SUBBANNA JAYAPRAKASH, M.D., S.C. (NPI# 1477527380) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477527380 |
| Entity Type | Organization |
| Organization Name | SUBBANNA JAYAPRAKASH, M.D., S.C. |
| Other Organization Name | REHABILITATION PHYSICIANS OF RACINE |
| Practice Address |
6015 Durand Ave 500 Racine WI 53406-5089 |
| Practice Telephone | 2625981001 |
| Mailing Telephone | 2625981001 |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | SUBBANNA JAYAPRAKASH (OWNER) |
| Authorized Official Telephone | 2625981001 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation | 27676 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 31477200 | 05 | |
| WI | 32783300 | 05 |
| Other Name | Type Code |
|---|---|
| Rehabilitation Physicians of Racine | Doing Business As Name - Organization |
| Street Address |
6015 DURAND AVE 500 |
| City | RACINE |
| State | WI |
| Zip Code | 53406-5089 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326310459 | Rondi J Rork Phd LLC | Psychologist | 6015 Durand Ave, Suite 450, Racine, WI 53406-5089 | 2012-02-06 |
| 1831480094 | Sb Hanson Lcsw, LLC | Social Worker | 6015 Durand Ave, Suite 450, Racine, WI 53406-5089 | 2011-04-22 |
| 1609983071 | Carol Ann Norton | Counselor | 6015 Durand Ave, #400, Racine, WI 53406-5044 | 2006-08-23 |
| 1154438562 | Kimberlee M Moster | Counselor | 6015 Durand Ave, #400, Racine, WI 53406-5044 | 2006-08-23 |
| 1669499679 | Wisconsin Surgical Associates, S.c. | Specialist | 6015 Durand Ave, Suite 500, Racine, WI 53406-5089 | 2006-07-16 |
| 1134146152 | Nader I Salti | Specialist | 6015 Durand Ave, Suite 500, Racine, WI 53406-5089 | 2006-07-16 |
| 1154377414 | Rondi J Rork | Psychologist | 6015 Durand Ave, Ste 450, Racine, WI 53406-5089 | 2006-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578164349 | Lynn Huynh | Pharmacist | 5695 Washington Ave, Racine, WI 53406 | 2020-11-06 |
| 1659920049 | Carol Jean Cornejo | Technician | 6528 Heritage Avenue, Mt Pleasant, WI 53406 | 2019-09-09 |
| 1265913958 | Mary Goldbeck | Social Worker | 1775 Newman Rd, Mt Pleasant, WI 53406 | 2018-08-22 |
| 1669963344 | Kelly Nicole Nelson | Registered Nurse | 8800 Washington Ave Ste 200, Mount Pleasant, WI 53406 | 2018-05-29 |
| 1891212163 | Ilona Agata Pryomski | Nurse Practitioner | 9201 Washington Ave, Racine, WI 53406 | 2017-08-27 |
| 1386185106 | Margaret M. Abaogye Dds | Dentist | 4340 Newman Rd., Racine, WI 53406 | 2017-03-13 |
| 1508309212 | Rebecca Koeppen | Dietitian, Registered | 8400 Washington Ave., Racine, WI 53406 | 2016-11-29 |
| 1386194371 | Forefront Dermatology, S.c. | Dermatology | 7200 Washington Ave, Suite 100, Mount Pleasant, WI 53406 | 2016-10-13 |
| 1356891402 | Forefront Dermatology, S.c. | Dermatology | 1515 S Green Bay Rd, Racine, WI 53406 | 2016-10-12 |
| 1861841470 | Leah Marie Johnson | Dentist | 1101 South Airline Road, Racine, WI 53406 | 2016-06-06 |
| Find all providers in zip 53406 | ||||
| Taxonomy Code | 208100000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices. |
| 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 Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. American Osteopathic Board of Physical Medicine and Rehabilitation, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Physical Medicine and Rehabilitation. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609206622 | Andrew Mach | Physical Medicine & Rehabilitation | 1455 Hickory Way, Racine, WI 53405-1713 | 2013-11-13 |
| 1568450211 | Subbanna Jayaprakash | Physical Medicine & Rehabilitation | 3811 Spring St, Suite 301, Racine, WI 53405-1667 | 2005-10-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720610389 | Big Stone Medical LLC | Physical Medicine & Rehabilitation | 6211 Durand Ave Ste 100, Mount Pleasant, WI 53406-4956 | 2020-02-11 |
| 1235782152 | Industrial Therapy Solutions LLC | Physical Medicine & Rehabilitation | 4915 W Grande Market Dr, Appleton, WI 54913-8525 | 2019-07-19 |
| 1508347287 | Tyler James Syltie | Physical Medicine & Rehabilitation | 4855 W Electric Ave, West Milwaukee, WI 53219-1628 | 2018-08-22 |
| 1366942195 | Lanna Boyle | Physical Medicine & Rehabilitation | E1132 Hillcrest Dr, Waupaca, WI 54981 | 2018-02-19 |
| 1285146050 | Sydney Marie Schultz | Physical Medicine & Rehabilitation | 200 S. Ninth Street, De Pere, WI 54115 | 2017-11-01 |
| 1154840569 | Ashley Friedenfels | Physical Medicine & Rehabilitation | E4486 290th Avenue, Menomonie, WI 54751 | 2017-09-18 |
| 1730601493 | Baycare Clinic LLP | Physical Medicine & Rehabilitation | 10624 N Port Washington Rd, Mequon, WI 53092-5049 | 2017-07-13 |
| 1235659343 | Anders Hendricks | Physical Medicine & Rehabilitation | 5708 75th St Ste B, Kenosha, WI 53142-3635 | 2017-06-21 |
| 1720433790 | Orthopaedic Associates of Wisconsin Sc | Physical Medicine & Rehabilitation | 1231 S Rochester St Ste 100, Mukwonago, WI 53149 | 2016-04-27 |
| 1295146785 | Aryn L. Slack | Physical Medicine & Rehabilitation | E7404 County Road Bb, Viroqua, WI 54665 | 2014-05-19 |
| 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.