DR. MOHSIN YUNUS GHADIALI (NPI# 1417272667) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417272667 |
| Entity Type | Individual |
| Full Name | DR. MOHSIN YUNUS GHADIALI |
| Credential | M.D. |
| Practice Address |
6308 8th Ave Kenosha WI 53143-5031 |
| Mailing Address |
6 N Park St Watertown MA 02472-2561 |
| Practice Telephone | 4142906720 |
| Practice Fax Number | 4142906755 |
| Mailing Telephone | 6309916713 |
| Mailing Fax Number | 6309916713 |
| Enumeration Date | 2010-03-31 |
| Last Update Date | 2020-04-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
63593-20 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | RAILROAD MEDICARE | P01698310 | 01 |
| Street Address |
6308 8TH AVE |
| City | KENOSHA |
| State | WI |
| Zip Code | 53143-5031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366440851 | Janet S Barney | Nurse Practitioner | 6308 8th Ave, Suite 2000, Kenosha, WI 53143-5031 | 2005-07-08 |
| 1669094165 | Simona Slavinskiene | Nurse Practitioner | 6308 8th Ave, Kenosha, WI 53143-5031 | 2020-05-07 |
| 1366063133 | Lisa Neyens | Pharmacist | 6308 8th Ave, Kenosha, WI 53143-5031 | 2020-05-02 |
| 1164056727 | Michael James Church | Physician Assistant | 6308 8th Ave, Kenosha, WI 53143-5031 | 2020-02-23 |
| 1215593009 | Ihc-wound Care Services LLC | Emergency Medicine | 6308 8th Ave, Kenosha, WI 53143-5031 | 2019-05-16 |
| 1609358357 | Samantha M Rhodes | Physical Therapist | 6308 8th Ave, Kenosha, WI 53143-5031 | 2018-08-29 |
| 1063953784 | Megan Roethle | Registered Nurse | 6308 8th Ave, Kenosha, WI 53143-5031 | 2017-03-14 |
| 1043678683 | Sarah Rens | Physician Assistant | 6308 8th Ave, Kenosha, WI 53143-5031 | 2016-02-09 |
| 1922472422 | Catherine A Hernandez | Physician Assistant | 6308 8th Ave, Kenosha, WI 53143-5031 | 2015-11-20 |
| 1750779856 | Elliot M Simon | Physician Assistant | 6308 8th Ave, Suite 1020, Kenosha, WI 53143-5031 | 2014-12-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891262275 | Shanda L Goecks | Registered Nurse | 6916 26th Ave, Kenosha, WI 53143 | 2018-10-24 |
| 1689942989 | Racine Kenosha Community Action Agency | Public Health or Welfare | 2000 63rd Street, Kenosha, WI 53143 | 2011-12-01 |
| 1538497797 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 7525 Sheridan Rd, Kenosha, WI 53143 | 2009-11-30 |
| 1497929012 | Ebba M Johnson | Physical Therapist | 524 74th Street, Kenosha, WI 53143 | 2008-04-15 |
| 1770789489 | Kenosha Community Health Center, Inc | Family Medicine | 6226 14th Ave, Kenosha, WI 53143 | 2007-06-21 |
| 1558413161 | Junith M Thompson | Obstetrics & Gynecology | 6530 Sheridan Road, Kenosha, WI 53143 | 2007-01-17 |
| 1154471332 | Ljh Ambulance, Inc | Ambulance | 6329 28th Ave, Kenosha, WI 53143 | 2007-01-11 |
| 1578625794 | Michael A Schellpfeffer Md Ob Gyn Sc | Obstetrics & Gynecology | 1400 75th Street, Kenosha, WI 53143 | 2006-12-14 |
| 1457468654 | Yasmine S Sido | Physician Assistant | 7550 22nd Ave, Kenosha, WI 53143 | 2006-08-24 |
| 1356307359 | Nancy Jane Houtchens | Dentist | 7533 22nd Ave, Ste 100, Kenosha, WI 53143 | 2006-04-26 |
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| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285683284 | Ihc-kenosha Radiology, LLC | Radiology | 6308 8th Avenue, Uhs Kenosha Campus, Kenosha, WI 53143-5031 | 2006-05-08 |
| 1538127816 | Mri & Imaging of Wisconsin Inc | Radiology | 8500 75th St, Suite 106, Kenosha, WI 53142-8213 | 2006-05-03 |
| 1043509680 | Massihullah Hamidi | Radiology | 10400 75th St, Kenosha, WI 53142-7884 | 2011-04-05 |
| 1689998148 | Luke A Falesch | Radiology | 10400 75th St, Kenosha, WI 53142-7884 | 2010-03-26 |
| 1932204146 | Michael Alan Price | Radiology | 6308 8th Ave, Kenosha, WI 53143-5031 | 2006-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487264511 | Howard Simon Md PC | Radiology | 3960 Hillside Dr Ste 106, Delafield, WI 53018-2148 | 2020-08-04 |
| 1952951154 | Premier Radiology Wisconsin, LLC | Radiology | 10180 Washington Ave Ste 101, Mt Pleasant, WI 53177-1604 | 2019-09-19 |
| 1013478635 | Troy Nelson Tenbrunsel | Radiology | Uw Hospitals & Clinics 600 Highland Road, Madison, WI 53792-0001 | 2019-03-27 |
| 1336660216 | Kevin Shuai Lian | Radiology | 420 W Dayton St Unit 1142, Madison, WI 53703 | 2017-06-30 |
| 1346774726 | Molly Peterson | Radiology | 2639 University Ave Ste 201, Madison, WI 53705-3750 | 2017-04-12 |
| 1821445107 | Ryan Griesbach | Radiology | Uw Hospitals and Clinic, 600 Highland Ave, Madison, WI 53792-0001 | 2016-05-17 |
| 1629442181 | Dysphagia Testing, LLC | Radiology | 10638 Hidden Creek Dr, Mequon, WI 53092-8538 | 2015-11-20 |
| 1679987341 | Daniel Joseph Baumel | Radiology | 513 Clifden Dr, Madison, WI 53711-1530 | 2014-06-20 |
| 1235549247 | Benjamin Sawatzky | Radiology | 9 S Marquette St, Madison, WI 53704-5117 | 2014-04-29 |
| 1285054064 | Matthew Gregory Pipho | Radiology | 9306 Briar Haven Dr, Verona, WI 53593-8791 | 2014-04-21 |
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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.