DR. AHMAD S KHRAISAT (NPI# 1750375143) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750375143 |
| Entity Type | Individual |
| Full Name | DR. AHMAD S KHRAISAT |
| Credential | MD |
| Practice Address |
2000 E Layton Ave Saint Francis WI 53235-6053 |
| Mailing Address |
100 15th Ave #180 South Milwaukee WI 53172-1160 |
| Practice Telephone | 4147446589 |
| Practice Fax Number | 4147478848 |
| Mailing Telephone | 4147643241 |
| Enumeration Date | 2005-08-31 |
| Last Update Date | 2013-01-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
43201 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 1750375143 | 05 |
| Street Address |
2000 E LAYTON AVE |
| City | SAINT FRANCIS |
| State | WI |
| Zip Code | 53235-6053 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669646287 | Lakeshore Medical Clinic, LLC | Durable Medical Equipment & Medical Supplies | 2000 E Layton Ave, Saint Francis, WI 53235-6053 | 2008-04-15 |
| 1295814028 | Raul Mateo | Family Medicine | 2000 E Layton Ave, Saint Francis, WI 53235-6053 | 2006-11-03 |
| 1053499566 | Richard M. Hayes | Internal Medicine | 2000 E Layton Ave, Saint Francis, WI 53235-6053 | 2006-11-01 |
| 1659459188 | Leyla M Solis | Family Medicine | 2000 E Layton Ave, Saint Francis, WI 53235-6053 | 2006-11-01 |
| 1023103991 | Jonathan M Lubens | Internal Medicine | 2000 E Layton Ave, Saint Francis, WI 53235-6053 | 2006-10-04 |
| 1154338374 | Montine Rene Pauers | Counselor | 2000 E Layton Ave, Saint Francis, WI 53235-6053 | 2006-08-01 |
| 1710911938 | Aurora Pharmacy Inc | Pharmacy | 2000 E Layton Ave, Saint Francis, WI 53235-6053 | 2006-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689068140 | Asma Sayeed | Family Medicine | 2000 E Layton Ave Ste 130, St Francis, WI 53235 | 2015-03-23 |
| 1144261827 | Mark Andrew Beilke | Internal Medicine | 4110 S. Lake Drive, Unit 47, St. Francis, WI 53235 | 2006-06-10 |
| 1013961200 | Melanie Danielson | Pharmacist | 2000 E Layton Ave., St Francis, WI 53235 | 2006-05-20 |
| 1861903130 | John Elmer Bukowski | Physician Assistant | 2000 E Layton Ave Ste 130, St Francis, WI 53235 | 2017-10-13 |
| 1790758951 | Andre Daniel | Specialist/Technologist | 3501 S Lake Dr, Milwaukee, WI 53235-0900 | 2006-02-08 |
| 1477067205 | Matthew Seipel | Registered Nurse | 1930 E Saint Francis Ave, St Francis, WI 53235-3633 | 2017-12-01 |
| 1093222721 | M Seipel LLC | Registered Nurse | 1930 E Saint Francis Ave, Saint Francis, WI 53235-3633 | 2018-01-03 |
| 1366714008 | Kathy Snopek | Registered Nurse | 2115 E Saint Francis Ave, St Francis, WI 53235-3636 | 2012-01-26 |
| 1629079132 | St Ann Center for Intergenerational Care Inc | Licensed Practical Nurse | 3221 S Lake Dr, Milwaukee, WI 53235-3702 | 2005-08-09 |
| 1629327531 | Lorenna Wilson | Licensed Practical Nurse | 3221 S Lake Dr, St Francis, WI 53235-3702 | 2012-09-06 |
| Find all providers in zip 53235 | ||||
| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740788025 | Cardiac Cin of Milwaukee LLC | Internal Medicine | 310 E Buffalo St Ste 201, Milwaukee, WI 53202-5808 | 2018-01-31 |
| 1740710748 | Robert James Corliss | Internal Medicine | St. Vincent Fmc, 140east Cook St., Portage, WI 53901 | 2017-06-13 |
| 1669765681 | Nolan P Machernis | Internal Medicine | 2801 W Kinnickinnic River Pkwy Ste 474, Milwaukee, WI 53215-3693 | 2011-05-24 |
| 1437123049 | Harinder Singh Gill | Internal Medicine | 1111 Delafield Street, Suite 215, Waukesha, WI 53188-3403 | 2006-02-13 |
| 1912998576 | Thomas G Fenske | Internal Medicine | 2801 W. Kinnickinnic River Pkwy., Suite 925, Milwaukee, WI 53215 | 2005-11-02 |
| 1437660487 | Dr Ayhan Zia Sc | Internal Medicine | 2741 W Layton Ave, Milwaukee, WI 53221-2600 | 2017-10-17 |
| 1861734014 | Sean Michael Sliman | Internal Medicine | 2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 | 2013-03-25 |
| 1730436817 | Muhammad Shahreyar | Internal Medicine | 3801 Spring St, Mount Pleasant, WI 53405 | 2012-08-08 |
| 1811216229 | Iyad Azzam | Internal Medicine | 36500 Aurora Dr, Summit, WI 53066 | 2010-05-25 |
| 1306161500 | Gaurav Tyagi | Internal Medicine | 600 Highland Ave, Madison, WI 53792-0001 | 2010-03-30 |
| Find all providers with the same taxonomy | ||||
| City | SAINT FRANCIS |
| Zip Code | 53235 |
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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.