DR. JANIS KENGIS (NPI# 1770552689) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770552689 |
| Entity Type | Individual |
| Full Name | DR. JANIS KENGIS |
| Credential | M.D. |
| Practice Address |
1111 Delafield St Suite #212 Waukesha WI 53188-3417 |
| Practice Telephone | 2625448622 |
| Practice Fax Number | 2625448630 |
| Mailing Telephone | 2625448622 |
| Mailing Fax Number | 2625448630 |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2014-01-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
16999-020 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 1770552689 | 05 |
| Street Address |
1111 DELAFIELD ST SUITE #212 |
| City | WAUKESHA |
| State | WI |
| Zip Code | 53188-3417 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346240959 | W. Patrick Flanagan Jr. | Urology | 1111 Delafield St, Suite 12, Waukesha, WI 53188-3417 | 2005-07-26 |
| 1154839140 | Sandra Koester | Orthopaedic Surgery | 1111 Delafield St, Waukesha, WI 53188 | 2018-01-12 |
| 1467975383 | Deanne Evelyn Dunder | Nurse Practitioner | 1111 Delafield St, Waukesha, WI 53188-3417 | 2017-07-23 |
| 1255868006 | Ryan J Moncada | Physician Assistant | 1111 Delafield St, Suite 207, Waukesha, WI 53188-3417 | 2017-05-11 |
| 1235672239 | Paul B Doenier Md, Sc | Family Medicine | 1111 Delafield St, Suite 321, Waukesha, WI 53188-3417 | 2016-11-22 |
| 1013395078 | Alyssa Kathryn Eisner | Physician Assistant | 1111 Delafield St, Suite 209, Waukesha, WI 53188-3403 | 2015-05-11 |
| 1679950513 | Holly Beth Maciejewski | Nurse Practitioner | 1111 Delafield St, 215, Waukesha, WI 53188-3417 | 2015-04-29 |
| 1184022360 | Moreland Medical Laboratory, LLC | Clinical Medical Laboratory | 1111 Delafield St, Suite 301, Waukesha, WI 53188-3417 | 2014-12-20 |
| 1710395959 | Orthopedic Associates of Wisconsin | Clinic/Center | 1111 Delafield St, Waukesha, WI 53188-3417 | 2014-07-31 |
| 1053729046 | Debra Seiler | Nurse Practitioner | 1111 Delafield St, Suite 215, Waukesha, WI 53188-3417 | 2014-07-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336787126 | Nicole Lee Berg-johnson | Nurse Practitioner | 820 Crestwood Dr., Waukesha, WI 53188 | 2019-12-12 |
| 1013475706 | Rachel Mueller | Occupational Therapist | 29667 Summit Ave, S11, Waukesha, WI 53188 | 2019-03-12 |
| 1861962649 | Emily Elizabeth Seefeld | Occupational Therapy Assistant | 29667 Summit Ave S11, Waukesha, WI 53188 | 2018-12-05 |
| 1003393307 | Ashley Susan Callahan | Dental Hygienist | 711 W. Moreland Blvd., Suite 204, Waukesha, WI 53188 | 2018-07-19 |
| 1245741321 | Melissa Weir | Case Manager/Care Coordinator | 514 Riverview Avenue, Waukesha, WI 53188 | 2017-10-17 |
| 1093233629 | Patricia Marie Sombrio | Dental Hygienist | 711 Moreland Blvd 204, Waukesha, WI 53188 | 2017-09-04 |
| 1134660244 | Bdg of Wisconsin, Inc. | Behavioral Analyst | N19w2309 Riverwood Drive, Suite 350 Pmb 314, Waukesha, WI 53188 | 2017-03-09 |
| 1255888731 | Lynne Sarah Alva | Dental Hygienist | 711 Moreland Blvd, Suite 204, Waukesha, WI 53188 | 2016-09-01 |
| 1881069730 | Michelle Koch | Occupational Therapist | 29667 Summit Ave. S11, Waukesha, WI 53188 | 2015-12-03 |
| 1952711012 | Rhonda Schroeder | Dental Hygienist | W286 N991 Shepherds Way, Waukesha, WI 53188 | 2014-04-29 |
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| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| 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 |
|---|---|---|---|---|
| 1558443549 | Gastroenterology Specialists Sc | Internal Medicine | 1111 Delafield St, Suite 212, Waukesha, WI 53188-3417 | 2006-10-19 |
| 1922198282 | Aravind Vijayapal | Internal Medicine | 1111 Delafield St, Suite 212, Waukesha, WI 53188-3417 | 2006-10-14 |
| 1255392056 | Gary Lee Gerstner | Internal Medicine | 1111 Delafield St, Suite 212, Waukesha, WI 53188-3417 | 2006-03-31 |
| 1952362329 | Joel Isidore Lans | Internal Medicine | 1111 Delafield St, Suite 212, Waukesha, WI 53188-3417 | 2006-03-28 |
| 1396714861 | Mark W Dreyer | Internal Medicine | 1111 Delafield St, Suite 212, Waukesha, WI 53188-3417 | 2006-03-16 |
| 1386619427 | David Staff | Internal Medicine | 1111 Delafield St, Suite 212, Waukesha, WI 53188-3417 | 2006-02-22 |
| 1952375685 | David W Rogers | Internal Medicine | 1111 Delafield St, Suite 212, Waukesha, WI 53188-3417 | 2006-02-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265872998 | Eugene Kligman | Internal Medicine | 13133 N Port Washington Rd Ste G16, Mequon, WI 53097-2423 | 2013-06-26 |
| 1770929226 | Paul Michael Estrada | Internal Medicine | 437 N Frances St, Madison, WI 53703-2013 | 2013-05-10 |
| 1174851273 | Victor Ciofoaia | Internal Medicine | 700 West Ave South, La Crosse, WI 54601 | 2009-12-01 |
| 1255594537 | Freddy Caldera Jr. | Internal Medicine | 1685 Highland Avenue, 4256 Mfcb, Madison, WI 53705 | 2008-07-07 |
| 1457552689 | Erica Ann Samuel | Internal Medicine | 2424 S 90th St Ste 410, West Allis, WI 53227-2455 | 2007-05-28 |
| 1629157425 | Charles Cromwell | Internal Medicine | 2311 N Prospect, Milwaukee, WI 53211 | 2006-11-03 |
| 1992805832 | Suhasini Turlapati | Internal Medicine | 820 E Grant Street, Appleton, WI 54911 | 2006-09-22 |
| 1679676936 | Holy Family Memorial Inc | Internal Medicine | 800 Lakefront Way, Two Rivers, WI 54241-3301 | 2006-09-05 |
| 1639287436 | Kevin A Lang | Internal Medicine | M207 Marsh Ln, Marshfield, WI 54449-9293 | 2006-08-29 |
| 1063423515 | Joel M Carlson | Internal Medicine | 420 Dewey Street, Wisconsin Rapids, WI 54495-0005 | 2006-08-10 |
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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.