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2020-03-27 |
| 1205467354 | Steven Erich Kenneth Pollack | Anesthesiologist Assistant | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2020-01-28 |
| 1164052940 | Kelsey Jean Pohlmann | Anesthesiologist Assistant | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2020-01-22 |
| 1790315570 | Austin Robert Chriske | Anesthesiologist Assistant | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2020-01-22 |
| 1568002848 | Jonathan London | Anesthesiologist Assistant | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2020-01-14 |
| 1023658549 | Lea Van Heule | Anesthesiologist Assistant | 2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 | 2020-01-13 |
| Find all providers in MILWAUKEE | ||||
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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.