DESIREE DIZADJI (NPI# 1447276712) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447276712 |
| Entity Type | Individual |
| Full Name | DESIREE DIZADJI |
| Credential | MD |
| Practice Address |
3803 Spring St Suite 410 Racine WI 53405-1660 |
| Practice Telephone | 2626878260 |
| Practice Fax Number | 2626878729 |
| Mailing Telephone | 2626878260 |
| Mailing Fax Number | 2626878729 |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2010-09-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
46845 | WI | Allopathic & Osteopathic Physicians |
| Street Address |
3803 SPRING ST SUITE 410 |
| City | RACINE |
| State | WI |
| Zip Code | 53405-1660 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508896671 | Iftekhar Bader | Internal Medicine | 3803 Spring St, Ste 600, Racine, WI 53405-1660 | 2006-07-04 |
| 1194972711 | Grace Serrano Damrow | Nurse Practitioner | 3803 Spring St, Suite 600, Racine, WI 53405-1660 | 2008-08-26 |
| 1902015167 | Joel William Niebuhr | Internal Medicine | 3803 Spring St, Suite 600, Racine, WI 53405 | 2007-05-22 |
| 1265655732 | Jennifer A Niederstadt | Nurse Practitioner | 3803 Spring St, Suite 410, Racine, WI 53405-1660 | 2007-04-11 |
| 1710051271 | Michael L. Papp | Internal Medicine | 3803 Spring St, Racine, WI 53405-3594 | 2006-11-17 |
| 1316957491 | Suzana Zamecnik | Nurse Practitioner | 3803 Spring St, Suite 410, Racine, WI 53405-1660 | 2006-08-09 |
| 1851301675 | James Tierney | Internal Medicine | 3803 Spring St, Suite 410, Racine, WI 53405-1660 | 2006-08-08 |
| 1841200383 | Kaye-eileen Willard | Internal Medicine | 3803 Spring St, Suite 410, Racine, WI 53405-1660 | 2006-08-08 |
| 1972512895 | Ranganatharao Sriram | Internal Medicine | 3803 Spring St, Suite 410, Racine, WI 53405-1660 | 2006-08-07 |
| 1346264223 | Howard W. Short | Internal Medicine | 3803 Spring St, Suite 410, Racine, WI 53405-1660 | 2006-07-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609407923 | Anita Kathy Nykaza | Dietitian, Registered | 3805 A Suite 311, Racine, WI 53405 | 2020-01-27 |
| 1023666062 | Shawn L Drulia | Physician Assistant | 3805 Spring St #320, Racine, WI 53405 | 2019-09-03 |
| 1235627720 | Oxygen One, Inc. | Durable Medical Equipment & Medical Supplies | 3805a Spring Street, Suite 210, Racine, WI 53405 | 2018-04-30 |
| 1356838650 | Melissa Metzger | Psychologist | 2340 Mohr Ave, Racine, WI 53405 | 2018-04-23 |
| 1689029217 | Melissa Ileen Swainston | Nurse Practitioner | 3803 Spring St., Suite Number 410, Racine, WI 53405 | 2016-05-02 |
| 1215305487 | Denetta Lauraelaine Flowers | Licensed Practical Nurse | 4311 Durand Ave., #104, Mt.pleasant, WI 53405 | 2015-09-04 |
| 1841675204 | Colleen Koderca | Registered Nurse | 3317-meachem Rd, Racine, WI 53405 | 2015-07-28 |
| 1790102986 | Georges Wakim | Specialist/Technologist | 3811 Spring St., Suite 102, Racine, WI 53405 | 2014-03-25 |
| 1982021176 | Matthew F Patzke | Specialist/Technologist | 3811 Spring Street Suite 102, Racine, WI 53405 | 2014-03-25 |
| 1073930269 | Jessica Geisler | Specialist/Technologist | 3811 Spring Street Suite #102, Racine, WI 53405 | 2014-03-25 |
| Find all providers in zip 53405 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1891749990 | Abha Malhotra | Internal Medicine | 3803 Spring Street, Suite 410, Racine, WI 53405-1660 | 2006-05-22 |
| 1851301675 | James Tierney | Internal Medicine | 3803 Spring St, Suite 410, Racine, WI 53405-1660 | 2006-08-08 |
| 1972512895 | Ranganatharao Sriram | Internal Medicine | 3803 Spring St, Suite 410, Racine, WI 53405-1660 | 2006-08-07 |
| 1346264223 | Howard W. Short | Internal Medicine | 3803 Spring St, Suite 410, Racine, WI 53405-1660 | 2006-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215414727 | Telemedico Physicians of Wisconsin Sc | Internal Medicine | 301 S Bedford St Ste 1, Madison, WI 53703-3691 | 2018-07-26 |
| 1649682667 | James King | Internal Medicine | 4540 S Sommerset Dr, New Berlin, WI 53151-6876 | 2014-05-26 |
| 1548686470 | Cullinane Cardiovascular Consultants, Sc | Internal Medicine | 317 N Lake Rd, Oconomowoc, WI 53066-7101 | 2014-03-17 |
| 1235492455 | David James Coulter | Internal Medicine | 2025 W Oklahoma Ave Ste 105, Milwaukee, WI 53215-4455 | 2012-06-21 |
| 1619234937 | Daniel R Harland | Internal Medicine | 2801 W Kinnickinnic River Pkwy Ste 880, Milwaukee, WI 53215-3678 | 2012-04-12 |
| 1295053106 | Setu D Trivedi | Internal Medicine | 10400 75th St Ste 212, Kenosha, WI 53142 | 2010-05-17 |
| 1336467554 | Expert Care Inc | Internal Medicine | 1111 E Sumner St, Suite A, Hartford, WI 53027-1609 | 2010-05-12 |
| 1548582547 | Moe Zafarani | Internal Medicine | 3215 W Lawrence St Ste 3, Appleton, WI 54914-4274 | 2010-02-18 |
| 1073844932 | James Harry Thomsen | Internal Medicine | 7709 Twinflower Dr, Madison, WI 53719-4544 | 2010-01-15 |
| 1740419019 | Thomas James Karras | Internal Medicine | 212 S Turtle Bay, Elkhart Lake, WI 53020-1985 | 2009-07-08 |
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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.