SUNDEEP BOJEDLA (NPI# 1184043051) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1184043051 |
Entity Type | Individual |
Full Name | SUNDEEP BOJEDLA |
Credential | D.O. |
Practice Address |
800 West Ave S La Crosse WI 54601 |
Mailing Address |
Po Box 1510 Eau Claire WI 54702-1510 |
Practice Telephone | 6087850940 |
Enumeration Date | 2014-04-08 |
Last Update Date | 2020-09-30 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
18130 | CA | Allopathic & Osteopathic Physicians |
N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
69416 | WI | Allopathic & Osteopathic Physicians |
Address | Telephone Number | Fax Number |
---|---|---|
22 S. Greene Street, Room N3e09, Baltimore, MD 21201 | 4103286110 |
Street Address |
800 WEST AVE S |
City | LA CROSSE |
State | WI |
Zip Code | 54601 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154323467 | Evan R Nelson | Physical Medicine & Rehabilitation | 800 West Ave S, La Crosse, WI 54601 | 2005-06-01 |
1366002479 | Caitlin Rae Carpenter | Physician Assistant | 800 West Ave S, La Crosse, WI 54601-8806 | 2019-06-20 |
1619448412 | Jenna Bauer | Nurse Practitioner | 800 West Ave S, La Crosse, WI 54601-8806 | 2018-12-06 |
1871077198 | Grant Morgan | Physician Assistant | 800 West Ave S, La Crosse, WI 54601-8806 | 2018-09-21 |
1477034411 | Navid Khezri | Neurological Surgery | 800 West Ave S, La Crosse, WI 54601-8806 | 2018-08-28 |
1609356468 | Alexander Ehlert | Physical Therapist | 800 West Ave S, La Crosse, WI 54601 | 2018-08-20 |
1316426091 | Jenifer Bantle-felt | Nurse Practitioner | 800 West Ave S, La Crosse, WI 54601 | 2018-08-13 |
1366949026 | Teresa Ann Mallett | Family Medicine | 800 West Ave S, La Crosse, WI 54601-8806 | 2018-04-10 |
1881199545 | Emily French | Family Medicine | 800 West Ave S, La Crosse, WI 54601-8806 | 2018-03-26 |
1073035598 | Mariah Hall | Nurse Practitioner | 800 West Ave S, La Crosse, WI 54601-8806 | 2017-07-17 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891324265 | Meagan Mcrae | Student in an Organized Health Care Education/Training Program | 1725 State St., 4051 Health Science Center, La Crosse, WI 54601 | 2020-04-07 |
1255969671 | Erin Dingman | Student in an Organized Health Care Education/Training Program | 1751 State Street, 4051 Health Science Center, La Crosse, WI 54601 | 2020-03-31 |
1619505047 | Nicole Kay Lynch | Student in an Organized Health Care Education/Training Program | 4051 Health Science Center, 1725 State St, La Crosse, WI 54601 | 2020-03-31 |
1174151757 | Jenna Sells | Student in an Organized Health Care Education/Training Program | 4051 Health Science Center, 1725 State Street, La Crosse, WI 54601 | 2020-03-30 |
1740818301 | Katie Irene Tahtinen | Student in an Organized Health Care Education/Training Program | Uwl- 4051 Health Science Center, 1725 State St., La Crosse, WI 54601 | 2020-03-30 |
1932737517 | Margaret May Grimm | Student in an Organized Health Care Education/Training Program | Univesity of Wisconsin-la Crosse, 4051 Health Science Center, 1725 State Street, La Crosse, WI 54601 | 2020-03-30 |
1831727312 | Matthew Timothy Axler | Student in an Organized Health Care Education/Training Program | 4051 Health Science Center, 1725 State Street, La Crosse, WI 54601 | 2020-03-30 |
1093340473 | Denise Stinson | Technician | 1311 Badger St, Apt 505, La Crosse, WI 54601 | 2020-03-06 |
1922632397 | Ibrahim Ahsan | Pharmacist | 1105 Wi-16, La Crosse, WI 54601 | 2020-02-25 |
1750913356 | Liza R Collins | Massage Therapist | 1415 State Wi 16, La Crosse, WI 54601 | 2020-02-11 |
Find all providers in zip 54601 |
Taxonomy Code | 2084N0400X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Neurology |
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922029339 | Pat D. Bryant | Psychiatry & Neurology | 800 West Avenue S., La Crosse, WI 54601-8806 | 2006-07-21 |
1265826762 | Michael Yang | Psychiatry & Neurology | 1836 South Ave, La Crosse, WI 54601-5429 | 2015-03-23 |
1962817619 | Justin Otis | Psychiatry & Neurology | 1836 South Ave, La Crosse, WI 54601 | 2014-06-20 |
1770996340 | Daniel Anderson | Psychiatry & Neurology | 800 West Ave S, La Crosse, WI 54601 | 2014-06-11 |
1316350762 | Kaylyn Deanne Sinicrope | Psychiatry & Neurology | 1836 South Ave, La Crosse, WI 54601 | 2014-06-03 |
1649574831 | Michael Barry Schonberger | Psychiatry & Neurology | 1836 South Ave, La Crosse, WI 54601-5429 | 2011-01-02 |
1790927390 | Rachel A Biemiller | Psychiatry & Neurology | 1836 South Ave, La Crosse, WI 54601-5429 | 2009-03-27 |
1699930594 | Ragasri Kumar | Psychiatry & Neurology | 1836 South Ave, La Crosse, WI 54601-5429 | 2008-07-21 |
1275794109 | Michael A Leone | Psychiatry & Neurology | 1836 South Ave, La Crosse, WI 54601-5429 | 2008-06-23 |
1013064997 | Ivy M Andersen | Psychiatry & Neurology | 1836 South Ave, La Crosse, WI 54601-5429 | 2007-01-04 |
Find all providers in LA CROSSE |
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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.