DAVID L PELOZA (NPI# 1053739714) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1053739714 |
Entity Type | Individual |
Full Name | DAVID L PELOZA |
Credential | MD |
Practice Address |
1821 S Stoughton Rd Madison WI 53716-2257 |
Practice Telephone | 6082606000 |
Practice Fax Number | 6082606429 |
Mailing Telephone | 6082606000 |
Mailing Fax Number | 6082606429 |
Enumeration Date | 2014-03-31 |
Last Update Date | 2019-08-12 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RA0201X |
Internal Medicine Specialization: Allergy & Immunology |
65024-20 | WI | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | 1053739714 | 05 |
Street Address |
1821 S STOUGHTON RD |
City | MADISON |
State | WI |
Zip Code | 53716-2257 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679569024 | Amanda Jean Johnson | Physician Assistant | 1821 S Stoughton Rd, Dean Medical Center, Madison, WI 53716-2257 | 2005-09-21 |
1316544638 | Whitney M Wisecup | Nurse Practitioner | 1821 S Stoughton Rd, Madison, WI 53716-2257 | 2020-10-09 |
1063071157 | Kiley Dehaven | Physician Assistant | 1821 S Stoughton Rd, Madison, WI 53716-2257 | 2019-06-12 |
1013475656 | Shannon A Gedman | Nurse Practitioner | 1821 S Stoughton Rd, Madison, WI 53716-2257 | 2019-03-02 |
1295221059 | Emily Lyght | Physician Assistant | 1821 S Stoughton Rd, Madison, WI 53716 | 2018-07-05 |
1497245674 | Julie J Empey | Dietitian, Registered | 1821 S Stoughton Rd, Madison, WI 53716-2257 | 2018-05-14 |
1184131864 | Heather E Solfelt | Dietitian, Registered | 1821 S Stoughton Rd, Madison, WI 53716-2257 | 2018-01-04 |
1508385519 | Jennifer D Foy | Nurse Practitioner | 1821 S Stoughton Rd, Madison, WI 53716 | 2017-09-12 |
1336668276 | Teri L White | Nurse Practitioner | 1821 S Stoughton Rd, Madison, WI 53716-2257 | 2017-09-12 |
1457877284 | Jennifer L Wachholz | Physician Assistant | 1821 S Stoughton Rd, Madison, WI 53716-2257 | 2017-08-14 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730738873 | Richard Onyait | Technician | 1103 Birch Haven Cir, Monona, WI 53716 | 2019-09-11 |
1962950428 | Paige Corliss | Pharmacist | 1821 S. Stoughton Road, Madison, WI 53716 | 2016-09-13 |
1760840946 | Stacey Palermo | Marriage & Family Therapist | 303 Frost Woods Rd, Monona, WI 53716 | 2016-02-03 |
1326414442 | Diane Marie Kelley | Nurse Practitioner | 300 Femrite Drive, Monona, WI 53716 | 2015-08-12 |
1942692520 | Kelsey Lynn Markham | Counselor | 5900 Monona Drive, Suite 100, Monona, WI 53716 | 2015-02-19 |
1225452733 | Nicole Moscinski | Marriage & Family Therapist | 6117 Monona Dr Ste 1b, Monona, WI 53716 | 2014-02-05 |
1013345644 | Emma Amanda Rose | Physician Assistant | 521 Bowman Ave., Madison, WI 53716 | 2013-10-16 |
1407154271 | Jennifer Orshak | Registered Nurse | 5410 Forge Drive, Madison, WI 53716 | 2011-03-03 |
1982906525 | Jennifer Chun | Dentist | 100 River Pl Ste 110, Monona, WI 53716 | 2010-12-02 |
1609041987 | Jennifer A Britain | Physical Therapist | 1821 South Stoughton Rd, Madison, WI 53716 | 2008-04-28 |
Find all providers in zip 53716 |
Taxonomy Code | 207RA0201X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Allergy & Immunology |
An internist doctor of osteopathy that specializes in the treatment of allergy and immunologic disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Special Qualifications in the field of Allergy & Immunology. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326084534 | Ravi Viswanathan | Internal Medicine | 451 Junction Rd, Madison, WI 53717-2656 | 2006-06-22 |
1568413839 | Sujani Kakumanu | Internal Medicine | University of Wisconsin Hospital, 600 Highland Ave H4/831-8320, Madison, WI 53792-0001 | 2006-05-12 |
1134180045 | Thomas C Puchner Jr. | Internal Medicine | 20 S Park St, Madison, WI 53715 | 2006-03-30 |
1003885351 | Michael W Ritter | Internal Medicine | 1 S Park St, Madison, WI 53715-1375 | 2006-03-17 |
1881661486 | William W Busse | Internal Medicine | 600 Highland Ave, Madison, WI 53792 | 2006-03-02 |
1063488138 | Sameer K Mathur | Internal Medicine | 600 Highland Ave, Madison, WI 53792 | 2006-02-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306140439 | Jared I Darveaux | Internal Medicine | 311 Gundersen Dr, Onalaska, WI 54650 | 2011-01-04 |
1285841155 | Nathan M Lebak | Internal Medicine | 252 Mchenry St Ste 8, Burlington, WI 53105-1828 | 2007-05-17 |
1861468712 | Robert J Kriz | Internal Medicine | 9013 Bentley Grn, Verona, WI 53593-7858 | 2006-02-28 |
1154616795 | Ashvini Varadhi Biswas | Internal Medicine | 10400 75th St, Kenosha, WI 53142-7884 | 2011-06-11 |
1770885220 | Serenity Health Care Center Sc | Internal Medicine | 2607 N Grandview Blvd, Waukesha, WI 53188-1686 | 2010-12-03 |
1285800367 | Wayne Harry Konetzki | Internal Medicine | 403 N Grand Ave, Waukesha, WI 53186-4913 | 2008-05-07 |
1447309786 | Mark H Hermanoff | Internal Medicine | 1055 N Mayfair Rd, Wauwatosa, WI 53226-3436 | 2007-01-09 |
1407963457 | Shelley K Watters | Internal Medicine | 1055 N Mayfair Rd, Wauwatosa, WI 53226-3436 | 2006-08-24 |
1073543096 | Anita I Gheller-rigoni | Internal Medicine | 855 N Westhaven Dr, Oshkosh, WI 54904-7668 | 2006-07-04 |
1598711665 | Monica Vasudev | Internal Medicine | 2414 Kohler Memorial Dr, Sheboygan, WI 53081-3129 | 2006-05-26 |
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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.