DR. MARY E PAGANO (NPI# 1639286958) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639286958 |
| Entity Type | Individual |
| Full Name | DR. MARY E PAGANO |
| Credential | MD |
| Practice Address |
5333 Douglas Ave Racine WI 53402 |
| Mailing Address |
3301 W Forest Home Ave Milwaukee WI 53215-2843 |
| Practice Telephone | 2627522100 |
| Practice Fax Number | 2627522122 |
| Mailing Telephone | 4146476326 |
| Mailing Fax Number | 4146718860 |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 30032 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 31470100 | 05 | |
| DEA NUMBER | AP3064665 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962980979 | Mary Elizabeth Pagano | Registered Nurse | 2022 Dorsett Vlg, Maryland Heights, MO 63043-2208 | 2018-08-01 |
| Street Address |
5333 DOUGLAS AVE |
| City | RACINE |
| State | WI |
| Zip Code | 53402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447312376 | Aurora Medical Group, Inc. | Durable Medical Equipment & Medical Supplies | 5333 Douglas Ave, Racine, WI 53402-2032 | 2006-12-15 |
| 1003923996 | David C Zablotney | Family Medicine | 5333 Douglas Ave, Racine, WI 53402 | 2006-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215586847 | Jennifer Ann Wagener | Technician | 1513 Melvin Ave, Racine, WI 53402 | 2019-09-06 |
| 1023530490 | Tahir Vora | Pharmacist | 6840 Middle Rd Apt 8, Racine, WI 53402 | 2017-07-07 |
| 1154852069 | Golden Path Services | Home Health | 1700 North Main Street, Upper, Racine, WI 53402 | 2017-03-22 |
| 1376842690 | Vashir Jim Xiong | Acupuncturist | 3726 Ruby Ave, Racine, WI 53402 | 2011-03-25 |
| 1215248927 | Andrew M Asbury | Family Medicine | 2408 Four Mile Rd, Racine, WI 53402 | 2010-06-28 |
| 1215058532 | Lakeshore Family Dental Care Sc | Dentist | 3903 Douglas Ave, Racine, WI 53402 | 2007-04-03 |
| 1679626915 | David Ramon Reesman | Dentist | 3900 North Bay Dr, Racine, WI 53402 | 2007-01-19 |
| 1881605111 | Caledonia Chiropractic Clinic, Sc | Chiropractor | 5401 Douglas Ave, Suite A, Racine, WI 53402 | 2006-08-11 |
| 1821104795 | Romeo B Biboso | General Practice | 5401 Douglas Ave, Ste A, Racine, WI 53402 | 2006-08-22 |
| 1407874191 | Steven E Drenning | Social Worker | 3710 Douglas Avenue, Racine, WI 53402 | 2006-07-18 |
| Find all providers in zip 53402 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1215095096 | Bonnie Lee Wirfs | Internal Medicine | 2000 Domanik Drive, Racine, WI 53404 | 2006-12-05 |
| 1316055759 | Adriana C Gusatu | Internal Medicine | 3801 Spring Street, Racine, WI 53405-1667 | 2006-08-27 |
| 1114978699 | Sachin H. Panchal | Internal Medicine | 6232 Bankers Rd, Racine, WI 53403-9747 | 2006-05-12 |
| 1265774715 | Erin Cecelia Siegel | Internal Medicine | 3801 Spring St, Racine, WI 53405 | 2013-03-22 |
| 1710051271 | Michael L. Papp | Internal Medicine | 3803 Spring St, Racine, WI 53405-3594 | 2006-11-17 |
| 1215039722 | Roger O Boye | Internal Medicine | 3803 Spring Street, Suite 600, Racine, WI 53405-1660 | 2006-09-04 |
| 1639189384 | Derek Turner | Internal Medicine | 3807 Spring St, Racine, WI 53405-1667 | 2006-08-08 |
| 1841200383 | Kaye-eileen Willard | Internal Medicine | 3803 Spring St, Suite 410, Racine, WI 53405-1660 | 2006-08-08 |
| 1164432647 | Gerald Wisniewski | Internal Medicine | 1 Main St, Racine, WI 53403-1079 | 2006-08-08 |
| 1780694414 | Lawrence Tolson | Internal Medicine | 3805b Spring St, Suite 260, Racine, WI 53405-1641 | 2006-08-08 |
| Find all providers in RACINE | ||||
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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.