IRUM ZIAUDDIN (NPI# 1386686905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1386686905 |
Entity Type | Individual |
Full Name | IRUM ZIAUDDIN |
Credential | PA-C |
Practice Address |
3201 S 16th St Ste 2015 Milwaukee WI 53215-4532 |
Mailing Address |
Po Box 70520 Milwaukee WI 53207-0520 |
Practice Telephone | 4146493810 |
Mailing Telephone | 2622400841 |
Enumeration Date | 2006-06-11 |
Last Update Date | 2018-02-27 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
4097-23 | WI | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
3201 S 16TH ST STE 2015 |
City | MILWAUKEE |
State | WI |
Zip Code | 53215-4532 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265775993 | Jason Scott Prudom | Internal Medicine | 3201 S 16th St Ste 2015, Milwaukee, WI 53215-4532 | 2013-04-01 |
1477817351 | Andrew Jason Zane | Internal Medicine | 3201 S 16th St Ste 2015, Milwaukee, WI 53215 | 2012-06-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841829918 | Joshua Michael Brooks | Student in an Organized Health Care Education/Training Program | Aurora St. Lukes Medical Center 2901 W Oklahoma Ave, Milwaukee, WI 53215 | 2020-04-02 |
1053967091 | Kristina Strupp | Clinical Nurse Specialist | 2900 W. Oaklahoma Avenue, Milwaukee, WI 53215 | 2019-08-15 |
1427510296 | Madelyn Pickle | Student in an Organized Health Care Education/Training Program | 2801 W. Kinnickinnic Rd Ste 250, Milwaukee, WI 53215 | 2019-04-02 |
1932601838 | Elizabeth D Morawski | Nurse Practitioner | 2801 Kinnickinnic Parkway, Suite 630, Milwaukee, WI 53215 | 2018-03-06 |
1457872673 | Canzata Kimberly Dent | Counselor | 2727 W. Cleveland Suite 204, Milwaukee, WI 53215 | 2017-06-28 |
1538689955 | Christian Pena | Durable Medical Equipment & Medical Supplies | 2800 W Forest Home Ave, Suite 100, Milwaukee, WI 53215 | 2017-06-27 |
1386178804 | Dane A Olsen | Family Medicine | 801 W Kinnickinnic River Pkwy., Suite 250, Milwaukee, WI 53215 | 2017-04-12 |
1811443492 | Thomas Diamond | Physical Therapist | 2901 Kinnickinnic Parkway, Milwaukee, WI 53215 | 2016-09-01 |
1487055133 | Sam Khalili | Otolaryngology | 2801 W Kinnickinnic River Pkwy # 680, Milwaukee, WI 53215 | 2014-09-12 |
1992105621 | Nicole R Hall | Nurse Practitioner | 2901 S Kinnickinnic Ave, Milwaukee, WI 53215 | 2014-08-29 |
Find all providers in zip 53215 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093348542 | Christopher Sean Lanctin | Physician Assistant | 557 N 17th St Apt 310, Milwaukee, WI 53233-2128 | 2020-02-12 |
1962056432 | Lyndsey Marie Bratberg | Physician Assistant | F&mcw Clinical Cancer Center 9200 W. Wisconsin Ave., Milwaukee, WI 53226 | 2019-08-01 |
1194956417 | Jessica Dawn Hagen | Physician Assistant | 5330 W. Villard Avenue, Milwaukee, WI 53218 | 2009-08-04 |
1245335868 | Mary Laan | Physician Assistant | 8901 N. 76th Street, Milwaukee, WI 53223 | 2006-09-14 |
1326081316 | Therese Ann Johnson | Physician Assistant | 3267 S 16th Street, Ems Office, Milwaukee, WI 53215 | 2006-06-14 |
1528054897 | Nicole Meyer Papermaster | Physician Assistant | 342 N Water St Ste 600, Milwaukee, WI 53202-5715 | 2005-09-22 |
1285232793 | Trina Kessel | Physician Assistant | 5000 W National Ave, Milwaukee, WI 53295-0001 | 2020-10-16 |
1124641113 | Emily Rose Johnson | Physician Assistant | 8701 W Watertown Plank Rd, Milwaukee, WI 53226-3548 | 2020-05-25 |
1487273561 | Savannah Mathe | Physician Assistant | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2020-04-09 |
1396374245 | Kristin Zutavern | Physician Assistant | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2020-04-03 |
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.