NANDINI SHAH (NPI# 1639103716) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639103716 |
| Entity Type | Individual |
| Full Name | NANDINI SHAH |
| Credential | MD |
| Practice Address |
9555 76th Street Pleasant Prairie WI 53158 |
| Practice Telephone | 2625778300 |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2008-03-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 35252 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 32100900 | 05 | |
| WI | MEDICARE RR | 080171366 | 01 |
| WI | ANTHEM | 338121367001 | 01 |
| Street Address |
9555 76TH STREET |
| City | PLEASANT PRAIRIE |
| State | WI |
| Zip Code | 53158 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225087224 | Ihc-kenosha Radiology, LLC | Radiology | 9555 76th Street, Uhs St Catherines Campus, Pleasant Prairie, WI 53158-1984 | 2006-05-08 |
| 1164457479 | Michael A Schellpfeffer | Obstetrics & Gynecology | 9555 76th Street, Pleasant Prairie, WI 53158-1984 | 2006-07-12 |
| 1013941194 | William J Jeranek | Family Medicine | 9555 76th Street, Pleasant Prairie, WI 53158 | 2006-07-11 |
| 1922032002 | Janet Tan Chua | Family Medicine | 9555 76th Street, Pleasant Prairie, WI 53158 | 2006-07-11 |
| 1891729950 | Rade Milosevic | Internal Medicine | 9555 76th Street, Pleasant Prairie, WI 53158 | 2006-07-11 |
| 1033166970 | Aimee F Ledesma | Family Medicine | 9555 76th Street, Pleasant Prairie, WI 53158 | 2006-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497393516 | Aurora Surgery Centers, LLC | Clinic/Center | 12500 Aurora Drive, Pleasant Prairie, WI 53158 | 2019-12-19 |
| 1770144297 | Jill Plaisted | Counselor | 8503 75th Street, Suite A, Pleasant Prairie, WI 53158 | 2019-06-25 |
| 1427593847 | Douglas Marion Mcdaniel | Physical Therapy Assistant | 5932 85th St, Pleasant Prairie, WI 53158 | 2016-12-20 |
| 1477095602 | Molly Weber | Speech-Language Pathologist | 8717 82nd St, Apartment 109, Pleasant Prairie, WI 53158 | 2016-11-04 |
| 1568919165 | Nicole Taylor | Specialist/Technologist | 9321 8th Avenue, Pleasant Prairie, WI 53158 | 2016-09-01 |
| 1578980165 | Forefront Dermatology, S.c. | Dermatology | 9020 76th St, Suite E, Pleasant Prairie, WI 53158 | 2014-03-21 |
| 1750603130 | Shelley L Johnson | Nurse Practitioner | 9697 Saint Catherines Dr # 300, Pleasant Prairie, WI 53158 | 2010-02-25 |
| 1194054981 | Jennifer S Stevens | Behavioral Analyst | 10450 72nd Ave, Pleasant Prairie, WI 53158 | 2009-12-08 |
| 1932273398 | Pamela Anderson | Registered Nurse | 11202 79 Street, Pleasant Prairie, WI 53158 | 2006-11-20 |
| 1033205562 | Holly Seidman | Pharmacist | 1309 110th Street, Pleasant Prairie, WI 53158 | 2006-10-04 |
| Find all providers in zip 53158 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396188348 | Sarah Ramadani | Family Medicine | 10256 Old Green Bay Rd, Pleasant Prairie, WI 53158-2814 | 2013-04-09 |
| 1104933415 | George T Poullette | Family Medicine | 10256 Old Green Bay Road, Pleasant Prairie, WI 53158-2815 | 2006-08-23 |
| 1265489264 | Michelle Louise Gauthier | Family Medicine | 9697 Saint Catherines Dr, Pleasant Prairie, WI 53158-2118 | 2006-05-27 |
| 1487848453 | Muhammad Ahmed | Family Medicine | 9697 Saint Catherines Dr # 400, Pleasant Prairie, WI 53158-2118 | 2007-08-31 |
| 1063636454 | Tomasz M Jarzembowski | Family Medicine | 9555 76th St, Pleasant Prairie, WI 53158-1984 | 2007-04-13 |
| 1013941194 | William J Jeranek | Family Medicine | 9555 76th Street, Pleasant Prairie, WI 53158 | 2006-07-11 |
| 1922032002 | Janet Tan Chua | Family Medicine | 9555 76th Street, Pleasant Prairie, WI 53158 | 2006-07-11 |
| 1417904491 | Angelina M Montemurro | Family Medicine | 9555 76th St, Suite 2602, Pleasant Prairie, WI 53158-1984 | 2006-05-27 |
| 1033166970 | Aimee F Ledesma | Family Medicine | 9555 76th Street, Pleasant Prairie, WI 53158 | 2006-05-27 |
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|---|---|---|---|---|
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| 1962015552 | Callie Lund | Family Medicine | 418 Lotus St, Mosinee, WI 54455-1728 | 2020-08-25 |
| 1275159998 | Beam Healthcare, Sc | Family Medicine | 25 W Main St Fl 5, Madison, WI 53703-3399 | 2020-06-18 |
| 1487283503 | Enitza Damaris George | Family Medicine | 1906 Brackett Ave, Eau Claire, WI 54701-5042 | 2020-04-02 |
| 1093341380 | Tia Marie Vaccaro | Family Medicine | 1275 Judd Rd, Oregon, WI 53575-2573 | 2020-03-18 |
| 1134753411 | Proactive Md Sc,p.a. | Family Medicine | Brakebush Health Center, N4993 6th Dr., Westfield, WI 53964 | 2020-02-26 |
| 1790323608 | Solidaritus Health Wisconsin Sc | Family Medicine | 1476 Blazing Star Blvd Ste 4, Altoona, WI 54720-4002 | 2019-12-11 |
| 1255974952 | Integrative Health Center of Central Wisconsin LLC | Family Medicine | 3205 E Washington Ave Ste A, Madison, WI 53704-4332 | 2019-10-25 |
| 1962969220 | Paladina Health, LLC | Family Medicine | Paladina Health Menomonee Falls, N84 W15787 Menomonee Avenue Suite 6, Menomonee Falls, WI 53051 | 2019-02-22 |
| 1942767298 | Paladina Health, LLC | Family Medicine | Paladina Health Sussex Beer Capitol Clinic, W222 N5700 Miller Way, Sussex, WI 53069 | 2019-02-22 |
| Find all providers with the same taxonomy | ||||
| City | PLEASANT PRAIRIE |
| Zip Code | 53158 |
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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.