JEID SC (NPI# 1457625709) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457625709 |
| Entity Type | Organization |
| Organization Name | JEID SC |
| Practice Address |
3237 S 16th St Milwaukee WI 53215-4526 |
| Mailing Address |
101 Munson St Suite 202 Greenfield MA 01301-9684 |
| Practice Telephone | 4146475000 |
| Mailing Telephone | 4137728500 |
| Mailing Fax Number | 4137728900 |
| Enumeration Date | 2012-03-05 |
| Last Update Date | 2012-05-18 |
| Authorized Official Name | JAIRO ERASO (PRESIDENT) |
| Authorized Official Telephone | 4143643037 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
50877-20 | WI | Allopathic & Osteopathic Physicians |
| Street Address |
3237 S 16TH ST |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53215-4526 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336135375 | Don Suk Lee | Internal Medicine | 3237 S 16th St, Milwaukee, WI 53215-4526 | 2005-09-26 |
| 1235730672 | Laura Marie Steele | Dietitian, Registered | 3237 S 16th St, Milwaukee, WI 53215-4526 | 2020-11-03 |
| 1912527318 | Benjamin Modrell | Pharmacist | 3237 S 16th St, Milwaukee, WI 53215-4526 | 2020-04-26 |
| 1316571896 | Jonathan D Krueger | Pharmacist | 3237 S 16th St, Milwaukee, WI 53215-4526 | 2020-02-24 |
| 1316508617 | Anna Kathryn Baker | Physician Assistant | 3237 S 16th St, Milwaukee, WI 53215-4526 | 2019-06-26 |
| 1740766971 | Diana Jean Maier | Health Educator | 3237 S 16th St, Milwaukee, WI 53215-4526 | 2018-07-11 |
| 1669973632 | Brian T Prost | Nurse Anesthetist, Certified Registered | 3237 S 16th St, Milwaukee, WI 53215-4526 | 2018-02-26 |
| 1053827410 | Alisa Orel | Dietitian, Registered | 3237 S 16th St, Milwaukee, WI 53215-4526 | 2017-12-21 |
| 1922523836 | Freddie J. Mertzig | Nurse Practitioner | 3237 S 16th St, Milwaukee, WI 53215-4526 | 2017-08-11 |
| 1467816561 | Girma Tesfaye Beyene | Internal Medicine | 3237 S 16th St, Milwaukee, WI 53215-4526 | 2016-04-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841829918 | Joshua Michael Brooks | Student in an Organized Health Care Education/Training Program | Aurora St. Lukes Medical Center 2901 W Oklahoma Ave, Milwaukee, WI 53215 | 2020-04-02 |
| 1053967091 | Kristina Strupp | Clinical Nurse Specialist | 2900 W. Oaklahoma Avenue, Milwaukee, WI 53215 | 2019-08-15 |
| 1427510296 | Madelyn Pickle | Student in an Organized Health Care Education/Training Program | 2801 W. Kinnickinnic Rd Ste 250, Milwaukee, WI 53215 | 2019-04-02 |
| 1932601838 | Elizabeth D Morawski | Nurse Practitioner | 2801 Kinnickinnic Parkway, Suite 630, Milwaukee, WI 53215 | 2018-03-06 |
| 1457872673 | Canzata Kimberly Dent | Counselor | 2727 W. Cleveland Suite 204, Milwaukee, WI 53215 | 2017-06-28 |
| 1538689955 | Christian Pena | Durable Medical Equipment & Medical Supplies | 2800 W Forest Home Ave, Suite 100, Milwaukee, WI 53215 | 2017-06-27 |
| 1386178804 | Dane A Olsen | Family Medicine | 801 W Kinnickinnic River Pkwy., Suite 250, Milwaukee, WI 53215 | 2017-04-12 |
| 1811443492 | Thomas Diamond | Physical Therapist | 2901 Kinnickinnic Parkway, Milwaukee, WI 53215 | 2016-09-01 |
| 1487055133 | Sam Khalili | Otolaryngology | 2801 W Kinnickinnic River Pkwy # 680, Milwaukee, WI 53215 | 2014-09-12 |
| 1992105621 | Nicole R Hall | Nurse Practitioner | 2901 S Kinnickinnic Ave, Milwaukee, WI 53215 | 2014-08-29 |
| Find all providers in zip 53215 | ||||
| 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 |
| 1730134669 | Sheetal Kandiah, Md, LLC | Internal Medicine | 1920 N Farwell Ave, Unit 403, Milwaukee, WI 53202-1571 | 2006-05-22 |
| 1508821935 | Donna I Whittle | Internal Medicine | 2801 W Kinnickinnic River Pkwy Ste 436, Milwaukee, WI 53215-3693 | 2006-04-19 |
| 1346210564 | Ather H Syed | Internal Medicine | 2901 W Kinnickinnic River Pkwy Ste 200, Milwaukee, WI 53215-3660 | 2006-01-23 |
| 1871023713 | Kevin Robertson | Internal Medicine | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2017-06-13 |
| 1285977330 | Khadieja Mirza Khalid | Internal Medicine | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2013-03-27 |
| 1447508577 | Javeria Haque | Internal Medicine | 9200 W Wisconsin Ave, Infectious Diseases, Milwaukee, WI 53226-3522 | 2012-08-21 |
| 1104111376 | Timothy Joseph Baures | Internal Medicine | 2301 N Lake Dr, Milwaukee, WI 53211-4508 | 2011-06-15 |
| 1174822480 | Midwest Infectious Disease | Internal Medicine | 2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 | 2011-03-25 |
| 1154649150 | Anna B Corey | Internal Medicine | 9200 W Wisconsin Avenue, Infectious Diseases, Milwaukee, WI 53226-3522 | 2010-05-14 |
| Find all providers in MILWAUKEE | ||||
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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.