GANESH N PULLA (NPI# 1679620918) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679620918 |
| Entity Type | Individual |
| Full Name | GANESH N PULLA |
| Credential | M.D |
| Practice Address |
6125 Green Bay Rd 100 Kenosha WI 53142-2928 |
| Practice Telephone | 2625648636 |
| Practice Fax Number | 2625648637 |
| Mailing Telephone | 2625648636 |
| Mailing Fax Number | 2625648637 |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
40695 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 21279800 | 05 |
| Street Address |
6125 GREEN BAY RD 100 |
| City | KENOSHA |
| State | WI |
| Zip Code | 53142-2928 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730155573 | Victor Stephen Slana | Ophthalmology | 6125 Green Bay Rd, Ste 800, Kenosha, WI 53142-2928 | 2006-02-23 |
| 1144493792 | Laurie Ann Robertson | Optometrist | 6125 Green Bay Rd, Suite 800, Kenosha, WI 53142-2928 | 2008-04-03 |
| 1043415631 | Surya Medical Group Sc | Internal Medicine | 6125 Green Bay Rd, Suite 100, Kenosha, WI 53142-2928 | 2007-06-15 |
| 1720283302 | Kidney Replacement Therapies, Sc | Clinic/Center | 6125 Green Bay Rd, Suite 100, Kenosha, WI 53142-2928 | 2007-06-15 |
| 1730219924 | Kenosha Kidney Dialysis LLC | Clinic/Center | 6125 Green Bay Rd, Suite 100, Kenosha, WI 53142-2942 | 2007-03-06 |
| 1295876647 | Frank Serrecchia | Pediatrics | 6125 Green Bay Rd, Suite 700, Kenosha, WI 53142-2928 | 2007-02-09 |
| 1295887321 | V. Stephen Slana, M.d.,s.c. | Durable Medical Equipment & Medical Supplies | 6125 Green Bay Rd, Suite 800, Kenosha, WI 53142-2928 | 2007-01-17 |
| 1962559302 | Bharathi Pulla | Family Medicine | 6125 Green Bay Rd, Kenosha, WI 53142-2928 | 2007-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588297816 | Caring Hearts Home Health Care | In Home Supportive Care | 6021-57th Ave, Suite C103, Kenosha, WI 53142 | 2020-02-14 |
| 1144785395 | Michael L Wrzesinski | Counselor | 4109 67th Street, Kenosha, WI 53142 | 2019-02-01 |
| 1720538499 | David Smith | Counselor | 10900 67th Street, Kenosha, WI 53142 | 2016-10-06 |
| 1326404641 | Smile Doctors Ltd | Dentist | 7003 39th Ave, Kenosha, WI 53142 | 2016-01-04 |
| 1225409485 | Antonia Marie Decker | Physician Assistant | 10400 75th St. Ste 204, Kenosha, WI 53142 | 2015-10-14 |
| 1780060582 | Joshua Haas | Pharmacist | 7701 Green Bay Road, Kenosha, IL 53142 | 2015-08-04 |
| 1811379225 | Dana Mary Stout | Registered Nurse | 7401 104th Avenue, Suite 110, Comprehensive Orthopaedics, S.c., Kenosha, WI 53142 | 2015-06-22 |
| 1669815569 | Joshua Knute Elson | Radiology | 6811 118th Ave, Kenosha, WI 53142 | 2013-04-10 |
| 1356610166 | Michael J Gallo | Pharmacist | 7535 North Greenbay Rd, Kenosha, WI 53142 | 2011-12-22 |
| 1720357999 | Orest Carnevale | Registered Nurse | 7316 155th Ct, Kenosha, WI 53142 | 2011-12-18 |
| Find all providers in zip 53142 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| 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 |
|---|---|---|---|---|
| 1043415631 | Surya Medical Group Sc | Internal Medicine | 6125 Green Bay Rd, Suite 100, Kenosha, WI 53142-2928 | 2007-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841823390 | Kelby Roholt | Internal Medicine | 305 E Mahn Ct, Oak Creek, WI 53154-2101 | 2020-02-12 |
| 1477186922 | Sydney Kemps | Internal Medicine | 507 N 17th St, Milwaukee, WI 53233-5495 | 2020-02-12 |
| 1053708511 | Rishi Kora | Internal Medicine | 5650 N Green Bay Ave Ste 210, Glendale, WI 53209-4447 | 2015-04-22 |
| 1841523818 | Sana Waheed | Internal Medicine | 301 S Yellowstone Dr Apt 306, Madison, WI 53705-4378 | 2009-09-09 |
| 1841426798 | Wisconsin Vascular Access and Nephrology | Internal Medicine | 1962 N Prospect Ave # 310, Milwaukee, WI 53202-1414 | 2009-06-05 |
| 1184865099 | Zurab Albekioni | Internal Medicine | 3000 Westhill Dr Ste 108, Wausau, WI 54401-3795 | 2009-03-23 |
| 1104095017 | Mark Y Nunag | Internal Medicine | 2050 Continential Drive, West Bend, WI 53095 | 2008-02-25 |
| 1649448259 | Crystalkinetics, LLC | Internal Medicine | 4113 N Lake Dr, Shorewood, WI 53211-1720 | 2008-02-16 |
| 1699975193 | Dawn Wolfgram | Internal Medicine | 5000 W National Ave # Cc-111k, Milwaukee, WI 53295-1000 | 2007-07-23 |
| 1366657710 | Deepak Sharma | Internal Medicine | 7797 W Appletone Ave, Milwaukee, WI 53222 | 2007-05-11 |
| 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.