PUSHPA SHIVARAM (NPI# 1306192604) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306192604 |
| Entity Type | Individual |
| Full Name | PUSHPA SHIVARAM |
| Other Name | PUSHPALATHA KRISHNAPPA |
| Credential | MD |
| Practice Address |
1000 N Oak Ave Marshfield WI 54449-5703 |
| Mailing Address |
1120 15th Street Department of Pediatrics Augusta GA 30912-0004 |
| Practice Telephone | 7153875267 |
| Practice Fax Number | 7153893142 |
| Mailing Telephone | 7067218623 |
| Mailing Fax Number | 7067211459 |
| Enumeration Date | 2012-07-24 |
| Last Update Date | 2018-07-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0202X |
Pediatrics Specialization: Pediatric Cardiology |
080240 | GA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
1000 N OAK AVE |
| City | MARSHFIELD |
| State | WI |
| Zip Code | 54449-5703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285638643 | Ajit V Pillai | Dentist | 1000 N Oak Ave, Marshfield, WI 54449-5703 | 2005-06-13 |
| 1760080535 | Dylan Loertscher | Physical Therapist | 1000 N Oak Ave, Marshfield, WI 54449-5702 | 2020-10-14 |
| 1871190058 | Junting Liu | Student in an Organized Health Care Education/Training Program | 1000 N Oak Ave, Marshfield, WI 54449-5703 | 2020-10-01 |
| 1235746959 | Taylor Marie Tischauser | Occupational Therapist | 1000 N Oak Ave, Marshfield, WI 54449-5703 | 2020-09-27 |
| 1558978544 | Claire Marie Lindner | Occupational Therapist | 1000 N Oak Ave, Marshfield, WI 54449-5703 | 2020-09-24 |
| 1336753326 | Aanchal Chaudhary | Student in an Organized Health Care Education/Training Program | 1000 N Oak Ave, Marshfield, WI 54449-5703 | 2020-09-07 |
| 1457964389 | Gul Nawaz | Student in an Organized Health Care Education/Training Program | 1000 N Oak Ave, Marshfield, WI 54449-5703 | 2020-08-29 |
| 1639782782 | Kimberly Carolfi | Nurse Practitioner | 1000 N Oak Ave, Marshfield, WI 54449-5703 | 2020-08-28 |
| 1831702190 | Alexandra Fuss Vanderwerff | Student in an Organized Health Care Education/Training Program | 1000 N Oak Ave, Marshfield, WI 54449-5702 | 2020-08-26 |
| 1003428343 | Medhavani Dhruv Chandra | Student in an Organized Health Care Education/Training Program | 1000 N Oak Ave, Marshfield, WI 54449-5703 | 2020-08-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578125415 | Natalia Rodriguez Luquerna | Student in an Organized Health Care Education/Training Program | 100 N Oak Ave, Marshfield, WI 54449 | 2019-07-01 |
| 1396221636 | Candace R Delis | Counselor | 252 South Central, Suite 21, Marshfield, WI 54449 | 2018-07-18 |
| 1811489206 | Gateways Counseling Services, LLC | Counselor | 1905 S Central Ave, Marshfield, WI 54449 | 2018-06-01 |
| 1821542739 | Mark Ridder | Internal Medicine | M120 Highway 97, Marshfield, WI 54449 | 2016-08-09 |
| 1295187441 | Trina D Howard | Social Worker | 501 S. Cherry Ave, Suite 5, Marshfield, WI 54449 | 2016-07-11 |
| 1427403062 | Kristi Trecartin | Speech-Language Pathologist | 100 North Oak Avenue, Marshfield, WI 54449 | 2016-05-02 |
| 1093171498 | Mchs Hospitals, Inc. | General Acute Care Hospital | 1001 N. Oak Ave, Marshfield, WI 54449 | 2016-01-14 |
| 1467822759 | Grace Lutheran Foundation Inc | Skilled Nursing Facility | 1000 N. Oak Ave, Marshfield, WI 54449 | 2015-09-30 |
| 1346636743 | Jeanne Schreiner | Clinical Nurse Specialist | 611 Saint Joseph's Ave, Ministry Saint Joseph's Hospital, Marshfield, WI 54449 | 2015-04-13 |
| 1215336318 | Margaret Ann Chen | Medical Genetics, Ph.D. Medical Genetics | 3800 S. Business Park Ave., Marshfield, WI 54449 | 2014-08-14 |
| Find all providers in zip 54449 | ||||
| Taxonomy Code | 2080P0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Cardiology |
| A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. |
| 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 Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487622973 | Allen D Wilson | Pediatrics | 7966 Maurer Rd, Cross Plains, WI 53528-8801 | 2006-03-09 |
| 1952304834 | Susan G Maclellan-tobert | Pediatrics | 1836 South Ave, La Crosse, WI 54601-5429 | 2005-05-24 |
| 1942628466 | Daniel Robert Beacher | Pediatrics | 130 2nd St, Neenah, WI 54956-2883 | 2014-04-01 |
| 1871836999 | Alexander Raskin | Pediatrics | 9000 W Wisconsin Ave, Milwaukee, WI 53226-4874 | 2013-03-27 |
| 1689936486 | Andrew Dale Spearman | Pediatrics | 9000 W Wisconsin Ave, Milwaukee, WI 53226 | 2012-06-08 |
| 1912297078 | Scott A Cameron | Pediatrics | 10400 75th St, Kenosha, WI 53142-7884 | 2011-04-11 |
| 1477786085 | Ann Raju Punnoose | Pediatrics | 9000 W Wisconsin Ave, Pediatric Cardiology, Milwaukee, WI 53226-4874 | 2009-08-29 |
| 1245469808 | Derek Brenden Hoyme | Pediatrics | 600 Highland Ave, Madison, WI 53792-0001 | 2009-07-03 |
| 1265673164 | Catherine Cooch Allen | Pediatrics | 600 Highland Ave, Madison, WI 53792-0001 | 2009-03-23 |
| 1053559559 | Suhaib Kazmouz | Pediatrics | 600 Highland Ave, Madison, WI 53792-3619 | 2009-01-22 |
| Find all providers with the same taxonomy | ||||
| City | MARSHFIELD |
| Zip Code | 54449 |
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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.