Jawaid Quddus (NPI# 1386631661, PAC ID# 3173588829) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1386631661 |
| PAC ID by PECOS | 3173588829 |
| Professional Enrollment ID | I20041123000025 |
| Full Name | Jawaid Quddus |
| Organization Legal Name | ZENITH HEALTHCARE SC |
| Address |
6121 Green Bay Rd Suite 100 Kenosha WI 53142-2931 |
| Phone Number | 2623591652 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1997 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 3476774001 |
| Number of Group Practice Members | 15 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 520021 | UNITED HOSPITAL SYSTEM |
| Address | Phone | Organization |
|---|---|---|
| 6121 Green Bay Rd, Suite 100, Kenosha, WI 53142-2931 | 2623591652 | ZENITH HEALTHCARE SC |
| Organization Legal Name | ZENITH HEALTHCARE SC |
| Physicians | 17 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William Merritt | Physician Assistant | Zenith Healthcare Sc | 6121 Green Bay Rd, Suite 100, Kenosha, WI 53142-2931 |
| Maureen E Goines | Nurse Practitioner | Zenith Healthcare Sc | 6121 Green Bay Rd, Suite 100, Kenosha, WI 53142-2931 |
| Billie A Lawler | Nurse Practitioner | Zenith Healthcare Sc | 6121 Green Bay Rd, Suite 100, Kenosha, WI 53142-2931 |
| Renee K Remington | Nurse Practitioner | Zenith Healthcare Sc | 6121 Green Bay Rd, Suite 100, Kenosha, WI 53142-2931 |
| Kelly Lynn Riffel | Nurse Practitioner | Zenith Healthcare Sc | 6121 Green Bay Rd, Suite 100, Kenosha, WI 53142-2931 |
| Leon Besthoff Rosen | Cardiovascular Disease (cardiology) | Zenith Healthcare Sc | 6121 Green Bay Rd, Suite 100, Kenosha, WI 53142-2931 |
| Stefanie S Ruffolo | Critical Care (intensivists) | Zenith Healthcare Sc | 6121 Green Bay Rd, Suite 100, Kenosha, WI 53142-2931 |
| Michael C Kreager | Cardiovascular Disease (cardiology) | Zenith Healthcare Sc | 6121 Green Bay Rd, Suite 100, Kenosha, WI 53142-2931 |
| Leonardo Montemurro | Family Medicine | Zenith Healthcare Sc | 6121 Green Bay Rd, Suite 100, Kenosha, WI 53142-2931 |
| Katherine M Abbo | Cardiovascular Disease (cardiology) | Zenith Healthcare Sc | 6121 Green Bay Rd, Suite 100, Kenosha, WI 53142-2931 |
| Street Address |
6121 GREEN BAY RD SUITE 100 |
| City | KENOSHA |
| State | WI |
| Zip | 53142-2931 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William Merritt | Physician Assistant | Zenith Healthcare Sc | 6121 Green Bay Rd, Suite 100, Kenosha, WI 53142-2931 |
| Jennifer R Sarafin | Clinical Social Worker | Fleming Psychological Services Sc | 6121 Green Bay Rd, Suite 230, Kenosha, WI 53142-2929 |
| Ann M Fleming | Clinical Social Worker | Fleming Psychological Services Sc | 6121 Green Bay Rd, Suite 230, Kenosha, WI 53142-2929 |
| Maureen E Goines | Nurse Practitioner | Zenith Healthcare Sc | 6121 Green Bay Rd, Suite 100, Kenosha, WI 53142-2931 |
| Billie A Lawler | Nurse Practitioner | Zenith Healthcare Sc | 6121 Green Bay Rd, Suite 100, Kenosha, WI 53142-2931 |
| Renee K Remington | Nurse Practitioner | Zenith Healthcare Sc | 6121 Green Bay Rd, Suite 100, Kenosha, WI 53142-2931 |
| Debra M Johansen-goh | Psychologist, Clinical | Fleming Psychological Services Sc | 6121 Green Bay Rd, Suite 230, Kenosha, WI 53142-2929 |
| Indrajit Choudhuri | Cardiac Electrophysiology | 6121 Green Bay Rd, Suite 100, Kenosha, WI 53142-2931 | |
| Kelly Lynn Riffel | Nurse Practitioner | Zenith Healthcare Sc | 6121 Green Bay Rd, Suite 100, Kenosha, WI 53142-2931 |
| Leon Besthoff Rosen | Cardiovascular Disease (cardiology) | Zenith Healthcare Sc | 6121 Green Bay Rd, Suite 100, Kenosha, WI 53142-2931 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Randall J Hammett | Chiropractic | 6500 67th St, Kenosha, WI 53142-1403 | |
| Laurie Sasso | Clinical Social Worker | Wellqor Psychological Services of Wisconsin, S.c. | 6300 67th St, Kenosha, WI 53142-1437 |
| Rodrigo B Mata Iii | Internal Medicine | 6123 Green Bay Rd, Suite 120, Kenosha, WI 53142-2927 | |
| Nancy Guadagno | Clinical Social Worker | 6123 Green Bay Rd, Suite 240, Kenosha, WI 53142-2927 | |
| Shellie Kaye Babcock | Clinical Social Worker | 6123 Green Bay Rd, Suite 240, Kenosha, WI 53142-2927 | |
| Chad E Sloden | Chiropractic | Sports and Family Chiropractic LLC | 6123 Green Bay Rd, Suite 140, Kenosha, WI 53142-2927 |
| Nicholas Joseph Hollendonner | Chiropractic | Sports and Family Chiropractic LLC | 6123 Green Bay Rd, Suite 140, Kenosha, WI 53142-2927 |
| Pushparanee Babusukumar | Psychiatry | Psychiatric and Psychotherapy Clinic L I Newman Md Sc Gen Ptr | 6125 Green Bay Rd, Suite 700, Kenosha, WI 53142-2928 |
| Tom A Defrancesco | Clinical Social Worker | Psychiatric and Psychotherapy Clinic L I Newman Md Sc Gen Ptr | 6125 Green Bay Rd, Suite 700, Kenosha, WI 53142-2928 |
| Donna J Hayes | Podiatry | 6125 Green Bay Rd, Suite 600, Kenosha, WI 53142-2928 | |
| Find all physicians in zip 53142 | |||
| City | KENOSHA |
| Zip Code | 53142 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | KENOSHA + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Jawaid Quddus.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.