NATHANIEL S JALIL (NPI# 1417043449) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417043449 |
| Entity Type | Individual |
| Full Name | NATHANIEL S JALIL |
| Credential | MD |
| Practice Address |
2116 Craig Road Eau Claire WI 54701 |
| Mailing Address |
1000 N Oak Ave Marshfield WI 54449-5777 |
| Practice Telephone | 7158584718 |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2010-03-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 34338 | WI | Allopathic & Osteopathic Physicians |
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
34338 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 31936300 | 05 |
| Street Address |
2116 CRAIG ROAD |
| City | EAU CLAIRE |
| State | WI |
| Zip Code | 54701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548372998 | Becky Gunthert | Advanced Practice Midwife | 2116 Craig Road, Eau Claire, WI 54701 | 2006-08-31 |
| 1407400138 | Brandon Scott Fraleigh | Physical Therapist | 2116 Craig Road, Eau Claire, WI 54701-6149 | 2019-07-31 |
| 1255701165 | Grace Lutheran Foundation, Inc | Skilled Nursing Facility | 2116 Craig Road, Eau Claire, WI 54701 | 2015-10-05 |
| 1710368535 | Karlee Bitney | Specialist/Technologist | 2116 Craig Road, Eau Claire, WI 54701-6149 | 2015-06-17 |
| 1316021348 | Jennifer Polnaszek | Physician Assistant | 2116 Craig Road, Eau Claire, WI 54701 | 2006-10-25 |
| 1063595403 | Rebecca A Bredl | Audiologist | 2116 Craig Road, Eau Claire, WI 54701 | 2006-10-21 |
| 1790867968 | Lawrence Scherrer | Dermatology | 2116 Craig Road, Eau Claire, WI 54701 | 2006-10-19 |
| 1205918471 | Christine Murphy | Dermatology | 2116 Craig Road, Eau Claire, WI 54701 | 2006-10-19 |
| 1700975232 | Steven S Santos | Nurse Anesthetist, Certified Registered | 2116 Craig Road, Eau Claire, WI 54701 | 2006-10-12 |
| 1700971082 | Andy J Ruder | Optometrist | 2116 Craig Road, Eau Claire, WI 54701 | 2006-10-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649887563 | Molly Amanda Haferman | Pharmacist | 3184 London Road, Eau Claire, WI 54701 | 2020-09-24 |
| 1194375915 | Moments Hospice of Eau Claire LLC | Hospice Care, Community Based | 2263 East Ridge Center, Eau Claire, WI 54701 | 2019-09-13 |
| 1043778228 | Rita Marie Acosta | Emergency Medical Technician, Basic | 509 University Dr, Mcphee Atr, Eau Claire, WI 54701 | 2019-03-07 |
| 1619450954 | Michael Brown | Case Manager/Care Coordinator | 102 S Barstow St, Eau Claire, WI 54701 | 2018-09-12 |
| 1417436569 | Valerie Jayne Both | Social Worker | 1000 Starr Avenue, Eau Claire, WI 54701 | 2018-08-09 |
| 1023519055 | Rachel Delanois | Specialist/Technologist | Kinesiology --mcphee Physical Education Center 208, 509 University Drive, Eau Claire, WI 54701 | 2018-02-25 |
| 1427564863 | Matayla Springstroh | Specialist/Technologist | 509 University Drive, Eau Claire, WI 54701 | 2017-12-21 |
| 1265981062 | Molly Hart | Student in an Organized Health Care Education/Training Program | 509 University Dr., Eau Claire, WI 54701 | 2016-09-22 |
| 1982051918 | Renee Teigen-stary | Registered Nurse | 3440 Oakwood Hills Parkway, Eau Claire, WI 54701 | 2016-05-19 |
| 1699104059 | Susan Marie Keller | Speech-Language Pathologist | 3656 Mull Dr., Dove Healthcare - South, Eau Claire, WI 54701 | 2013-11-06 |
| Find all providers in zip 54701 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| 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 |
|---|---|---|---|---|
| 1003872417 | Patrick D Macken | Internal Medicine | 1425 Elderberry Ln, Eau Claire, WI 54701-9425 | 2006-04-25 |
| 1104235571 | Jaime Jimenez Lopez | Internal Medicine | 1400 Bellinger St, Eau Claire, WI 54703 | 2014-08-10 |
| 1710393145 | Praveen Errabelli | Internal Medicine | 1400 Bellinger St, Eau Claire, WI 54703-5222 | 2014-07-07 |
| 1669628632 | Jason Richard Bydash | Internal Medicine | 3802 Oakwood Mall Dr, Eau Claire, WI 54701-3016 | 2008-08-11 |
| 1982654851 | Suhail B Shuja | Internal Medicine | 1400 Bellinger St, Eau Claire, WI 54703-5222 | 2006-05-11 |
| 1750348629 | William James Maierhofer | Internal Medicine | 1400 Bellinger St, Eau Claire, WI 54703-5222 | 2006-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841823390 | Kelby Roholt | Internal Medicine | 305 E Mahn Ct, Oak Creek, WI 53154-2101 | 2020-02-12 |
| 1477186922 | Sydney Kemps | Internal Medicine | 507 N 17th St, Milwaukee, WI 53233-5495 | 2020-02-12 |
| 1053708511 | Rishi Kora | Internal Medicine | 5650 N Green Bay Ave Ste 210, Glendale, WI 53209-4447 | 2015-04-22 |
| 1841523818 | Sana Waheed | Internal Medicine | 301 S Yellowstone Dr Apt 306, Madison, WI 53705-4378 | 2009-09-09 |
| 1841426798 | Wisconsin Vascular Access and Nephrology | Internal Medicine | 1962 N Prospect Ave # 310, Milwaukee, WI 53202-1414 | 2009-06-05 |
| 1184865099 | Zurab Albekioni | Internal Medicine | 3000 Westhill Dr Ste 108, Wausau, WI 54401-3795 | 2009-03-23 |
| 1104095017 | Mark Y Nunag | Internal Medicine | 2050 Continential Drive, West Bend, WI 53095 | 2008-02-25 |
| 1649448259 | Crystalkinetics, LLC | Internal Medicine | 4113 N Lake Dr, Shorewood, WI 53211-1720 | 2008-02-16 |
| 1699975193 | Dawn Wolfgram | Internal Medicine | 5000 W National Ave # Cc-111k, Milwaukee, WI 53295-1000 | 2007-07-23 |
| 1366657710 | Deepak Sharma | Internal Medicine | 7797 W Appletone Ave, Milwaukee, WI 53222 | 2007-05-11 |
| Find all providers with the same taxonomy | ||||
| City | EAU CLAIRE |
| Zip Code | 54701 |
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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.