Khalid S Kahook (NPI# 1356640726, PAC ID# 3779715495) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1356640726 |
| PAC ID by PECOS | 3779715495 |
| Professional Enrollment ID | I20160506000186 |
| Full Name | Khalid S Kahook |
| Organization Legal Name | NORTHEAST WISCONSIN RETINA ASSOCIATES SC |
| Address |
200 Theda Clark Medical Plz Suite 110 Neenah WI 54956-2790 |
| Phone Number | 9207518666 |
| Gender | M |
| Medical School | MEDICAL COLLEGE OF GEORGIA |
| Graduation Year | 2011 |
| Primary Specialty | OPHTHALMOLOGY |
| Group Practice PAC ID | 8224029707 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 520045 | THEDA CLARK MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 200 Theda Clark Medical Plz, Suite 110, Neenah, WI 54956-2790 | 9207518666 | NORTHEAST WISCONSIN RETINA ASSOCIATES SC |
| Organization Legal Name | NORTHEAST WISCONSIN RETINA ASSOCIATES SC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael E Possin | Ophthalmology | Northeast Wisconsin Retina Associates Sc | 5733 Windy Dr, Suite A, Stevens Point, WI 54482-8483 |
| Benjamin J Ernst | Ophthalmology | Northeast Wisconsin Retina Associates Sc | 480 Pilgrim Way, Suite 1305, Green Bay, WI 54304-5279 |
| John P Rosculet | Ophthalmology | Northeast Wisconsin Retina Associates Sc | 515 S Washburn St, Suite 101a, Oshkosh, WI 54904-7951 |
| Rajeev Buddi | Ophthalmology | Northeast Wisconsin Retina Associates Sc | 480 Pilgrim Way, Suite 1305, Green Bay, WI 54304-5279 |
| Charles Hejny | Ophthalmology | Northeast Wisconsin Retina Associates Sc | 480 Pilgrim Way, Suite 1305, Green Bay, WI 54304-5279 |
| Street Address |
200 THEDA CLARK MEDICAL PLZ SUITE 110 |
| City | NEENAH |
| State | WI |
| Zip | 54956-2790 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Zaheeruddin Sheikh | Rheumatology | Thedacare Incorporated | 200 Theda Clark Medical Plz, Suite 240, Neenah, WI 54956-2790 |
| Maria K Vandenberg | Obstetrics/gynecology | Womens Care of Wisconsin Sc | 200 Theda Clark Medical Plz, Suite 130, Neenah, WI 54956-2790 |
| Connie M Strey | Physical Therapy | Womens Care of Wisconsin Sc | 200 Theda Clark Medical Plz, Suite 130, Neenah, WI 54956-2790 |
| John T Grandone | Rheumatology | Thedacare Incorporated | 200 Theda Clark Medical Plz, Neenah, WI 54956-2721 |
| Tracy L Derksen | Nurse Practitioner | Fox Valley Pulmonary Medicine Sc | 200 Theda Clark Medical Plz, Suite 480, Neenah, WI 54956-2790 |
| Valary Ruth Gass | Obstetrics/gynecology | Womens Care of Wisconsin Sc | 200 Theda Clark Medical Plz, Suite 130, Neenah, WI 54956-2790 |
| Jeffrey David Stewart | Obstetrics/gynecology | Womens Care of Wisconsin Sc | 200 Theda Clark Medical Plz, Suite 130, Neenah, WI 54956-2790 |
| Amber L Post | Obstetrics/gynecology | Womens Care of Wisconsin Sc | 200 Theda Clark Medical Plz, Suite 130, Neenah, WI 54956-2790 |
| Julie P Wilson | Physical Medicine and Rehabilitation | Thedacare Incorporated | 200 Theda Clark Medical Plz, Suite 240, Neenah, WI 54956-2790 |
| Michelle Koellermeier | Obstetrics/gynecology | Womens Care of Wisconsin Sc | 200 Theda Clark Medical Plz, Suite 130, Neenah, WI 54956-2790 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gizell R Larson | Neurology | The Neuroscience Group of Northeast Wisconsin Sc | 1305 W American Dr, Neenah, WI 54956-1401 |
| Brianne M Wienkers | Physical Therapy | The Neuroscience Group of Northeast Wisconsin Sc | 1305 W American Dr, Neenah, WI 54956-1401 |
| Jill M Hietpas | Physician Assistant | The Neuroscience Group of Northeast Wisconsin Sc | 1305 W American Dr, Neenah, WI 54956-1401 |
| Tait D Fors | Urology | Wisconsin Institute of Urology Sc | 1265 W American Dr, Suite 100, Neenah, WI 54956-1405 |
| Brian T Bolinger | Diagnostic Radiology | Radiology Associates of The Fox Valley, Sc | 740 Deerwood Ave, Neenah, WI 54956-1601 |
| Curtis C Baltz | Internal Medicine | Thedacare Incorporated | 333 N Green Bay Rd, Neenah, WI 54956-1954 |
| Megan J Kane | Family Medicine | Thedacare Incorporated | 333 N Green Bay Rd, Neenah, WI 54956-1954 |
| Richard D Klamm | Family Medicine | Thedacare Incorporated | 333 N Green Bay Rd, Neenah, WI 54956-1954 |
| Jennifer A Norden | Internal Medicine | Thedacare Incorporated | 333 N Green Bay Rd, Neenah, WI 54956-1954 |
| Venkata S Udayagiri | Family Medicine | Thedacare Incorporated | 333 N Green Bay Rd, Neenah, WI 54956-1954 |
| Find all physicians in zip 54956 | |||
| City | NEENAH |
| Zip Code | 54956 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | NEENAH + OPHTHALMOLOGY |
Please comment or provide details below to improve the information on Khalid S Kahook.
| 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.