MRS. KAJAL CHIRAG MALKAN (NPI# 1952609299) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952609299 |
| Entity Type | Individual |
| Full Name | MRS. KAJAL CHIRAG MALKAN |
| Credential | PA |
| Practice Address |
555 S 108th St West Allis WI 53214-1100 |
| Mailing Address |
20555 Bartlett Dr Brookfield WI 53045-1720 |
| Practice Telephone | 4145666400 |
| Mailing Telephone | 5166196313 |
| Enumeration Date | 2011-03-10 |
| Last Update Date | 2016-05-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
555 S 108TH ST |
| City | WEST ALLIS |
| State | WI |
| Zip Code | 53214-1100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588666465 | Beth Anne Maki | Nurse Practitioner | 555 S 108th St, West Allis, WI 53214-1100 | 2005-08-11 |
| 1174089130 | Quad/med, LLC | Clinic/Center | 555 S 108th St, West Allis, WI 53214-1145 | 2019-02-14 |
| 1023488731 | Quad/med, LLC | Clinic/Center | 555 S 108th St, West Allis, WI 53214-1100 | 2015-10-07 |
| 1265698187 | Sara C Falter | Optometrist | 555 S 108th St, West Allis, WI 53214-1145 | 2008-07-30 |
| 1982873865 | Melissa Fish | Specialist/Technologist | 555 S 108th St, West Allis, WI 53214-1100 | 2008-02-26 |
| 1831368646 | Pat A Buck | Dietitian, Registered | 555 S 108th St, West Allis, WI 53214 | 2008-02-26 |
| 1932378999 | Laurie A Lacoursiere | Dietitian, Registered | 555 S 108th St, West Allis, WI 53214-1100 | 2008-02-25 |
| 1417126335 | Michelle Szivecz | Physical Therapist | 555 S 108th St, West Allis, WI 53214-1100 | 2008-02-25 |
| 1255500179 | Pamela Goodreau | Specialist/Technologist | 555 S 108th St, West Allis, WI 53214-1100 | 2008-02-25 |
| 1063681971 | Paul Galleske | Specialist/Technologist | 555 S 108th St, West Allis, WI 53214-1100 | 2008-02-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740740208 | Melanie Figueroa | Counselor | West Milwaukee Ctc, 1610 Miller Park Way, West Milwaukee, WI 53214 | 2019-03-21 |
| 1619403011 | Lea Salome Denny | Counselor | 8626b W Greenfield Ave, Suite B300, West Allis, WI 53214 | 2017-05-04 |
| 1891148318 | West Allis Prescription Center Inc | Pharmacy | 6737 W Washington Ave, Suite 1100, West Allis, WI 53214 | 2016-07-20 |
| 1316390495 | Kristina Overlee | Nurse Practitioner | 6737 W. Washington Street, Suite 2150, West Allis, WI 53214 | 2016-07-13 |
| 1801239843 | Daniel Anthony Cichy | Pharmacist | 10101 W Greenfield Ave Ste 130, West Allis, WI 53214 | 2013-04-09 |
| 1295072544 | Wisconsin Vision, Inc. | Optometrist | 1220 Miller Park Way, West Milwaukee, WI 53214 | 2013-01-07 |
| 1831457720 | Kevin Konieczka | Physical Therapist | 1224 Miller Parkway, Milwaukee, WI 53214 | 2012-04-27 |
| 1497031843 | Jill Elizabeth Gerou | Registered Nurse | 8420 West Greenfield Ave, Apartment #7, West Allis, WI 53214 | 2011-10-31 |
| 1700176815 | Carolyn Hasek | Counselor | 1126 S 70th St Ste 112-113, West Allis, WI 53214 | 2011-04-10 |
| 1972802775 | Barbara Smith | Licensed Practical Nurse | 651 S 63 St, Apt1, Milwaukee, WI 53214 | 2011-03-18 |
| Find all providers in zip 53214 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366927576 | Rachel Kooistra | Physician Assistant | 8901 W Lincoln Ave Fl 1, West Allis, WI 53227-2409 | 2018-10-03 |
| 1780059394 | Katherine Rose Warren | Physician Assistant | 2424 S 90th Street, Suite 500, West Allis, WI 53227-7030 | 2015-12-08 |
| 1487059481 | Mark Dawydowycz | Physician Assistant | 2515 S 88th St, West Allis, WI 53227-2723 | 2014-11-03 |
| 1396852844 | Jean A Lauterbach | Physician Assistant | 2239 S 108th St, West Allis, WI 53227-1107 | 2006-08-23 |
| 1851860258 | Madison F Hamilton | Physician Assistant | 2424 S 90th St Ste 500, West Allis, WI 53227-2464 | 2018-11-15 |
| 1730673955 | Denine Eva Anagnoustopolous | Physician Assistant | 2424 S 90th St, West Allis, WI 53227 | 2018-06-20 |
| 1205320074 | Benjamin Ziebart | Physician Assistant | 7516 W Oklahoma Ave, West Allis, WI 53219-2860 | 2018-06-15 |
| 1033621628 | Lana Thi Starkey | Physician Assistant | 7220 W National Ave, West Allis, WI 53214-4734 | 2017-11-03 |
| 1396294575 | Allyssa A Nicholas | Physician Assistant | 6609 W Greenfield Ave, West Allis, WI 53214-4958 | 2016-09-28 |
| 1982992111 | Patrick Geiger | Physician Assistant | 10150 W National Ave, Suite 190, West Allis, WI 53227-2145 | 2011-07-21 |
| Find all providers in WEST ALLIS | ||||
| City | WEST ALLIS |
| Zip Code | 53214 |
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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.