MARIANO F DEGUZMAN (NPI# 1942369269) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942369269 |
| Entity Type | Individual |
| Full Name | MARIANO F DEGUZMAN |
| Credential | MD |
| Practice Address |
3734 7th Ave Suite 1 Kenosha WI 53140 |
| Mailing Address |
3734 7th Avenue Suite 1 Kenosha WI 53140 |
| Practice Telephone | 2626540226 |
| Practice Fax Number | 2626540232 |
| Mailing Telephone | 2626540226 |
| Mailing Fax Number | 2626540232 |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
WI18345 | WI | Allopathic & Osteopathic Physicians |
| Street Address |
3734 7TH AVE SUITE 1 |
| City | KENOSHA |
| State | WI |
| Zip Code | 53140 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922054519 | Ismael R Staromana | Anesthesiology | 3734 7th Ave, Dominican Building #15, Kenosha, WI 53140-5525 | 2006-05-25 |
| 1851527428 | Tara R Rullman | Counselor | 3734 7th Ave, Suite 12, Kenosha, WI 53140-5525 | 2009-06-09 |
| 1336374925 | Lisa M Defazio | Social Worker | 3734 7th Ave, Suite 24, Kenosha, WI 53140-5525 | 2009-05-26 |
| 1942474341 | Steven M Schwimmer, D.o. | Internal Medicine | 3734 7th Ave, Suite 27, Kenosha, WI 53140-5525 | 2008-04-16 |
| 1366627689 | Pradeep G. Kumar Md Inc | Clinic/Center | 3734 7th Ave, Suite 1, Kenosha, WI 53140-5525 | 2008-01-05 |
| 1356526743 | Vicki L Bartow | Social Worker | 3734 7th Ave, Suite 12, Kenosha, WI 53140-5525 | 2008-01-03 |
| 1104001999 | Amy F Fockler | Social Worker | 3734 7th Ave, Suite 12, Kenosha, WI 53140-5525 | 2007-12-31 |
| 1275652315 | Corrie Ruth Lee | Counselor | 3734 7th Ave, Suite 24, Kenosha, WI 53140-5525 | 2007-03-28 |
| 1023153947 | Leilane U Sta Romana Mdsc | Internal Medicine | 3734 7th Ave, Dominican Building Suite 15, Kenosha, WI 53140-5525 | 2007-02-20 |
| 1730246380 | Ashokkumar K Shah | Psychiatry & Neurology | 3734 7th Ave, Suite 24, Kenosha, WI 53140-5525 | 2007-01-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225663396 | Lydia Zopf | Counselor | 2001 Alford Park Dr., Carthage College, Kenosha, WI 53140 | 2020-03-09 |
| 1952949406 | Rotate Rehabilitation and Performance | Physical Therapist | 5606 6th Avenue Suite Ll9, Kenosha, WI 53140 | 2019-12-16 |
| 1134778590 | Brenda Chiapetta | Registered Nurse | 3233 23rd Ave, Kenosha, WI 53140 | 2019-09-09 |
| 1275003394 | Kimberly Shaffner | Family Medicine | 4536 22nd Avenue, Kenosha, WI 53140 | 2018-12-01 |
| 1659863389 | Bart L Mengo | Contractor | 1715 60th Street, Kenosha, WI 53140 | 2018-05-30 |
| 1093182941 | Guided Wellness Counseling | Community/Behavioral Health | 1112 56th St, Kenosha, WI 53140 | 2015-08-26 |
| 1376970764 | Stacey L Andersen | Acupuncturist | 5603 7th Ave, Kenosha, WI 53140 | 2013-10-01 |
| 1841467438 | Deborah Schwerdtfeger | Occupational Therapy Assistant | 3415 Sheridan Road, Woodstock Rehab Dept, Kenosha, WI 53140 | 2008-05-13 |
| 1942492020 | Rebecca Ann Burdette | Counselor | 920 60th Street, Renosha, WI 53140 | 2007-08-13 |
| 1851598619 | Aurora Medical Group, Inc. | Durable Medical Equipment & Medical Supplies | 2707 15th Place, Kenosha, WI 53140 | 2007-06-27 |
| Find all providers in zip 53140 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801154000 | Kathryn E Gannon-loew | Pediatrics | 540 N 16th St, Milwaukee, WI 53233-2160 | 2012-04-25 |
| 1922392067 | Mary Guillot | Pediatrics | 999 N 92nd St Ste 460, Wauwatosa, WI 53226 | 2011-06-07 |
| 1144555178 | Katsumi Neeno | Pediatrics | 2341 Tradition Ln, Janesville, WI 53545-0723 | 2009-10-08 |
| 1588857841 | Leah W Mcavoy | Pediatrics | 5471 W Waterford Ln Ste B, Appleton, WI 54913-8510 | 2007-08-21 |
| 1518165380 | Syed N Hasnain | Pediatrics | 1971 W Capitol Dr, Milwaukee, WI 53206-1909 | 2007-07-03 |
| 1629292206 | Thomas Henry Kowalski | Pediatrics | 3872 S Lake Dr Unit 404, Milwaukee, WI 53235-5236 | 2007-04-13 |
| 1912929803 | Mary L. Ganz | Pediatrics | 1290 Betsy Ross Ct, Brookfield, WI 53045-5362 | 2006-07-23 |
| 1164463261 | Pradeep Gopi Kumar | Pediatrics | 8348 Washington Ave, Mount Pleasant, WI 53406-3733 | 2006-06-09 |
| 1649221482 | Mary Susan Jay | Pediatrics | 8915 W Connell Ave, Milwaukee, WI 53226-3067 | 2006-05-15 |
| 1962478040 | Peter S Karofsky | Pediatrics | 2711 Allen Blvd, Middleton Teen Clinic, Middleton, WI 53562 | 2006-02-27 |
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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.