DR. LAITH SHAMAN (NPI# 1003360561) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003360561 |
| Entity Type | Individual |
| Full Name | DR. LAITH SHAMAN |
| Credential | D.P.M |
| Practice Address |
1271 N 6th St Milwaukee WI 53212-3360 |
| Practice Telephone | 4148053666 |
| Mailing Telephone | 4148053666 |
| Enumeration Date | 2016-08-12 |
| Last Update Date | 2020-02-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
1159-25 | WI | Podiatric Medicine & Surgery Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 11430 N Port Washington Rd, Mequon, WI 530923414 | 2625181900 | |
| 1155 N Mayfair Rd, Wauwatosa, WI 532263462 | 4149555990 |
| Street Address |
1271 N 6TH ST |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53212-3360 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104809052 | Tracy Lyn Farrey | Physical Therapist | 1271 N 6th St, Milwaukee, WI 53212-3360 | 2005-11-23 |
| 1619538972 | Benjamin Sorenson | Physical Therapist | 1271 N 6th St, Milwaukee, WI 53212-3360 | 2019-06-26 |
| 1033690433 | Brandon J Weigel | Physical Therapist | 1271 N 6th St, Milwaukee, WI 53212-3360 | 2018-08-23 |
| 1073038162 | Kathryn Geroulis Henschel | Physical Therapist | 1271 N 6th St, Milwaukee, WI 53212-3360 | 2017-08-09 |
| 1639608177 | Froedtert & The Medical College of Wisconsin Community Physicians Inc. | Durable Medical Equipment & Medical Supplies | 1271 N 6th St, Milwaukee, WI 53212 | 2017-06-08 |
| 1033404348 | Anthony Kohlenberg | Family Medicine | 1271 N 6th St, Milwaukee, WI 53212-3360 | 2011-06-14 |
| 1932257623 | Adam Gideon King | Internal Medicine | 1271 N 6th St, Milwaukee, WI 53212-3360 | 2007-01-08 |
| 1396828851 | Michelle L. Skierka | Registered Nurse | 1271 N 6th St, Milwaukee, WI 53212-3360 | 2006-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609481001 | Beth Leanna | Counselor | Benedict Center 1849 N Dr. Marin Luther King Dr., Suite 101, Milwaukee, WI 53212 | 2020-09-11 |
| 1326683749 | A.b.d.h. Counseling Services LLC | Clinic/Center | 518 E Concordia Avenue, Milwaukee, WI 53212 | 2019-11-08 |
| 1467095703 | Ifrah Hameed | Psychologist | 1849 N Doctor M.l.k. Jr Dr# 101, Milwaukee, WI 53212 | 2019-10-18 |
| 1386293330 | Rachel Mae Nelson Bagha | Student in an Organized Health Care Education/Training Program | 1849 N Doctor M.l.k. Jr Dr #101, Milwaukee, WI 53212 | 2019-09-11 |
| 1164085205 | Mary Sue Daase Bowen | Counselor | 2821 N 4th Street, Milwaukee, WI 53212 | 2019-04-15 |
| 1649733189 | Stacey King | Counselor | Rivershore Comprehensive Treatment Facility, 3703 N Richards St, Milwaukee Wi, Milwaukee, WI 53212 | 2019-04-11 |
| 1710447701 | Scott William Stauder | Student in an Organized Health Care Education/Training Program | 1121 E. North Ave., Milwaukee, WI 53212 | 2019-03-25 |
| 1821561168 | Lydia Ann Mendez | Counselor | 3703 N Richards St, Milwaukee, WI 53212 | 2019-01-09 |
| 1851863302 | Glen Victor Fleming | Counselor | 2821 North 4th Street Suite 210, Milwaukee, WI 53212 | 2018-12-21 |
| 1093285140 | Megan Marie Volp | Advanced Practice Midwife | 2555 N Doctor M.l.k. Jr Dr, Milwaukee, WI 53212 | 2018-12-03 |
| Find all providers in zip 53212 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043482417 | Ambulatory Surgery, Inc | Podiatrist | 10150 W National Ave Ste 350, Milwaukee, WI 53227-2153 | 2008-03-26 |
| 1114048204 | Ronald J Wroblewski | Podiatrist | 7635 W Oklahoma Ave Ste 109, Milwaukee, WI 53219-3623 | 2007-04-03 |
| 1346347341 | Charles M Carton Jr. | Podiatrist | 6230 W Capitol Drive, Milwaukee, WI 53216-2122 | 2006-09-20 |
| 1356372866 | R Flippin Sc | Podiatrist | 3915 W Capitol Dr, Milwaukee, WI 53216-2528 | 2006-07-05 |
| 1124689393 | Joseph Francis Albers | Podiatrist | 2301 N Lake Dr, Milwaukee, WI 53211-4508 | 2019-06-27 |
| 1497316384 | David Henry Sved | Podiatrist | 2301 N Lake Dr, Milwaukee, WI 53211-4508 | 2019-06-22 |
| 1578039053 | Steven A Tocci | Podiatrist | 2301 N Lake Dr, Milwaukee, WI 53211-4508 | 2018-10-22 |
| 1609361070 | Pulin Joshi | Podiatrist | 2301 N Lake Dr, Milwaukee, WI 53211-4508 | 2018-06-27 |
| 1255877643 | Jordan Sullivan | Podiatrist | 2301 N Lake Dr, Podiatric Residency Office, Milwaukee, WI 53211-4508 | 2017-01-10 |
| 1720433212 | Nooreen Ibrahim | Podiatrist | 5000 W Chambers St, Milwaukee, WI 53210-1650 | 2016-05-03 |
| 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.