TAHA JAMIL


Address: 4916 N Waterford Dr, Appleton, WI 54913-6608
Phone: 9207331786

TAHA JAMIL (NPI# 1609812569) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1609812569
Entity Type Individual
Full Name TAHA JAMIL
Credential M.D.
Practice Address 4916 N Waterford Dr
Appleton
WI 54913-6608
Practice Telephone 9207331786
Mailing Telephone 9207331786
Enumeration Date 2006-06-21
Last Update Date 2011-11-09
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 208100000X Physical Medicine & Rehabilitation 52090-020 WI Allopathic & Osteopathic Physicians
Y 2081P2900X Physical Medicine & Rehabilitation
Specialization: Pain Medicine
036-117176 IL Allopathic & Osteopathic Physicians
N 2081P2900X Physical Medicine & Rehabilitation
Specialization: Pain Medicine
01062459A IN Allopathic & Osteopathic Physicians

Office Location

Street Address 4916 N WATERFORD DR
City APPLETON
State WI
Zip Code 54913-6608

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NPI Name Taxonomy Address Enumeration
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1780116244 Alison Pelger Physician Assistant 3916 North Intertech Court, Appleton, WI 54913 2017-04-03
1316311905 Lucy Bouressa Specialist/Technologist 2105 E. Enterprise Ave, 113, Appleton, WI 54913 2015-11-19
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1942646849 Richard Anthony Mauthe Pharmacist 5401 W. Integrity Way, Neenah, WI 54913 2013-05-17
1750622163 Tonya Janelle Wilderman Pharmacist 1400 N Mccarthy Rd, Apt 2, Grand Chute, WI 54913 2013-03-10
1295938777 Jenna Marie Kadlec Physical Therapist 3916 N. Intertech Court, Appleton, WI 54913 2007-06-11
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Taxonomy Information

Taxonomy Code 2081P2900X
Grouping Allopathic & Osteopathic Physicians
Classification Physical Medicine & Rehabilitation
Specialization Pain Medicine

Taxonomy Definition

A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1295894640 Rae Jean Muchenberger Physical Medicine & Rehabilitation 8802 W Becher, West Allis, WI 53227-1628 2006-12-08
1366473597 Aspen Orthopedic and Rehabilation Specalist Physical Medicine & Rehabilitation 19475 W. North Ave, Suite 201, Brookfield, WI 53045-4199 2006-07-05
1881681294 Kenneth L Klein Physical Medicine & Rehabilitation 1969 W Hart Rd, Beloit, WI 53511-2230 2005-09-30
1053955682 Kayla Smith Physical Medicine & Rehabilitation 1700 W Bender Rd, Glendale, WI 53209-3852 2019-11-06
1609220664 Chen Cui Physical Medicine & Rehabilitation 600 Highland Ave, Madison, WI 53792-9055 2016-04-15
1477948834 Brittany Bickelhaupt Physical Medicine & Rehabilitation 225000 Hummingbird Rd, Wausau, WI 54401-2948 2015-04-02
1881034627 Matthew James Kortes Physical Medicine & Rehabilitation 500 E Veterans St, Tomah, WI 54660-3105 2013-06-25
1285908970 Baycare Clinic, LLP Physical Medicine & Rehabilitation 2401 Holmgren Way, Green Bay, WI 54304-5224 2012-02-28
1376738336 Oscar C Wille Physical Medicine & Rehabilitation 2301 N Lake Dr, Milwaukee, WI 53211-4508 2007-09-12
1427102631 Susan L Husslein Physical Medicine & Rehabilitation 8802 W Becher St, West Allis, WI 53227 2007-01-23
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Competitor

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City APPLETON
Zip Code 54913

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Dataset Information

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.

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