TANRITAI WYLLIE (NPI# 1598938912) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598938912 |
| Entity Type | Individual |
| Full Name | TANRITAI WYLLIE |
| Credential | M.D. |
| Practice Address |
8375 S Howell Ave Oak Creek WI 53154-8344 |
| Practice Telephone | 4147645726 |
| Practice Fax Number | 4147646954 |
| Mailing Telephone | 4147645726 |
| Mailing Fax Number | 4147646954 |
| Enumeration Date | 2008-04-07 |
| Last Update Date | 2014-06-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 53900 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 1598938912 | 05 |
| Street Address |
8375 S HOWELL AVE |
| City | OAK CREEK |
| State | WI |
| Zip Code | 53154-8344 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063418416 | Steven R Chybowski | Dentist | 8375 S Howell Ave, #201, Oak Creek, WI 53154-8344 | 2005-06-21 |
| 1972014017 | Melissa Ann Papelbon | Nurse Practitioner | 8375 S Howell Ave, Oak Creek, WI 53154-8344 | 2017-10-16 |
| 1700301868 | Children's Health System, Inc. | Pediatrics | 8375 S Howell Ave, Oak Creek, WI 53154-8344 | 2017-08-10 |
| 1750702932 | Lynelle Jean Fischer | Nurse Practitioner | 8375 S Howell Ave, Oak Creek, WI 53154-8344 | 2013-12-14 |
| 1033451455 | Mallory Hannah Salentine | Pediatrics | 8375 S Howell Ave, Oak Creek, WI 53154-8344 | 2013-03-24 |
| 1659546877 | Children's Medical Group | Pediatrics | 8375 S Howell Ave, Oak Creek, WI 53154-2924 | 2008-04-29 |
| 1770755829 | Kathrynn Anne Fee | Pediatrics | 8375 S Howell Ave, Oak Creek, WI 53154-8344 | 2008-03-28 |
| 1710184080 | Syeda Qudsia-fatima Khalid | Pediatrics | 8375 S Howell Ave, Oak Creek, WI 53154-8344 | 2007-06-29 |
| 1851408173 | Maria Estelita Quejada | Pediatrics | 8375 S Howell Ave, Oak Creek, WI 53154-8344 | 2006-08-23 |
| 1174638142 | Progressive Pediatric Dentist Sc | Dentist | 8375 S Howell Ave, #201, Oak Creek, WI 53154-8344 | 2006-08-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235762881 | Imr Oak Creek Opco, LLC | Skilled Nursing Facility | 2700 West Honadel Boulevard, Oak Creek, WI 53154 | 2020-02-21 |
| 1619512605 | Sharon Boushon | Technician | 642 E Pergola Place, Oak Creek, WI 53154 | 2019-11-13 |
| 1255991386 | Jodi Kruszka | Nurse Practitioner | 825 E Manitowoc Avenue, Oak Creek, WI 53154 | 2019-06-20 |
| 1184288896 | Thomas Carl Jonson | Durable Medical Equipment & Medical Supplies | 9036 S Carollton Dr., Oak Creek, WI 53154 | 2019-04-29 |
| 1982127577 | Zainab Saddiq | Optometrist | 8661 S. Howell Ave, 200, Oak Creek, WI 53154 | 2017-07-25 |
| 1649700980 | Froedtert & The Medical College of Wisconsin Community Physicians, Inc | Durable Medical Equipment & Medical Supplies | 7901 South 6th Street, Oak Creek, WI 53154 | 2017-06-19 |
| 1770969578 | Suhani Virparia | Pharmacist | 171 W. Town Square Way, Oak Creek, WI 53154 | 2015-08-04 |
| 1275919144 | Jessica Ford | Social Worker | 8825 South Howell Avenue, Suite 305, Oak Creek, WISCONSIN 53154 | 2015-08-03 |
| 1700269388 | Tarnit Singh Kapoor | Dentist | 8421 Howell Ave, Oak Creek, WI 53154 | 2015-07-01 |
| 1447656350 | Kiersten Kirking | Physical Therapist | 210 W. Raindbow Ridge Dr., 1207, Oak Creek, WI 53154 | 2014-11-05 |
| Find all providers in zip 53154 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558502468 | Randall Lee Fiete | Pediatrics | 980 E Twin Oaks Dr, Oak Creek, WI 53154-7950 | 2009-03-23 |
| 1023196524 | Gregg E Tetting | Pediatrics | 331 E. Puetz Rd, Ste 104, Oak Creek, WI 53154-3253 | 2006-11-01 |
| 1497740658 | Smriti S Khare | Pediatrics | 8661 S Howell Ave, Oak Creek, WI 53154-2919 | 2005-09-14 |
| 1235122052 | Denise Maureen Clark | Pediatrics | 24690 Bench Ln, Oak Creek, CO 80467-8545 | 2005-08-26 |
| 1700301868 | Children's Health System, Inc. | Pediatrics | 8375 S Howell Ave, Oak Creek, WI 53154-8344 | 2017-08-10 |
| 1033451455 | Mallory Hannah Salentine | Pediatrics | 8375 S Howell Ave, Oak Creek, WI 53154-8344 | 2013-03-24 |
| 1194083493 | Neelofar Nabi | Pediatrics | 331 E Puetz Rd, Oak Creek, WI 53154-3254 | 2012-04-25 |
| 1659546877 | Children's Medical Group | Pediatrics | 8375 S Howell Ave, Oak Creek, WI 53154-2924 | 2008-04-29 |
| 1770755829 | Kathrynn Anne Fee | Pediatrics | 8375 S Howell Ave, Oak Creek, WI 53154-8344 | 2008-03-28 |
| 1710184080 | Syeda Qudsia-fatima Khalid | Pediatrics | 8375 S Howell Ave, Oak Creek, WI 53154-8344 | 2007-06-29 |
| Find all providers in OAK CREEK | ||||
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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.