DR. KSENIJA MODRIC JEDNACAK (NPI# 1750452801) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750452801 |
| Entity Type | Individual |
| Full Name | DR. KSENIJA MODRIC JEDNACAK |
| Other Name | DR. KSENIJA MODRIC |
| Credential | M.D. |
| Practice Address |
6726 Cedar St Wauwatosa WI 53213-3254 |
| Practice Telephone | 4147744074 |
| Practice Fax Number | 4147740471 |
| Mailing Telephone | 4147744074 |
| Mailing Fax Number | 4147740471 |
| Enumeration Date | 2006-11-12 |
| Last Update Date | 2014-02-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | 47908-020 | WI | Allopathic & Osteopathic Physicians |
| Street Address |
6726 CEDAR ST |
| City | WAUWATOSA |
| State | WI |
| Zip Code | 53213-3254 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932682473 | Tracy A Bolton | Nurse Practitioner | 2626 N 76th St Ste 101, Wauwatosa, WI 53213 | 2018-09-11 |
| 1609309129 | Anupriya Dayal | Student in an Organized Health Care Education/Training Program | 7700 Portland Avenue, #227, Milwaukee, WI 53213 | 2017-04-11 |
| 1407202666 | Michael Lenz | Dentist | 1221 N 62nd Street, 201, Wauwatosa, WI 53213 | 2016-05-06 |
| 1164807889 | Myia Mitchell | Massage Therapist | 6012 W. North Avenue, Milwaukee, WI 53213 | 2015-07-23 |
| 1518369420 | Rachel Rakow | Speech-Language Pathologist | 1009 N 92nd St, Wauwatosa, WI 53213 | 2014-09-23 |
| 1821348335 | Mary Kathryn Maxey | Dietitian, Registered | 1515 Mower Court, Wauwatosa, WI 53213 | 2012-09-12 |
| 1134478506 | Andrea Brooke Moosreiner | Dietitian, Registered | 7220 Milwaukee Ave, Wauwatosa, WI 53213 | 2012-08-31 |
| 1467726075 | Stephanie Miller | Social Worker | 2618 N 61st St, Milwaukee, WI 53213 | 2012-02-28 |
| 1396013447 | Ng Enterprise, Inc. | Home Health | 7635 West Bluemound Road, Suite 1b, Milwaukee, WI 53213 | 2011-12-05 |
| 1184908162 | Lisa Anne Behlmer | Pharmacist | 6600 W. State St, Wauwatosa, WI 53213 | 2011-10-07 |
| Find all providers in zip 53213 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| 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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558435370 | Jaimee Victoria Neben | Anesthesiology | 2478 N 72nd St, Wauwatosa, WI 53213-1204 | 2006-11-20 |
| 1285703157 | Shibani Bhattacharyya | Anesthesiology | 11152 W Meinecke Ave, Apt #2, Wauwatosa, WI 53226-1251 | 2006-11-07 |
| 1003999483 | William Jonathan Wood | Anesthesiology | 2643 N 113th St, Wauwatosa, WI 53226-1216 | 2006-10-23 |
| 1700869518 | Roger L Hepperla | Anesthesiology | 10900 W Potter Rd, Wauwatosa, WI 53226-3424 | 2005-11-25 |
| 1871955674 | Darshan B Patel | Anesthesiology | 959 N Mayfair Rd, Wauwatosa, WI 53226-3465 | 2016-03-22 |
| 1215337613 | Ihc-wheaton Anesthesia LLC | Anesthesiology | 10000 W Bluemound Rd, Wauwatosa, WI 53226-4321 | 2014-09-04 |
| 1285077404 | Omar Dyara | Anesthesiology | 959 N Mayfair Rd, Wauwatosa, WI 53226-3465 | 2013-04-08 |
| 1528303377 | Ambulatory Anesthesia Associates Sc | Anesthesiology | 10900 W Potter Rd, Wauwatosa, WI 53226-3424 | 2012-12-05 |
| 1831451566 | David H Karwacki | Anesthesiology | 11803 W North Ave, Wauwatosa, WI 53226-2077 | 2012-06-08 |
| 1306112305 | Khalid Ghazi Al Abdul Raheem | Anesthesiology | 4025 N 92nd St, Wauwatosa, WI 53222-1613 | 2012-03-24 |
| Find all providers in WAUWATOSA | ||||
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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.