SHAHRIAR ALIZADEGAN


Address: 9200 W Wisconsin Ave, Vascular Surgery, Milwaukee, WI 53226-3522
Phone: 4148058620

SHAHRIAR ALIZADEGAN (NPI# 1063647857) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063647857
Entity Type Individual
Full Name SHAHRIAR ALIZADEGAN
Credential M.D
Practice Address 9200 W Wisconsin Ave
Vascular Surgery
Milwaukee
WI 53226-3522
Practice Telephone 4148058620
Practice Fax Number 4144540152
Mailing Telephone 4148058620
Mailing Fax Number 4144540152
Enumeration Date 2009-05-21
Last Update Date 2016-07-25
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 208600000X Surgery 62270 WI Allopathic & Osteopathic Physicians
Y 2086S0129X Surgery
Specialization: Vascular Surgery
62270 WI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
WI 1063647857 05

Office Location

Street Address 9200 W WISCONSIN AVE
VASCULAR SURGERY
City MILWAUKEE
State WI
Zip Code 53226-3522

Providers in the same location

NPI Name Taxonomy Address Enumeration
1255334173 Froedtert Memorial Lutheran Hospital, Inc. General Acute Care Hospital 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 2005-05-24
1013518182 Shelby Koppinger Pharmacist 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 2020-11-05
1083215065 Jennifer Lynn Scheffler Physician Assistant 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 2020-11-05
1306445952 Elyan Carolina Ruiz Solano Thoracic Surgery (Cardiothoracic Vascular Surgery) 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 2020-10-23
1972101467 Sarah Emily Ziem Nurse Practitioner 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 2020-10-15
1912504242 Matthew Resop Nurse Practitioner 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 2020-10-09
1043817877 Jacqueline Jordan Morgan Nurse Practitioner 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 2020-10-05
1134726227 Joseph Beiler Registered Nurse 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 2020-10-02
1316553845 Nathan Duncan Pharmacist 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 2020-09-21
1043826035 Emily Mell Physician Assistant 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 2020-09-16
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1912511155 Alexander Harlan Pharmacist 900 N 92nd St, Milwaukee, WI 53226 2020-09-04
1558985762 Armghan Haider Ans Student in an Organized Health Care Education/Training Program 9200 W. Wisconsin Ave. Froedtert Hospital & Medical Col, Milwaukee, WI 53226 2020-06-03
1669001103 Kimberly Tyler Student in an Organized Health Care Education/Training Program 8701 W Watertown Plank Road, Medical College of Wisconsin Dept of Internal Medicine, Wauwatosa, WI 53226 2020-04-06
1972131993 Francesca Meloy Devine Student in an Organized Health Care Education/Training Program Medical Education Office: Children's Corporate Center, 999 N. 92nd St., Suite 730, Milwaukee, WI 53226 2020-03-27
1285275248 Sharitta Alford Technician 12250 West North Avenue, Apartment 142b, Wauwatosa, WI 53226 2019-10-01
1619528023 Linda Marie Sabatinelli Technician 12107 W. Woodland Ave, Wauwatosa, WI 53226 2019-09-26
1598310195 Matthew Laviolette Surgery Medical College of Wisconsin, 8701 Watertown Plank Rd., Surgical Oncology, Milwaukee, WI 53226 2019-08-09
1962056432 Lyndsey Marie Bratberg Physician Assistant F&mcw Clinical Cancer Center 9200 W. Wisconsin Ave., Milwaukee, WI 53226 2019-08-01
1659832855 Benjamin David Seadler Surgery Mcw, Department of Surgery, 8701 Watertown Plank Road, Milwaukee, WI 53226 2019-03-29
1861953267 Michael Dryden Student in an Organized Health Care Education/Training Program 8701 Watertown Plank Rd., Milwaukee, WI 53226 2019-03-27
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Taxonomy Information

Taxonomy Code 2086S0129X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery
Specialization Vascular Surgery

Taxonomy Definition

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1932308186 Great Lakes Medical & Surgical Center Surgery 6000 South 27th Street, Milwaukee, WI 53221 2007-07-17
1821352683 Neel Anand Mansukhani Surgery 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 2012-06-26
1770731077 Rajeev Gupta Surgery 2801 W Kinnickinnic River Pkwy Ste 330, Milwaukee, WI 53215-3678 2008-08-29
1639353204 Anilkumar Singh Md Sc Surgery 2745 W Layton Ave, Suite 202, Milwaukee, WI 53221-2651 2007-12-19
1912045097 Patricia E Burrows Surgery 9000 W Wisconsin Ave, Ms 721, Milwaukee, WI 53226-4874 2007-02-02
1285727453 John Wilson Bowman Surgery 11414 W Park Pl, Ste 300, Milwaukee, WI 53224-3500 2006-10-02
1629006887 Joseph Patrick Hart Surgery 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 2006-06-28
1154375400 Kellie R Brown Surgery 9200 W Wisconsin Ave, Division of Vascular Surgery, Milwaukee, WI 53226-3522 2006-05-20
1205888948 Brian D Lewis Surgery 9200 W Wisconsin Ave, Vascular Surgery, Milwaukee, WI 53226-3522 2006-05-17
1407809148 Gary Seabrook Surgery 9200 W Wisconsin Ave, Vascular Surgery, Milwaukee, WI 53226-3522 2006-05-17
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Competitor

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City MILWAUKEE
Zip Code 53226

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Dataset Information

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.

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