DR. FERNANDO T. ITABLE (NPI# 1871586560) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871586560 |
| Entity Type | Individual |
| Full Name | DR. FERNANDO T. ITABLE |
| Credential | M.D. |
| Practice Address |
2745 W Layton Ave Suite 3201 Milwaukee WI 53221-2651 |
| Mailing Address |
Po Box 689711 Milwaukee WI 53268-9711 |
| Practice Telephone | 4142810050 |
| Practice Fax Number | 4142810773 |
| Mailing Telephone | 4144563100 |
| Mailing Fax Number | 4144563113 |
| Enumeration Date | 2005-08-26 |
| Last Update Date | 2008-11-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 35585 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 32260500 | 05 |
| Street Address |
2745 W LAYTON AVE SUITE 3201 |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53221-2651 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245672856 | Ageless Wellness Center, Inc | General Practice | 2745 W Layton Ave, Suite 203, Milwaukee, WI 53221-2651 | 2013-07-24 |
| 1730440470 | Maximo L. Cueto Jr. M.d.s.c. | Clinic/Center | 2745 W Layton Ave, Suite 102, Milwaukee, WI 53221-2651 | 2012-05-30 |
| 1447580881 | Kaushalya Beniwal M D S C | Family Medicine | 2745 W Layton Ave, Suite 104, Milwaukee, WI 53221-2651 | 2010-01-07 |
| 1639353204 | Anilkumar Singh Md Sc | Surgery | 2745 W Layton Ave, Suite 202, Milwaukee, WI 53221-2651 | 2007-12-19 |
| 1316051063 | National Pedorthic Services, Inc. | Prosthetic/Orthotic Supplier | 2745 W Layton Ave, Suite 103, Milwaukee, WI 53221-2651 | 2006-08-19 |
| 1003826892 | Rodrigo Itable | Family Medicine | 2745 W Layton Ave, Suite 201, Milwaukee, WI 53221-2651 | 2006-08-08 |
| 1760408058 | Kaushalya Beniwal | Family Medicine | 2745 W Layton Ave, Suite # 104, Milwaukee, WI 53221-2651 | 2006-07-14 |
| 1902879810 | Debra L Kneisler | Physician Assistant | 2745 W Layton Ave, Suite 206, Milwaukee, WI 53221-2651 | 2006-02-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487205944 | Hayat Pharmacy 20 LLC | Pharmacy | 805 W. Layton Ave., Suite B, Milwaukee, WI 53221 | 2019-09-26 |
| 1962053421 | Hayat Pharmacy 19 LLC | Pharmacy | 805 W. Layton Ave. Suite A, Milwaukee, WI 53221 | 2019-09-26 |
| 1407343965 | Informe Healthcare LLC | Counselor | 2741 W Layton Ave., Suite 106, Milwaukee, WI 53221 | 2018-04-19 |
| 1447781992 | Itamar Yaakov Gnatt | Emergency Medicine | 2900 W Oklahoma Ave, St Lukes Medical Center, Milwaukee, WI 53221 | 2017-03-27 |
| 1194277160 | Suzanne Derosier | Licensed Practical Nurse | 3910 W Bridge, Greenfield, WI 53221 | 2016-10-26 |
| 1265988117 | Obi Home Care | Clinic/Center | 4439 S 20th St, Milwaukee, WI 53221 | 2016-08-31 |
| 1427430602 | Zezenya Health Care S.c. | Pain Medicine | 5114 S 27th St # 763, Milwaukee, WI 53221 | 2015-06-24 |
| 1851771091 | Feisal J Salahadyn | Counselor | 4800 South 10th Street, Milwaukee, WI 53221 | 2015-06-03 |
| 1114312386 | Holistic Home Health Care Incorporated | Adult Companion | 3422 West Howard Ave, Greenfield, WI 53221 | 2015-04-03 |
| 1841698834 | Srt Prosthetics & Orthotics LLC | Prosthetic/Orthotic Supplier | 5220 S 27th St., Milwaukee, WI 53221 | 2014-12-08 |
| Find all providers in zip 53221 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive 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 |
|---|---|---|---|---|
| 1639617665 | Edward Min Chi | Internal Medicine | 2320 N Lake Dr Ste 3603, Milwaukee, WI 53211-4507 | 2017-02-09 |
| 1750743159 | Andrew Charles Rose | Internal Medicine | 999 N 92nd St Ste 730, Milwaukee, WI 53226-4875 | 2016-03-24 |
| 1942694401 | Iryna Nemesh | Internal Medicine | 1020 N 12th St Fl 2, Milwaukee, WI 53233 | 2015-03-23 |
| 1376955492 | Ashish Chaddha | Internal Medicine | 900 North 92nd Street, Milwaukee, WI 53226 | 2014-05-22 |
| 1518305671 | Aishah Aslam | Internal Medicine | 3070 N 51st St Ste 106, Milwaukee, WI 53210-1661 | 2013-06-11 |
| 1578822318 | Joel S Weiner | Internal Medicine | 720 E Wisconsin Ave, 2w440, Milwaukee, WI 53202-4703 | 2012-05-14 |
| 1174800049 | John Herman Esser | Internal Medicine | 1050 W Acacia Rd, Milwaukee, WI 53217 | 2011-11-07 |
| 1467731570 | Valena Grbic | Internal Medicine | 2311 N Prospect Avenue, Milwaukee, WI 53211 | 2011-08-06 |
| 1629396965 | Catherine A Kim | Internal Medicine | 3003 W Good Hope Rd Bldg 1642nd, Milwaukee, WI 53209-2042 | 2010-05-11 |
| 1730402892 | Robert Anthony Kebbekus | Internal Medicine | 8200 Warren Ave, Milwaukee, WI 53213-2124 | 2010-03-03 |
| Find all providers in MILWAUKEE | ||||
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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.