DR. ISAAC MELGUIZO-GAVILANES (NPI# 1710157078) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710157078 |
| Entity Type | Individual |
| Full Name | DR. ISAAC MELGUIZO-GAVILANES |
| Credential | M.D. |
| Practice Address |
2801 W Kinnickinnic River Pkwy Ste 925 Milwaukee WI 53215-3689 |
| Practice Telephone | 4143845111 |
| Mailing Telephone | 4143845111 |
| Enumeration Date | 2008-03-03 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | A102171 | CA | Other Service Providers |
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
68347-20 | WI | Allopathic & Osteopathic Physicians |
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
P0638 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 1710157078 | 05 | |
| TX | 290780001 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3600 Gaston Ave, Suite 605, Dallas, TX 752461800 | 2148208690 | 2148208691 |
| Street Address |
2801 W KINNICKINNIC RIVER PKWY STE 925 |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53215-3689 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841829918 | Joshua Michael Brooks | Student in an Organized Health Care Education/Training Program | Aurora St. Lukes Medical Center 2901 W Oklahoma Ave, Milwaukee, WI 53215 | 2020-04-02 |
| 1053967091 | Kristina Strupp | Clinical Nurse Specialist | 2900 W. Oaklahoma Avenue, Milwaukee, WI 53215 | 2019-08-15 |
| 1427510296 | Madelyn Pickle | Student in an Organized Health Care Education/Training Program | 2801 W. Kinnickinnic Rd Ste 250, Milwaukee, WI 53215 | 2019-04-02 |
| 1932601838 | Elizabeth D Morawski | Nurse Practitioner | 2801 Kinnickinnic Parkway, Suite 630, Milwaukee, WI 53215 | 2018-03-06 |
| 1457872673 | Canzata Kimberly Dent | Counselor | 2727 W. Cleveland Suite 204, Milwaukee, WI 53215 | 2017-06-28 |
| 1538689955 | Christian Pena | Durable Medical Equipment & Medical Supplies | 2800 W Forest Home Ave, Suite 100, Milwaukee, WI 53215 | 2017-06-27 |
| 1386178804 | Dane A Olsen | Family Medicine | 801 W Kinnickinnic River Pkwy., Suite 250, Milwaukee, WI 53215 | 2017-04-12 |
| 1811443492 | Thomas Diamond | Physical Therapist | 2901 Kinnickinnic Parkway, Milwaukee, WI 53215 | 2016-09-01 |
| 1487055133 | Sam Khalili | Otolaryngology | 2801 W Kinnickinnic River Pkwy # 680, Milwaukee, WI 53215 | 2014-09-12 |
| 1992105621 | Nicole R Hall | Nurse Practitioner | 2901 S Kinnickinnic Ave, Milwaukee, WI 53215 | 2014-08-29 |
| Find all providers in zip 53215 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295919173 | Denis Nathan | Psychiatry & Neurology | 2589 N Terrace Ave, Milwaukee, WI 53211-3821 | 2007-12-27 |
| 1235355496 | Ayman Ahmad Gheith | Psychiatry & Neurology | 2801 W Kinnickinnic River Pkwy Ste 630, Milwaukee, WI 53215-5212 | 2007-04-17 |
| 1881764652 | Neurowisconsin Sc | Psychiatry & Neurology | 3033 S 27th St, 302, Milwaukee, WI 53215 | 2006-11-09 |
| 1669405742 | Marc Jeffrey Novom | Psychiatry & Neurology | 8989 N Port Washington Road, Suite 122, Milwaukee, WI 53217 | 2006-07-09 |
| 1356389258 | Veronica N Sosa | Psychiatry & Neurology | 2801 W Kinnickinnic Pkwy, Suite 570, Milwaukee, WI 53215-3669 | 2006-06-03 |
| 1770534513 | Hendrikus G Krouwer | Psychiatry & Neurology | 2350 N Lake Dr. Ste G01, Csm Cancer Center-milwaukee, Milwaukee, WI 53211-4528 | 2006-05-15 |
| 1194776922 | Serena Wan-si Wan-si Hung | Psychiatry & Neurology | Froedtert & Med College Clin - West, 9200 West Wisconsin Avenue, Milwaukee, WI 53226 | 2006-05-15 |
| 1861489536 | Rizwanullah Arain | Psychiatry & Neurology | 6026 W Lisbon Ave, Milwaukee, WI 53210-2114 | 2005-09-28 |
| 1689136129 | Ryan Lee | Psychiatry & Neurology | 8701 W Watertown Plank Rd, Milwaukee, WI 53226-3548 | 2019-04-03 |
| 1700316122 | Kevin Chow | Psychiatry & Neurology | 8701 W Watertown Plank Rd, Milwaukee, WI 53226-3548 | 2017-06-18 |
| Find all providers in MILWAUKEE | ||||
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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.