PRADEEP GOPI KUMAR (NPI# 1164463261) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164463261 |
| Entity Type | Individual |
| Full Name | PRADEEP GOPI KUMAR |
| Credential | MD |
| Practice Address |
8348 Washington Ave Mount Pleasant WI 53406-3733 |
| Mailing Address |
4837 Lathrop Ave Racine WI 53403-9706 |
| Practice Telephone | 2628844000 |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2012-05-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
41877 | WI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295710994 | Pradeep Kumar | Internal Medicine | 527 W Newton St, Greensburg, PA 15601-2819 | 2005-12-14 |
| 1023188935 | Pradeep Kumar | Psychiatry & Neurology | 2500 Alhambra Avenue, Contra Costa Regional Medical Center and Health Centers, Martinez, CA 94553-3156 | 2006-11-08 |
| 1780761536 | Pradeep Kumar | Internal Medicine | 100 Medway Rd, Suite 101, Milford, MA 01757-2923 | 2006-11-01 |
| 1508967548 | Pradeep J Kumar | Orthopaedic Surgery | 9353 Imperial Highway, Downey, CA 90242-3456 | 2006-09-25 |
| 1295838746 | Pradeep Kumar | Internal Medicine | 1900 Mowry Ave, Suite 309, Fremont, CA 94538-1722 | 2006-09-07 |
| 1609823608 | Pradeep Kumar | Psychiatry & Neurology | 3920 Alma Dr, Plano, TX 75023-6748 | 2006-05-27 |
| 1093790537 | Pradeep Kumar | Internal Medicine | 4310 James Casey St, Suite 4a, Austin, TX 78745-1120 | 2005-12-07 |
| 1164424024 | Pradeep Kumar | Anesthesiology | 699 92nd St, Victory Memorial Hospital, Brooklyn, NY 11228-3619 | 2005-08-11 |
| Street Address |
8348 WASHINGTON AVE |
| City | MOUNT PLEASANT |
| State | WI |
| Zip Code | 53406-3733 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154739019 | Jana Brown | Pharmacist | 8348 Washington Ave, Mount Pleasant, WI 53406-3733 | 2014-07-23 |
| 1053664748 | Mark Lewno | Pharmacist | 8348 Washington Ave, Mount Pleasant, WI 53406-3733 | 2012-10-18 |
| 1124382999 | Michael Pothen | Family Medicine | 8348 Washington Ave, Mount Pleasant, WI 53406-3733 | 2012-06-27 |
| 1306133673 | Naweed Chowdhury | Family Medicine | 8348 Washington Ave, Mount Pleasant, WI 53406-3733 | 2011-07-06 |
| 1255505434 | Mathew Pothen | Family Medicine | 8348 Washington Ave, Mount Pleasant, WI 53406-3733 | 2008-04-17 |
| 1386838670 | Jennifer A Patterson | Audiologist | 8348 Washington Ave, Mount Pleasant, WI 53406-3733 | 2007-08-30 |
| 1235201690 | Christopher Vincent Cataldi | Family Medicine | 8348 Washington Ave, Mount Pleasant, WI 53406-3733 | 2006-11-14 |
| 1033149042 | Lenora M. Brockman | Obstetrics & Gynecology | 8348 Washington Ave, Mount Pleasant, WI 53406-3733 | 2006-07-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578164349 | Lynn Huynh | Pharmacist | 5695 Washington Ave, Racine, WI 53406 | 2020-11-06 |
| 1659920049 | Carol Jean Cornejo | Technician | 6528 Heritage Avenue, Mt Pleasant, WI 53406 | 2019-09-09 |
| 1265913958 | Mary Goldbeck | Social Worker | 1775 Newman Rd, Mt Pleasant, WI 53406 | 2018-08-22 |
| 1669963344 | Kelly Nicole Nelson | Registered Nurse | 8800 Washington Ave Ste 200, Mount Pleasant, WI 53406 | 2018-05-29 |
| 1891212163 | Ilona Agata Pryomski | Nurse Practitioner | 9201 Washington Ave, Racine, WI 53406 | 2017-08-27 |
| 1386185106 | Margaret M. Abaogye Dds | Dentist | 4340 Newman Rd., Racine, WI 53406 | 2017-03-13 |
| 1508309212 | Rebecca Koeppen | Dietitian, Registered | 8400 Washington Ave., Racine, WI 53406 | 2016-11-29 |
| 1386194371 | Forefront Dermatology, S.c. | Dermatology | 7200 Washington Ave, Suite 100, Mount Pleasant, WI 53406 | 2016-10-13 |
| 1356891402 | Forefront Dermatology, S.c. | Dermatology | 1515 S Green Bay Rd, Racine, WI 53406 | 2016-10-12 |
| 1861841470 | Leah Marie Johnson | Dentist | 1101 South Airline Road, Racine, WI 53406 | 2016-06-06 |
| Find all providers in zip 53406 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801154000 | Kathryn E Gannon-loew | Pediatrics | 540 N 16th St, Milwaukee, WI 53233-2160 | 2012-04-25 |
| 1922392067 | Mary Guillot | Pediatrics | 999 N 92nd St Ste 460, Wauwatosa, WI 53226 | 2011-06-07 |
| 1144555178 | Katsumi Neeno | Pediatrics | 2341 Tradition Ln, Janesville, WI 53545-0723 | 2009-10-08 |
| 1588857841 | Leah W Mcavoy | Pediatrics | 5471 W Waterford Ln Ste B, Appleton, WI 54913-8510 | 2007-08-21 |
| 1518165380 | Syed N Hasnain | Pediatrics | 1971 W Capitol Dr, Milwaukee, WI 53206-1909 | 2007-07-03 |
| 1629292206 | Thomas Henry Kowalski | Pediatrics | 3872 S Lake Dr Unit 404, Milwaukee, WI 53235-5236 | 2007-04-13 |
| 1912929803 | Mary L. Ganz | Pediatrics | 1290 Betsy Ross Ct, Brookfield, WI 53045-5362 | 2006-07-23 |
| 1649221482 | Mary Susan Jay | Pediatrics | 8915 W Connell Ave, Milwaukee, WI 53226-3067 | 2006-05-15 |
| 1962478040 | Peter S Karofsky | Pediatrics | 2711 Allen Blvd, Middleton Teen Clinic, Middleton, WI 53562 | 2006-02-27 |
| 1396740296 | Najwa A Beit Shawish | Pediatrics | 3003 W Good Hope Rd, Milwaukee, WI 53209-2042 | 2005-06-16 |
| Find all providers with the same taxonomy | ||||
| City | MOUNT PLEASANT |
| Zip Code | 53406 |
Please comment or provide details below to improve the information on PRADEEP GOPI KUMAR.
| 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.