MOUNIR FERTIKH


Address: 700 S Park St, Madison, WI 53715
Phone: 6082602900

MOUNIR FERTIKH (NPI# 1720104706) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1720104706
Entity Type Individual
Full Name MOUNIR FERTIKH
Credential MD
Practice Address 700 S Park St
Madison
WI 53715
Mailing Address 700 S Park St
Madison
WI 53715-1830
Practice Telephone 6082602900
Practice Fax Number 6082602951
Mailing Telephone 6082602900
Mailing Fax Number 6082602951
Enumeration Date 2007-03-22
Last Update Date 2018-08-09
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RP1001X Internal Medicine
Specialization: Pulmonary Disease
66855-20 WI Allopathic & Osteopathic Physicians

Office Location

Street Address 700 S PARK ST
City MADISON
State WI
Zip Code 53715

Providers in the same location

NPI Name Taxonomy Address Enumeration
1134123003 Marilyn J Borst Surgery 700 S Park St, Madison, WI 53715-1830 2005-06-09
1487266714 Charlene Jenkins Nurse Practitioner 700 S Park St, Madison, WI 53715-1830 2020-08-18
1073130480 Amanda Mcafee Nurse Practitioner 700 S Park St, Madison, WI 53715-1830 2020-07-01
1235759150 Edriss Drammeh Nurse Practitioner 700 S Park St, Madison, WI 53715-1830 2020-04-21
1700424777 Elizabeth H Kuhn Nurse Anesthetist, Certified Registered 700 S Park St, Madison, WI 53715-1830 2019-12-20
1295373710 Lauren Nicole Tobasco Physician Assistant 700 S Park St, Madison, WI 53715-1830 2019-12-16
1629610795 Amanda L Schneider Nurse Anesthetist, Certified Registered 700 S Park St, Madison, WI 53715-1830 2019-10-10
1366092017 Mitchell John Wilkins Nurse Anesthetist, Certified Registered 700 S Park St, Madison, WI 53715-1830 2019-09-16
1578119285 Gary Terlizzi Nurse Anesthetist, Certified Registered 700 S Park St, Madison, WI 53715-1830 2019-08-18
1699327304 Ann R Madden Nurse Anesthetist, Certified Registered 700 S Park St, Madison, WI 53715-1830 2019-07-12
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1851807697 Kristi M Batchelor Nurse Practitioner 20 S Park St Fl 4, Madison, WI 53715 2017-12-15
1578927026 Petra A Kelsey Family Medicine 1107 Emerald St, Madison, WI 53715 2016-04-11
1467889238 Group Health Cooperative of South Central Wi Durable Medical Equipment & Medical Supplies 740 Regent Street, Suite 106, Madison, WI 53715 2013-10-10
1275888760 Sandra Beth Miller Physician Assistant 700 S. Park, Suite A 404, Madison, WI 53715 2012-07-20
1134418486 Matthew Lochen Emergency Medicine 700 S. Park Street, Department of Emergency Medicine, Madison, WI 53715 2011-04-06
1225275720 Eileen J Breitweiser Social Worker 202 South Parkt Street, Madison, WI 53715 2009-01-21
1225293137 Kenneth H. Yuska, Md, Sc Orthopaedic Surgery 4726 East Towne Blvd., 110, Madison, WI 53715 2008-07-21
1063689727 Rachel I Kornik Dermatology Uw Health Dept of Dermatology 1 S. Park St, Administrative Office 7th Floor, Madison, WI 53715 2008-05-13
1144434911 Rebecca Sue Frye Pharmacist 1 South Park Street, Suite 101 Pharmacy, Madison, WI 53715 2007-05-10
1376755496 Eileen C. Scrivner Social Worker 1008 Fish Hatchery Road, Madison, WI 53715 2007-05-03
Find all providers in zip 53715

Taxonomy Information

Taxonomy Code 207RP1001X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Pulmonary Disease

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1033389473 Pamela Aird Wilson Internal Medicine 6001 Galley Ct, Madison, WI 53705-4429 2008-02-29
1437110335 Richard D Cornwell Internal Medicine 201 Saratoga Cir, Madison, WI 53705-2430 2006-03-30
1033185046 Mary E Klink Internal Medicine 202 S Park Street, Madison, WI 53715 2006-02-28
1003817156 Marc L Benton Internal Medicine 300 Madison Ave, Suite 201, Madison, NJ 07940 2005-08-10
1578827242 Umang Barvalia Internal Medicine 600 Highland Ave, Madison, WI 53792-0001 2012-06-27
1851538870 Atlantic Sleep and Pulmonary Associates, LLC Internal Medicine 300 Madison Ave, Suite 201, Madison, NJ 07940-1868 2009-01-13
1770767261 David A. Sonetti Internal Medicine 600 Highland Ave, Madison, WI 53792-0001 2007-12-20
1821219171 Vijay Seelall Internal Medicine 300 Madison Ave, Madison, NJ 07940-1868 2007-05-02
1508948688 Donita R Croft Internal Medicine 600 Highland Ave, Madison, WI 53792-0001 2006-10-19
1619068657 Katherine S. Habeeb Internal Medicine 202 S Park St, Madison, WI 53715-1507 2006-09-27
Find all providers in MADISON

Competitor

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City MADISON
Zip Code 53715

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Dataset Information

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.

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