PHENU V ZACHARIAH (NPI# 1386838340) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386838340 |
| Entity Type | Individual |
| Full Name | PHENU V ZACHARIAH |
| Credential | DO |
| Practice Address |
1151 Warwick Way Racine WI 53406-5661 |
| Mailing Address |
3301 W Forest Home Ave Milwaukee WI 53215-2843 |
| Practice Telephone | 2623216300 |
| Practice Fax Number | 2623216301 |
| Mailing Telephone | 4143892338 |
| Mailing Fax Number | 4143858987 |
| Enumeration Date | 2007-09-04 |
| Last Update Date | 2019-09-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
70454 | WI | Allopathic & Osteopathic Physicians |
| N | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
2010020902 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 100084384 | 05 | |
| MO | RR MEDICARE | P00866350 | 01 |
| MO | 1598759169 | 05 |
| Street Address |
1151 WARWICK WAY |
| City | RACINE |
| State | WI |
| Zip Code | 53406-5661 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053302729 | Michael Mullane | Internal Medicine | 1151 Warwick Way, Racine, WI 53406-5661 | 2005-11-02 |
| 1518057512 | Sana Jeffreys | Internal Medicine | 1151 Warwick Way, Racine, WI 53406-5661 | 2006-10-13 |
| 1265453070 | Michael Alan Thompson | Internal Medicine | 1151 Warwick Way, Aurora Health Care, Racine, WI 53406 | 2006-07-21 |
| 1417922949 | Antony Ruggeri | Internal Medicine | 1151 Warwick Way, Racine, WI 53406-5661 | 2006-02-20 |
| 1588655351 | Kelly Konesko | Nurse Practitioner | 1151 Warwick Way, Racine, WI 53406-5661 | 2005-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578164349 | Lynn Huynh | Pharmacist | 5695 Washington Ave, Racine, WI 53406 | 2020-11-06 |
| 1659920049 | Carol Jean Cornejo | Technician | 6528 Heritage Avenue, Mt Pleasant, WI 53406 | 2019-09-09 |
| 1265913958 | Mary Goldbeck | Social Worker | 1775 Newman Rd, Mt Pleasant, WI 53406 | 2018-08-22 |
| 1669963344 | Kelly Nicole Nelson | Registered Nurse | 8800 Washington Ave Ste 200, Mount Pleasant, WI 53406 | 2018-05-29 |
| 1891212163 | Ilona Agata Pryomski | Nurse Practitioner | 9201 Washington Ave, Racine, WI 53406 | 2017-08-27 |
| 1386185106 | Margaret M. Abaogye Dds | Dentist | 4340 Newman Rd., Racine, WI 53406 | 2017-03-13 |
| 1508309212 | Rebecca Koeppen | Dietitian, Registered | 8400 Washington Ave., Racine, WI 53406 | 2016-11-29 |
| 1386194371 | Forefront Dermatology, S.c. | Dermatology | 7200 Washington Ave, Suite 100, Mount Pleasant, WI 53406 | 2016-10-13 |
| 1356891402 | Forefront Dermatology, S.c. | Dermatology | 1515 S Green Bay Rd, Racine, WI 53406 | 2016-10-12 |
| 1861841470 | Leah Marie Johnson | Dentist | 1101 South Airline Road, Racine, WI 53406 | 2016-06-06 |
| Find all providers in zip 53406 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386759389 | Steven Rabinowe | Internal Medicine | 4077 Lighthouse Dr, Racine, WI 53402-3113 | 2006-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649595588 | Irina Ciubotaru | Internal Medicine | 3807 Spring St Ste 310, Mount Pleasant, WI 53405-1667 | 2010-04-05 |
| 1477876068 | Gretajo Northrop | Internal Medicine | 226 N Meadow Ln, Madison, WI 53705-3331 | 2010-03-10 |
| 1457588246 | Earl Shrago | Internal Medicine | 1415 Linden Dr, Univ. Wisc., Madison, WI 53706-1527 | 2009-06-18 |
| 1679735997 | Diabetes Osteoporosis Thyroid Endocrine Center, LLC | Internal Medicine | 1532 S Green Bay Rd Ste 300, Mount Pleasant, WI 53406-4410 | 2008-06-27 |
| 1184897357 | Eshraq Al-jaghbeer | Internal Medicine | 2801 W Kinnickinnic River Pkwy Ste 245, Milwaukee, WI 53215-3678 | 2008-04-09 |
| 1205028487 | Jolita Satkus | Internal Medicine | 2801 W Kinnickinnic River Pkwy Ste 260, Milwaukee, WI 53215 | 2007-08-13 |
| 1437206893 | Farah Salahuddin | Internal Medicine | 3601 30th Avenue, Suite 203, Endocrine Clinic of Kenosha, Kenosha, WI 53144-1632 | 2007-01-05 |
| 1306906664 | Hak-joong Kim | Internal Medicine | 5757 W Oklahoma Ave, Suite 101, Milwaukee, WI 53219-4303 | 2006-12-09 |
| 1093823130 | Thomas Kelly | Internal Medicine | 201 Nth Mayfair Rd, 2nd Floor, Wauwatosa, WI 53226 | 2006-08-28 |
| 1508898818 | Chandra S Reddy | Internal Medicine | S2845 White Eagle Rd, Ho-chunk House of Wellness, Baraboo, WI 53913 | 2006-07-07 |
| Find all providers with the same taxonomy | ||||
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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.