MOHAMMAD DODWAD (NPI# 1669407649) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669407649 |
| Entity Type | Individual |
| Full Name | MOHAMMAD DODWAD |
| Credential | MD |
| Practice Address |
900 College Ave W Ladysmith WI 54848-2116 |
| Mailing Address |
5753 Dawley Dr Fitchburg WI 53711-7221 |
| Practice Telephone | 7155325561 |
| Practice Fax Number | 7155329809 |
| Mailing Telephone | 6082769868 |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
36597 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 33310900 | 05 |
| Street Address |
900 COLLEGE AVE W |
| City | LADYSMITH |
| State | WI |
| Zip Code | 54848-2116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528044617 | John G Ahle | Nurse Anesthetist, Certified Registered | 900 College Ave W, Ladysmith, WI 54848-2116 | 2005-12-20 |
| 1831702976 | Jennifer Lea Zimmer | Nurse Practitioner | 900 College Ave W, Ladysmith, WI 54848-2116 | 2020-08-28 |
| 1235789199 | Stephanie Shane Croft | Nurse Practitioner | 900 College Ave W, Ladysmith, WI 54848-2116 | 2019-09-12 |
| 1346716263 | Mchs Hospitals, Inc. | Medicare Defined Swing Bed Unit | 900 College Ave W, Ladysmith, WI 54848-2116 | 2018-10-18 |
| 1952890873 | Mchs Hospitals, Inc. | General Acute Care Hospital | 900 College Ave W, Ladysmith, WI 54848-2116 | 2018-05-07 |
| 1730621053 | Virginia Sedarski | Occupational Therapist | 900 College Ave W, Ladysmith, WI 54848-2116 | 2016-11-17 |
| 1215327564 | Amy Lynn Junk | Specialist/Technologist | 900 College Ave W, Ladysmith, WI 54848-2116 | 2015-01-26 |
| 1790194728 | Kendra Kopecky | Physical Therapy Assistant | 900 College Ave W, Ladysmith, WI 54848-2116 | 2014-08-04 |
| 1528478542 | County of Rusk | Clinic/Center | 900 College Ave W, Ladysmith, WI 54848-2116 | 2014-04-29 |
| 1194069831 | Erin S. Konichek | Occupational Therapy Assistant | 900 College Ave W, Ladysmith, WI 54848-2116 | 2012-11-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730356387 | Community Support Center of Rusk County | Community/Behavioral Health | 219 W 2nd Str N, Ladysmith, WI 54848 | 2008-05-13 |
| 1053586412 | Rusk County Csp | Community/Behavioral Health | 219 W 2nd St North, Lady Smith, WI 54848 | 2008-04-28 |
| 1114103843 | Ruth A Pooler | Marriage & Family Therapist | 804 W. 9th St. N, Suite B, Ladysmith, WI 54848 | 2008-01-11 |
| 1831309459 | Sandy Radwanski | Occupational Therapist | W7045 Silvernale Lane, Ladysmith, WI 54848 | 2007-05-23 |
| 1356417018 | Gayle L Pierce | Counselor | 804 W 9th St N Suite B, Aurora Community Counseling Employee Support & Services, Ladysmith, WI 54848 | 2006-11-27 |
| 1306930698 | Indianhead Community Action Agency Incorporated | Home Health | 1000 College Avenue W, Ladysmith, WI 54848 | 2006-10-03 |
| 1043304744 | Maria Fairbert | Physical Therapy Assistant | 900 College Ave. West, Ladysmith, WI 54848 | 2006-10-03 |
| 1467569715 | Elizabeth Henderson Cernohous | Nurse Practitioner | 906 College Ave West, Ladysmith, WI 54848 | 2006-08-24 |
| 1588670350 | Barry Emrick | Physician Assistant | 900 College Ave West, Ladysmith, WI 54848 | 2006-07-31 |
| 1225488448 | Sara L. Luke | Dentist | 315 Miner Ave W, Ladysmith, WI 54848 | 2016-06-18 |
| Find all providers in zip 54848 | ||||
| Taxonomy Code | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144703653 | Quinton Jarrett Peters | Emergency Medicine | 1204 S Jefferson St, Appleton, WI 54915-1726 | 2018-09-11 |
| 1497792139 | John A Culp | Emergency Medicine | 1446 N Randall Ave, Janesville, WI 53545-1122 | 2006-06-01 |
| 1861440505 | Alice C Bustos | Emergency Medicine | 7220 W National Ave, West Allis, WI 53214-4734 | 2006-05-05 |
| 1184690133 | Manuel A. Rivera | Emergency Medicine | 5000 Memorial Dr, Two Rivers, WI 54241-3900 | 2006-02-28 |
| 1942588132 | Watertown Regional Medical Center, Inc | Emergency Medicine | 125 Hospital Dr, Watertown, WI 53098-3303 | 2011-07-22 |
| 1366692287 | James John Macneal | Emergency Medicine | 1000 Mineral Point Ave, Janesville, WI 53548-2940 | 2008-09-28 |
| 1770646721 | Larry R Brunzlick | Emergency Medicine | 135 South Gibson Street, Medford, WI 54451 | 2006-12-19 |
| 1669563763 | Scott A Hathaway | Emergency Medicine | 309 N Bartlett St, Shawano, WI 54166-2127 | 2006-09-27 |
| 1639279383 | Rajeshwar Hanmiah | Emergency Medicine | 309 N Bartlett St, Shawano, WI 54166-2127 | 2006-09-23 |
| 1598863334 | George E Vidalakis | Emergency Medicine | 309 N Bartlett St, Shawano, WI 54166-2127 | 2006-09-20 |
| 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.