PETER MARIANI (NPI# 1679520514) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679520514 |
| Entity Type | Individual |
| Full Name | PETER MARIANI |
| Credential | MD |
| Practice Address |
6308 8th Avenue Suite 108 Kenosha WI 53143 |
| Practice Telephone | 2626535360 |
| Practice Fax Number | 2626535357 |
| Mailing Telephone | 2626535360 |
| Mailing Fax Number | 2626535357 |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2010-07-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 23819 | WI | Allopathic & Osteopathic Physicians |
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
23819 | WI | Allopathic & Osteopathic Physicians |
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
23819 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 30410600 | 05 | |
| MEDICARE RAILROAD | 290007018 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891752408 | Peter J Mariani | Emergency Medicine | 750 E Adams St, Syracuse, NY 13210-2306 | 2006-04-27 |
| Street Address |
6308 8TH AVENUE SUITE 108 |
| City | KENOSHA |
| State | WI |
| Zip Code | 53143 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285683284 | Ihc-kenosha Radiology, LLC | Radiology | 6308 8th Avenue, Uhs Kenosha Campus, Kenosha, WI 53143-5031 | 2006-05-08 |
| 1306377023 | Andrea Alexis Gordon | Registered Nurse | 6308 8th Avenue, Ste 202, Kenosha, WI 53143 | 2017-03-23 |
| 1588866644 | Chigozie Nwamaka Nweke | Internal Medicine | 6308 8th Avenue, Kenosha, WI 53143 | 2007-06-01 |
| 1982744959 | Holly Jo Dinsmore | Speech-Language Pathologist | 6308 8th Avenue, Kenosha, WI 53143 | 2007-02-07 |
| 1508813593 | Priti Dilip Patel | Internal Medicine | 6308 8th Avenue, Ste 2000, Kenosha, WI 53143 | 2006-05-27 |
| 1477500312 | Mehjabein Yaguoob Khan | Internal Medicine | 6308 8th Avenue, Suite 108, Kenosha, WI 53143 | 2006-05-27 |
| 1326094731 | Miso Niko Miloslavic | Family Medicine | 6308 8th Avenue, Suite 2000, Kenosha, WI 53143 | 2006-05-26 |
| 1144276551 | Shahid Ali Atcha | Obstetrics & Gynecology | 6308 8th Avenue, Suite 2000, Kenosha, WI 53143 | 2006-05-26 |
| 1023064508 | Alvia Moid | Internal Medicine | 6308 8th Avenue, Suite 2000, Kenosha, WI 53143 | 2006-05-26 |
| 1295781680 | Jeffrey Reid Trimark | Internal Medicine | 6308 8th Avenue, Suite 2000, Kenosha, WI 53143 | 2006-05-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891262275 | Shanda L Goecks | Registered Nurse | 6916 26th Ave, Kenosha, WI 53143 | 2018-10-24 |
| 1689942989 | Racine Kenosha Community Action Agency | Public Health or Welfare | 2000 63rd Street, Kenosha, WI 53143 | 2011-12-01 |
| 1538497797 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 7525 Sheridan Rd, Kenosha, WI 53143 | 2009-11-30 |
| 1497929012 | Ebba M Johnson | Physical Therapist | 524 74th Street, Kenosha, WI 53143 | 2008-04-15 |
| 1770789489 | Kenosha Community Health Center, Inc | Family Medicine | 6226 14th Ave, Kenosha, WI 53143 | 2007-06-21 |
| 1558413161 | Junith M Thompson | Obstetrics & Gynecology | 6530 Sheridan Road, Kenosha, WI 53143 | 2007-01-17 |
| 1154471332 | Ljh Ambulance, Inc | Ambulance | 6329 28th Ave, Kenosha, WI 53143 | 2007-01-11 |
| 1578625794 | Michael A Schellpfeffer Md Ob Gyn Sc | Obstetrics & Gynecology | 1400 75th Street, Kenosha, WI 53143 | 2006-12-14 |
| 1457468654 | Yasmine S Sido | Physician Assistant | 7550 22nd Ave, Kenosha, WI 53143 | 2006-08-24 |
| 1356307359 | Nancy Jane Houtchens | Dentist | 7533 22nd Ave, Ste 100, Kenosha, WI 53143 | 2006-04-26 |
| Find all providers in zip 53143 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| 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 |
|---|---|---|---|---|
| 1790307080 | Rihawi Md Sc | Internal Medicine | 2801 W Kinnickinnic River Pkwy Ste 445, Milwaukee, WI 53215-3669 | 2020-05-11 |
| 1194377747 | Samuel Lerush Butler | Internal Medicine | 2314 Dahlk Cir, Verona, WI 53593-8846 | 2019-07-14 |
| 1750810784 | Marjorie F Maxwell | Internal Medicine | 2823 N University Dr Apt 104, Waukesha, WI 53188-1428 | 2017-06-04 |
| 1326477233 | Aasim Mohammed | Internal Medicine | 116 N Dodge St Ste 201, Burlington, WI 53105-1963 | 2013-11-01 |
| 1275895336 | Deborah Jean Mcnear | Internal Medicine | 11516 N Justin Dr, Mequon, WI 53092-2866 | 2012-06-13 |
| 1033422860 | Sanjeevkumar Ashok Patel | Internal Medicine | 2500 E Capitol Dr Ste 1700, Appleton, WI 54911-8735 | 2010-07-21 |
| 1124284054 | David Y Rosenzweig | Internal Medicine | 6236 Upper Pkwy N, Wauwatosa, WI 53213-2430 | 2008-07-30 |
| 1033389473 | Pamela Aird Wilson | Internal Medicine | 6001 Galley Ct, Madison, WI 53705-4429 | 2008-02-29 |
| 1699835256 | Stuart A Levy | Internal Medicine | 9509 N Wakefield Ct, Milwaukee, WI 53217-1245 | 2006-12-12 |
| 1861563058 | Omprakash Ahuja | Internal Medicine | 3070 N 51st Street, Suite 506, Milwaukee, WI 53210-1645 | 2006-11-11 |
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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.