DR. HESHAM M ELGHANNAM (NPI# 1023212289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023212289 |
| Entity Type | Individual |
| Full Name | DR. HESHAM M ELGHANNAM |
| Credential | MD |
| Practice Address |
2424 S 90th St Ste 300 West Allis WI 53227-2455 |
| Practice Telephone | 4143288150 |
| Mailing Telephone | 4143288150 |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2018-02-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
61317 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 8509416 | 05 | |
| WA | WA STATE LABOR & INDUSTRIES | 0235677 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 8905 W Lincoln Ave Ste 401, West Allis, WI 532272469 | 4143288270 | 5097556580 |
| Street Address |
2424 S 90TH ST STE 300 |
| City | WEST ALLIS |
| State | WI |
| Zip Code | 53227-2455 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215020326 | Richard J Grieshop | Surgery | 2424 S 90th St Ste 300, West Allis, WI 53227-2455 | 2006-10-02 |
| 1790382323 | Melissa Marie O'hanison | Nurse Practitioner | 2424 S 90th St Ste 300, West Allis, WI 53227-2455 | 2020-10-06 |
| 1336408905 | Mia L Manabat | Internal Medicine | 2424 S 90th St Ste 300, West Allis, WI 53227 | 2012-05-16 |
| 1447343637 | John F Kispert | Surgery | 2424 S 90th St Ste 300, West Allis, WI 53227-2455 | 2006-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205451564 | Ginger Renee Bland | Nurse Practitioner | 11133 W. National Avenue, West Allis, WI 53227 | 2020-06-12 |
| 1003312141 | Dynamic Medical Equipment, LLC | Durable Medical Equipment & Medical Supplies | 10236 W National Ave, West Allis, WI 53227 | 2018-04-05 |
| 1932572641 | Alissa Kristine Walker | Specialist/Technologist | 11601 W Lincoln Ave, West Allis, WI 53227 | 2015-11-03 |
| 1396155990 | Bradly Earl Helinski | Physical Therapy Assistant | 3023 S 84th St., Milwaukee, WI 53227 | 2014-05-05 |
| 1609299783 | Amy Renee Rozumalski | Occupational Therapy Assistant | 10150 W. National Ave, Suite 150, Premiere Medical Staffing Services, LLC, Milwaukee, WI 53227 | 2014-01-27 |
| 1497098438 | Kathleen Marie Schneider | Physical Therapy Assistant | 3023 S. 84th Street, Milwaukee, WI 53227 | 2013-03-28 |
| 1760723373 | Lee Ann Schraith | Physical Therapy Assistant | 3023 S. 84th St, Milwaukee, WI 53227 | 2013-03-06 |
| 1740520725 | Samantha Lynn Wozniak | Physical Therapist | 3023 S. 84th St., Milwaukee, WI 53227 | 2013-02-27 |
| 1831434901 | Andrew Paul Roeder | Physical Therapy Assistant | 3023 S. 89th Street, Milwaukee, WI 53227 | 2012-11-30 |
| 1538418116 | Christine Wilford | Social Worker | 2044 S 96th Street, West Allis, WI 53227 | 2012-08-29 |
| Find all providers in zip 53227 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326084880 | John E. Daniels Md Sc | Internal Medicine | 10201 W Lincoln Ave, Suite 100, West Allis, WI 53227-2136 | 2006-06-22 |
| 1558306647 | Lauren S. Lopez Md Sc | Internal Medicine | 10201 W Lincoln Ave, Suite 100, West Allis, WI 53227-2136 | 2006-06-20 |
| 1588637672 | Michael E Flatley | Internal Medicine | 2424 S 90th St, West Allis, WI 53227-2455 | 2006-02-09 |
| 1134191661 | Susan L Darmstadter | Internal Medicine | 8905 W Lincoln Ave, Ste 401, West Allis, WI 53227-2468 | 2006-02-07 |
| 1821061367 | Mark D Plumb | Internal Medicine | 8905 W Lincoln Ave, Ste 401, West Allis, WI 53227-2468 | 2006-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790307080 | Rihawi Md Sc | Internal Medicine | 2801 W Kinnickinnic River Pkwy Ste 445, Milwaukee, WI 53215-3669 | 2020-05-11 |
| 1194377747 | Samuel Lerush Butler | Internal Medicine | 2314 Dahlk Cir, Verona, WI 53593-8846 | 2019-07-14 |
| 1750810784 | Marjorie F Maxwell | Internal Medicine | 2823 N University Dr Apt 104, Waukesha, WI 53188-1428 | 2017-06-04 |
| 1326477233 | Aasim Mohammed | Internal Medicine | 116 N Dodge St Ste 201, Burlington, WI 53105-1963 | 2013-11-01 |
| 1275895336 | Deborah Jean Mcnear | Internal Medicine | 11516 N Justin Dr, Mequon, WI 53092-2866 | 2012-06-13 |
| 1033422860 | Sanjeevkumar Ashok Patel | Internal Medicine | 2500 E Capitol Dr Ste 1700, Appleton, WI 54911-8735 | 2010-07-21 |
| 1124284054 | David Y Rosenzweig | Internal Medicine | 6236 Upper Pkwy N, Wauwatosa, WI 53213-2430 | 2008-07-30 |
| 1033389473 | Pamela Aird Wilson | Internal Medicine | 6001 Galley Ct, Madison, WI 53705-4429 | 2008-02-29 |
| 1699835256 | Stuart A Levy | Internal Medicine | 9509 N Wakefield Ct, Milwaukee, WI 53217-1245 | 2006-12-12 |
| 1861563058 | Omprakash Ahuja | Internal Medicine | 3070 N 51st Street, Suite 506, Milwaukee, WI 53210-1645 | 2006-11-11 |
| Find all providers with the same taxonomy | ||||
| City | WEST ALLIS |
| Zip Code | 53227 |
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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.