SHAIBAL MAZUMDAR (NPI# 1093749566) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093749566 |
| Entity Type | Individual |
| Full Name | SHAIBAL MAZUMDAR |
| Credential | M.D. |
| Practice Address |
N84w16889 Menomonee Ave Menomonee Falls WI 53051-2810 |
| Mailing Address |
3003 W Good Hope Rd Milwaukee WI 53209-2042 |
| Practice Telephone | 2622517500 |
| Practice Fax Number | 2622517128 |
| Mailing Telephone | 4143523100 |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2010-12-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
42898 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | RR MEDICARE | P00452798 | 01 |
| WI | 34047200 | 05 |
| Street Address |
N84W16889 MENOMONEE AVE |
| City | MENOMONEE FALLS |
| State | WI |
| Zip Code | 53051-2810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942207741 | June Constantza Moldvan-jacobs | Family Medicine | N84w16889 Menomonee Ave, Menomonee Falls, WI 53051-2810 | 2005-07-07 |
| 1083224075 | Nicole B Senger | Physical Therapist | N84w16889 Menomonee Ave, Menomonee Falls, WI 53051-2810 | 2020-08-04 |
| 1609499409 | Laura Beth Westerman | Physical Therapy Assistant | N84w16889 Menomonee Ave, Menomonee Falls, WI 53051-2810 | 2020-05-27 |
| 1316595549 | Hailey Mohrfeld | Physical Medicine & Rehabilitation | N84w16889 Menomonee Ave, Menomonee Falls, WI 53051-2810 | 2019-08-30 |
| 1811557820 | Virginia Whinnery | Physician Assistant | N84w16889 Menomonee Ave, Menomonee Falls, WI 53051-2810 | 2019-06-20 |
| 1144880824 | Dominic Tomczyk | Physical Therapist | N84w16889 Menomonee Ave, Menomonee Falls, WI 53051 | 2019-06-16 |
| 1265091912 | Natalie D Stella | Nurse Practitioner | N84w16889 Menomonee Ave, Menomonee Falls, WI 53051-2810 | 2019-06-06 |
| 1437639069 | Wendy A Rousseau | Occupational Therapist | N84w16889 Menomonee Ave, Menomonee Falls, WI 53051-2810 | 2018-08-14 |
| 1720588023 | Caitlyn M Gunzel | Speech-Language Pathologist | N84w16889 Menomonee Ave, Menomonee Falls, WI 53051-2810 | 2018-02-14 |
| 1285144048 | Sarah M Hunt | Physical Therapist | N84w16889 Menomonee Ave, Menomonee Falls, WI 53051-2810 | 2017-10-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356968002 | Marisa Hiley | Nurse Practitioner | W129 N7055 Northfield Drive, Menomonee Falls, WI 53051 | 2020-06-29 |
| 1225687940 | Andres Sercovich | Pharmacist | W12501 Leatherwood Ct N74, Menomonee Falls, WI 53051 | 2019-09-05 |
| 1699329193 | Athletico Ltd | Physical Therapist | N88w15562 Main St, Menomonee Falls, WI 53051 | 2019-08-01 |
| 1386103059 | Aegis Group Practice LLC | Occupational Therapist | N48w14250 W Hampton Ave, Menomonee Falls, WI 53051 | 2019-03-13 |
| 1962969220 | Paladina Health, LLC | Family Medicine | Paladina Health Menomonee Falls, N84 W15787 Menomonee Avenue Suite 6, Menomonee Falls, WI 53051 | 2019-02-22 |
| 1053814772 | Waukesha County Community Dental Clinic, Inc. | Clinic/Center | N81w15062 Appleton Ave, Menomonee Falls, WI 53051 | 2018-03-09 |
| 1942753314 | Kelly Schmidt | Pharmacist | 200 Woodland Prime Ste 300, Menomonee Falls, WI 53051 | 2016-08-02 |
| 1386027548 | Generations Family Dental Care Menomonee Falls, LLC | Dentist | N48 W14170 Hampton Ave., Menomonee Falls, WI 53051 | 2015-07-07 |
| 1184007551 | Monjot Kaur Kang | Pharmacist | N82 W15882 Appleton Ave, Menomonee Falls, WI 53051 | 2015-07-03 |
| 1417334038 | Costco Wholesale Corporation | Hearing Aid Equipment | 9235 Pershing Avenue, Menomonee Falls, WI 53051 | 2015-05-04 |
| Find all providers in zip 53051 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| 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 |
|---|---|---|---|---|
| 1023154903 | Melissa L Earnest | Internal Medicine | W180n7950 Town Hall Rd, Menomonee Falls, WI 53051-4049 | 2007-01-29 |
| 1679519797 | Cesar A. Chan Jr. | Internal Medicine | N84w16889 Menomonee Ave, Menomonee Falls, WI 53051-2810 | 2006-06-20 |
| 1518931138 | Syed Mehdi | Internal Medicine | W129n7055 Northfield Dr, Gastroenterology, Menomonee Falls, WI 53051-0538 | 2006-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265872998 | Eugene Kligman | Internal Medicine | 13133 N Port Washington Rd Ste G16, Mequon, WI 53097-2423 | 2013-06-26 |
| 1770929226 | Paul Michael Estrada | Internal Medicine | 437 N Frances St, Madison, WI 53703-2013 | 2013-05-10 |
| 1174851273 | Victor Ciofoaia | Internal Medicine | 700 West Ave South, La Crosse, WI 54601 | 2009-12-01 |
| 1255594537 | Freddy Caldera Jr. | Internal Medicine | 1685 Highland Avenue, 4256 Mfcb, Madison, WI 53705 | 2008-07-07 |
| 1457552689 | Erica Ann Samuel | Internal Medicine | 2424 S 90th St Ste 410, West Allis, WI 53227-2455 | 2007-05-28 |
| 1629157425 | Charles Cromwell | Internal Medicine | 2311 N Prospect, Milwaukee, WI 53211 | 2006-11-03 |
| 1992805832 | Suhasini Turlapati | Internal Medicine | 820 E Grant Street, Appleton, WI 54911 | 2006-09-22 |
| 1679676936 | Holy Family Memorial Inc | Internal Medicine | 800 Lakefront Way, Two Rivers, WI 54241-3301 | 2006-09-05 |
| 1639287436 | Kevin A Lang | Internal Medicine | M207 Marsh Ln, Marshfield, WI 54449-9293 | 2006-08-29 |
| 1063423515 | Joel M Carlson | Internal Medicine | 420 Dewey Street, Wisconsin Rapids, WI 54495-0005 | 2006-08-10 |
| Find all providers with the same taxonomy | ||||
| City | MENOMONEE FALLS |
| Zip Code | 53051 |
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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.