SHALOM MEDICAL INC (NPI# 1417318635) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417318635 |
| Entity Type | Organization |
| Organization Name | SHALOM MEDICAL INC |
| Practice Address |
977 Green Ridge Dr De Pere WI 54115-7656 |
| Practice Telephone | 7185308357 |
| Practice Fax Number | 9203289050 |
| Enumeration Date | 2016-03-15 |
| Last Update Date | 2016-03-15 |
| Authorized Official Name | ADETUJNI ADEJUMO (OWNER) |
| Authorized Official Telephone | 7185308357 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
Allopathic & Osteopathic Physicians |
| Street Address |
977 GREEN RIDGE DR |
| City | DE PERE |
| State | WI |
| Zip Code | 54115-7656 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871138073 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 723 Main Ave, Depere, WI 54115 | 2019-11-12 |
| 1568928083 | Stephanie J Towle | Speech-Language Pathologist | 200 S. 9th St, De Pere, WI 54115 | 2019-02-20 |
| 1164988499 | Maribel L Zoeller | Physical Therapy Assistant | 200 S. 9th Street, Depere, WI 54115 | 2019-02-12 |
| 1255897641 | Elizabeth Eberius | Acupuncturist | 3311 S. Packerland Drive, Suite A #20, De Pere, WI 54115 | 2019-02-11 |
| 1548750458 | Jordyn E Arndt | Physical Therapist | 1601 Lawrence Dr Ste 100, De Pere, WI 54115 | 2018-05-16 |
| 1588153514 | David Nowakowski | Registered Nurse | 158 Cavil Way, De Pere, WI 54115 | 2018-05-04 |
| 1457858557 | Rennes Assisted Living Corp. | Assisted Living Facility | 1150 Lois Street, Depere, WI 54115 | 2018-04-06 |
| 1518473966 | Kirsten Lynne Masrelian | Behavioral Analyst | 2073 Lawrence Dr, De Pere, WI 54115 | 2017-12-21 |
| 1285146050 | Sydney Marie Schultz | Physical Medicine & Rehabilitation | 200 S. Ninth Street, De Pere, WI 54115 | 2017-11-01 |
| 1134666514 | Nicole L Bickham | Psychologist | 416 George St Ste 108, De Pere, WI 54115 | 2017-01-24 |
| Find all providers in zip 54115 | ||||
| Taxonomy Code | 207RI0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Infectious Disease |
| An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
| 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 |
|---|---|---|---|---|
| 1689060188 | Loren Nunley | Internal Medicine | 8701 W Watertown Plank Rd # Huba8143, Milwaukee, WI 53226-3548 | 2015-04-10 |
| 1740420173 | Jeffrey Malden Jones | Internal Medicine | 5738 Richmond Dr, Fitchburg, WI 53719-1606 | 2009-02-25 |
| 1912144692 | Gerald J Dorff, Md | Internal Medicine | W358s2796 Highway 67, Dousman, WI 53118-9665 | 2009-01-16 |
| 1851434492 | Thomas H Dee | Internal Medicine | 3500 Oak Hill Ct, Brookfield, WI 53005-2115 | 2007-02-14 |
| 1568508307 | Matthew George Erickson | Internal Medicine | 2701 University Ave, Suite 414, Madison, WI 53705-3700 | 2007-01-29 |
| 1417039124 | Muhammad Asif Iqbal | Internal Medicine | 13880 W Prairie Ln, New Berlin, WI 53151-7509 | 2006-10-20 |
| 1144261827 | Mark Andrew Beilke | Internal Medicine | 4110 S. Lake Drive, Unit 47, St. Francis, WI 53235 | 2006-06-10 |
| 1871533265 | Ravindra Karmarkar, Md, Sc | Internal Medicine | 11625 N Riverland Rd, Mequon, WI 53092-2736 | 2006-06-07 |
| 1356380372 | Ravindra Shrinivas Karmarkar | Internal Medicine | 1700 E Juniper Way, Hartland, WI 53029-8669 | 2006-06-05 |
| 1053368431 | Salim A Torania, M.d,. S.c. | Internal Medicine | 9223 Wyndham Hills Ct, Franklin, WI 53132-8220 | 2006-05-30 |
| 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.