DR. OGOMA MEKAM OBI KRAUSE (NPI# 1811156474) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811156474 |
| Entity Type | Individual |
| Full Name | DR. OGOMA MEKAM OBI KRAUSE |
| Other Name | DR. OGOMA MEKAM MODUM |
| Credential | MD |
| Practice Address |
2817 New Pinery Rd Portage WI 53901-9240 |
| Practice Telephone | 6087424131 |
| Mailing Telephone | 6087424131 |
| Enumeration Date | 2008-06-08 |
| Last Update Date | 2017-01-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 4301088077 | MI | Allopathic & Osteopathic Physicians |
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
66547-20 | WI | Allopathic & Osteopathic Physicians |
| N | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
4301088077 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
2817 NEW PINERY RD |
| City | PORTAGE |
| State | WI |
| Zip Code | 53901-9240 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174506307 | James T Gariti Sr. | Emergency Medicine | 2817 New Pinery Rd, Divine Savior Healthcare Inc, Portage, WI 53901-9257 | 2005-11-22 |
| 1881208635 | Sophie M Tessner | Pharmacist | 2817 New Pinery Rd, Portage, WI 53901-9240 | 2020-08-31 |
| 1164047015 | Stephanie Jo Holt | Nurse Practitioner | 2817 New Pinery Rd, Portage, WI 53901-9240 | 2020-06-16 |
| 1770132268 | Anna Carole Hormig | Registered Nurse | 2817 New Pinery Rd, Portage, WI 53901-9240 | 2019-09-06 |
| 1790338655 | Andrea Olsen | Occupational Therapist | 2817 New Pinery Rd, Portage, WI 53901-9240 | 2019-07-19 |
| 1316590417 | Nicole Rae Sletten | Occupational Therapy Assistant | 2817 New Pinery Rd, Portage, WI 53901-9240 | 2019-07-18 |
| 1851944078 | Andrew Larson | Physical Therapist | 2817 New Pinery Rd, Portage, WI 53901-9240 | 2019-07-17 |
| 1780236067 | Danielle Debruyne | Physical Therapist | 2817 New Pinery Rd, Portage, WI 53901-9240 | 2019-07-16 |
| 1063077055 | Dillon Via | Physician Assistant | 2817 New Pinery Rd, Portage, WI 53901-9240 | 2019-05-06 |
| 1659843886 | Andrew Benton Padley | Registered Nurse | 2817 New Pinery Rd, Portage, WI 53901-9240 | 2018-12-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740710748 | Robert James Corliss | Internal Medicine | St. Vincent Fmc, 140east Cook St., Portage, WI 53901 | 2017-06-13 |
| 1639328867 | Casey Jo Ambort | Speech-Language Pathologist | 626 East Slifer St, Portage, WI 53901 | 2008-09-11 |
| 1871767400 | Planned Parenthood of Wi, Inc | Non-Pharmacy Dispensing Site | 132 W. Cook St., Portage, WI 53901 | 2008-04-15 |
| 1881872158 | Marta Jean Jindra | Physical Therapist | 626 E Slifer Street, Portage, WI 53901 | 2008-02-08 |
| 1699953976 | Lana Marie Edwards | Speech-Language Pathologist | 626 East Slifer Street, Portage, WI 53901 | 2008-02-08 |
| 1134314552 | Kristina Hellenbrand | Physical Therapist | 2639 New Pinery Road, Suite 2, Portage, WI 53901 | 2007-09-10 |
| 1689727810 | Gregory Allan Bindl | Chiropractor | 2121new Pinery Rd, Portage, WI 53901 | 2007-01-19 |
| 1720149156 | Timothy J Rosin Dds Sc | Dentist | 2570 New Pinery Rd, Portage, WI 53901 | 2006-12-12 |
| 1710083779 | Currani Seubert Dental Office LLC | Dentist | 260 W Cook St, Portage, WI 53901 | 2006-09-16 |
| 1225090525 | University of Wisconsin Medical Foundation Inc | Durable Medical Equipment & Medical Supplies | 2977 Cty Hwy Cx, Portage, WI 53901 | 2006-04-04 |
| Find all providers in zip 53901 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| 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 |
|---|---|---|---|---|
| 1295171189 | Corey J. Lager | Internal Medicine | 7901 S 12th St Ste 200, Portage, MI 49024-3831 | 2013-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649595588 | Irina Ciubotaru | Internal Medicine | 3807 Spring St Ste 310, Mount Pleasant, WI 53405-1667 | 2010-04-05 |
| 1477876068 | Gretajo Northrop | Internal Medicine | 226 N Meadow Ln, Madison, WI 53705-3331 | 2010-03-10 |
| 1457588246 | Earl Shrago | Internal Medicine | 1415 Linden Dr, Univ. Wisc., Madison, WI 53706-1527 | 2009-06-18 |
| 1679735997 | Diabetes Osteoporosis Thyroid Endocrine Center, LLC | Internal Medicine | 1532 S Green Bay Rd Ste 300, Mount Pleasant, WI 53406-4410 | 2008-06-27 |
| 1184897357 | Eshraq Al-jaghbeer | Internal Medicine | 2801 W Kinnickinnic River Pkwy Ste 245, Milwaukee, WI 53215-3678 | 2008-04-09 |
| 1205028487 | Jolita Satkus | Internal Medicine | 2801 W Kinnickinnic River Pkwy Ste 260, Milwaukee, WI 53215 | 2007-08-13 |
| 1437206893 | Farah Salahuddin | Internal Medicine | 3601 30th Avenue, Suite 203, Endocrine Clinic of Kenosha, Kenosha, WI 53144-1632 | 2007-01-05 |
| 1306906664 | Hak-joong Kim | Internal Medicine | 5757 W Oklahoma Ave, Suite 101, Milwaukee, WI 53219-4303 | 2006-12-09 |
| 1093823130 | Thomas Kelly | Internal Medicine | 201 Nth Mayfair Rd, 2nd Floor, Wauwatosa, WI 53226 | 2006-08-28 |
| 1386759389 | Steven Rabinowe | Internal Medicine | 4077 Lighthouse Dr, Racine, WI 53402-3113 | 2006-08-20 |
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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.