MICHELLE HUSMILLO MALABANAN (NPI# 1144410291) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1144410291 |
Entity Type | Individual |
Full Name | MICHELLE HUSMILLO MALABANAN |
Credential | MD |
Practice Address |
3130 Shore Dr Marinette WI 54143-4291 |
Mailing Address |
Po Box 22487 Green Bay WI 54305-2487 |
Practice Telephone | 7157357421 |
Mailing Telephone | 9204457226 |
Mailing Fax Number | 9204457238 |
Enumeration Date | 2007-07-25 |
Last Update Date | 2020-02-18 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
60162-20 | WI | Allopathic & Osteopathic Physicians |
Street Address |
3130 SHORE DR |
City | MARINETTE |
State | WI |
Zip Code | 54143-4291 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417992959 | Baycare Clinic LLP | Durable Medical Equipment & Medical Supplies | 3130 Shore Dr, Ste 109, Marinette, WI 54143-4291 | 2006-06-18 |
1861937153 | Natalie Lashmet | Registered Nurse | 3130 Shore Dr, Marinette, WI 54143-4291 | 2016-12-22 |
1174981047 | Aurora Bay Area Medical Group, LLC | Durable Medical Equipment & Medical Supplies | 3130 Shore Dr, Suite 30, Marinette, WI 54143-4291 | 2016-02-05 |
1407214794 | Aurora Bay Area Medical Group, LLC | Durable Medical Equipment & Medical Supplies | 3130 Shore Dr, Marinette, WI 54143-4291 | 2016-02-02 |
1073884839 | Bay Area Medical Center, Inc | Psychiatry & Neurology | 3130 Shore Dr, Suite 111, Marinette, WI 54143-4291 | 2012-01-25 |
1316218175 | Bay Area Medical Center, Inc | Internal Medicine | 3130 Shore Dr, Suite 106, Marinette, WI 54143-4291 | 2012-01-25 |
1326319187 | Bay Area Medical Center, Inc | Surgery | 3130 Shore Dr, Suite 020, Marinette, WI 54143-4291 | 2012-01-25 |
1396015194 | Bay Area Medical Center, Inc | Urology | 3130 Shore Dr, Suite 020, Marinette, WI 54143-4291 | 2012-01-10 |
1760668529 | Shobha Ramaiah | Internal Medicine | 3130 Shore Dr, Marinette, WI 54143-4291 | 2008-01-11 |
1982822763 | Adeel Khan | Surgery | 3130 Shore Dr, Marinette, WI 54143-4291 | 2007-04-24 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669966750 | Allie Parthie | Dentist | 1420 University Dr, Marinette, WI 54143 | 2018-06-21 |
1043730690 | Jonathan Weseman | Emergency Medicine | 3003 University Dr, Marinette, Marinette, WI 54143 | 2017-06-25 |
1538698618 | Meghan M Russell | Nurse Practitioner | 4061 Old Peshtigo Road, Marinette, WI 54143 | 2017-06-12 |
1801279435 | Stephanie Miller | Licensed Practical Nurse | W1902 State Hwy 64, Marinette, WI 54143 | 2015-07-01 |
1417298704 | Danielle Risner | Occupational Therapist | Luther Home 831 Pine Beach Rd, Marinette, WI 54143 | 2013-03-12 |
1053631903 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | W 716 County B, Ste B, Marinette, WI 54143 | 2010-06-02 |
1417105545 | Forefront Dermatology, S.c. | Dermatology | 3515 Murray Street, Marinette, WI 54143 | 2008-09-03 |
1245493352 | Judith M Ribbens | Counselor | 1557 Cleveland Ave, Marinette, WI 54143 | 2008-07-08 |
1538338926 | Charlene Mae Miller | Licensed Practical Nurse | 1126 Daggett, Marinette, WI 54143 | 2008-02-29 |
1104025519 | James Alan Boren | Family Medicine | 5926 Highway 41, Stephenson, MI 54143 | 2007-07-16 |
Find all providers in zip 54143 |
Taxonomy Code | 207RN0300X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Nephrology |
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
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 |
---|---|---|---|---|
1902036569 | Mahmoud Turki Kamel | Internal Medicine | 4061 Old Peshtigo Rd, Marinette, WI 54143-3887 | 2009-07-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841823390 | Kelby Roholt | Internal Medicine | 305 E Mahn Ct, Oak Creek, WI 53154-2101 | 2020-02-12 |
1477186922 | Sydney Kemps | Internal Medicine | 507 N 17th St, Milwaukee, WI 53233-5495 | 2020-02-12 |
1053708511 | Rishi Kora | Internal Medicine | 5650 N Green Bay Ave Ste 210, Glendale, WI 53209-4447 | 2015-04-22 |
1841523818 | Sana Waheed | Internal Medicine | 301 S Yellowstone Dr Apt 306, Madison, WI 53705-4378 | 2009-09-09 |
1841426798 | Wisconsin Vascular Access and Nephrology | Internal Medicine | 1962 N Prospect Ave # 310, Milwaukee, WI 53202-1414 | 2009-06-05 |
1184865099 | Zurab Albekioni | Internal Medicine | 3000 Westhill Dr Ste 108, Wausau, WI 54401-3795 | 2009-03-23 |
1104095017 | Mark Y Nunag | Internal Medicine | 2050 Continential Drive, West Bend, WI 53095 | 2008-02-25 |
1649448259 | Crystalkinetics, LLC | Internal Medicine | 4113 N Lake Dr, Shorewood, WI 53211-1720 | 2008-02-16 |
1699975193 | Dawn Wolfgram | Internal Medicine | 5000 W National Ave # Cc-111k, Milwaukee, WI 53295-1000 | 2007-07-23 |
1366657710 | Deepak Sharma | Internal Medicine | 7797 W Appletone Ave, Milwaukee, WI 53222 | 2007-05-11 |
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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.