HRISSANTHI IKONOMIDOU (NPI# 1104063692) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104063692 |
| Entity Type | Individual |
| Full Name | HRISSANTHI IKONOMIDOU |
| Credential | MD |
| Practice Address |
600 Highland Ave. Madison WI 53792 |
| Mailing Address |
7974 Uw Health Court Middleton WI 53562-5531 |
| Practice Telephone | 6082635442 |
| Practice Fax Number | 6082651753 |
| Enumeration Date | 2009-01-21 |
| Last Update Date | 2018-08-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
52556 | WI | Allopathic & Osteopathic Physicians |
| Y | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
52556 | WI | Allopathic & Osteopathic Physicians |
| Street Address |
600 HIGHLAND AVE. |
| City | MADISON |
| State | WI |
| Zip Code | 53792 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952353328 | Ronald P Guiao | Orthopaedic Surgery | 600 Highland Ave., Madison, WI 53792 | 2006-05-16 |
| 1306319686 | Kristin E Friedl | Nurse Practitioner | 600 Highland Ave., Burn Center, Madison, WI 53792 | 2019-01-09 |
| 1235679697 | Laura Lawler | Dietitian, Registered | 600 Highland Ave., Mail Code 1510, Madison, WI 53792 | 2017-03-06 |
| 1326492430 | Patrick Thomas Grogan | Internal Medicine | 600 Highland Ave., Uw Hospitals and Clinics, Madison, WI 53792 | 2016-04-15 |
| 1396128526 | Heenam Goel | Student in an Organized Health Care Education/Training Program | 600 Highland Ave., Madison, WI 53792 | 2015-07-07 |
| 1366677528 | Ann M Dodge | Nurse Practitioner | 600 Highland Ave., Madison, WI 53792-0001 | 2009-05-18 |
| 1457594970 | Juan P Boriosi | Pediatrics | 600 Highland Ave., Madison, WI 53792-3284 | 2009-04-14 |
| 1356581888 | Eva Allen | Nurse Practitioner | 600 Highland Ave., Madison, WI 53792-3284 | 2009-02-24 |
| 1275708588 | Jennifer Vivian Huang | Emergency Medicine | 600 Highland Ave., Madison, WI 53792-0001 | 2008-04-28 |
| 1922276138 | Michael Santino Pulia | Emergency Medicine | 600 Highland Ave., Madison, WI 53792-0001 | 2008-02-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902416969 | Cynthia Iradukunda | Student in an Organized Health Care Education/Training Program | University of Wisconsin School of Medicine and Public H, 600 Highland Ave, B6/319, Madison, WI 53792 | 2020-08-05 |
| 1689162661 | Tseun Han James Kong | Psychiatry & Neurology | Uw Hospitals and Clinics, 600 Highland Ave, Madison, WI 53792 | 2018-04-25 |
| 1194248013 | Kyle Erick Rudningen | Dermatology | Uw Hosptials & Clinics 600 Highland Ave, Madison, WI 53792 | 2017-07-23 |
| 1477083194 | Maxwell Joseph Wingelaar | Ophthalmology | Uw Health University Hospital, Madison, WI 53792 | 2017-06-14 |
| 1790212603 | Imad Khan | Psychiatry & Neurology | Uw Hospitals & Clinics 600 Highland Avenue, Madison, WI 53792 | 2017-05-23 |
| 1700334745 | Krista Lee Rieger | Pharmacist | 600 Higland Avenue, University of Wisconsin Hospital and Clinics, Madison, WI 53792 | 2016-09-20 |
| 1780070086 | Christina Amend | Pediatrics | American Family Childrens Hospital 600 Highland Ave, Madison, WI 53792 | 2015-04-13 |
| 1487040127 | Michelle Stoffel | Pathology | Uw Hospital and Clinics, 600 Highland Ave, Madison, WI 53792 | 2015-04-09 |
| 1417363888 | Jenna Bender | Pharmacist | 600 Highland Avenue, 1530, University of Wisconsin Hospital and Clinics, Madison, WI 53792 | 2014-07-07 |
| 1841619889 | Ying Wang | Psychiatry & Neurology | 600 Highland Ave,h4/831, Uw Hospital and Clinics, Madison, WI 53792 | 2014-04-07 |
| Find all providers in zip 53792 | ||||
| Taxonomy Code | 2084N0402X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology with Special Qualifications in Child Neurology |
| A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033521513 | Varun Sreenivasan | Psychiatry & Neurology | 7730 Old Canton Rd Bldg A, Madison, MS 39110-9299 | 2014-06-02 |
| 1063592301 | Sergio Facchini | Psychiatry & Neurology | 600 Highland Ave, Madison, WI 53792-0001 | 2006-10-17 |
| 1407895428 | Mary K Dominski | Psychiatry & Neurology | 700 S Park St, Madison, WI 53715-1830 | 2006-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376963694 | Shannon C Pollock | Psychiatry & Neurology | 9000 W Wisconsin Ave, Milwaukee, WI 53226-4874 | 2014-04-25 |
| 1972947224 | Samuel J Adams | Psychiatry & Neurology | 9000 W Wisconsin Ave, Milwaukee, WI 53226 | 2013-04-17 |
| 1699036129 | Alexandria Lynn Lutley | Psychiatry & Neurology | 9000 W Wisconsin Ave, Milwaukee, WI 53226-4874 | 2012-05-31 |
| 1063779601 | Kumar R Sannagowdara | Psychiatry & Neurology | 12500 Aurora Dr, Pleasant Prairie, WI 53158-1227 | 2012-04-20 |
| 1942597356 | Lileth Joy Mondok | Psychiatry & Neurology | 9000 W Wisconsin Avenue, Pediatric Neurology, Milwaukee, WI 53226-4874 | 2011-07-06 |
| 1144532052 | Raquel Farias-moeller | Psychiatry & Neurology | 9000 W Wisconsin Ave, Milwaukee, WI 53226-4874 | 2010-07-08 |
| 1801002092 | Delphin Sallowm | Psychiatry & Neurology | 9000 W Wisconsin Ave, Pediatric Neurology, Milwaukee, WI 53226-4874 | 2007-05-15 |
| 1659443620 | Dorota Halina Telega | Psychiatry & Neurology | N84w16889 Menomonee Ave, Menomonee Falls, WI 53051-2810 | 2006-11-14 |
| 1003912346 | Richard V Colan | Psychiatry & Neurology | 8825 S Howell Ave, Suite 101, Oak Creek, WI 53154-3760 | 2006-09-15 |
| 1053335513 | Hema U Patel | Psychiatry & Neurology | 9000 W Wisconsin Ave, Pediatric Neurology, Milwaukee, WI 53226-4874 | 2006-07-27 |
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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.