JANE M KORDUCKI (NPI# 1356339535) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356339535 |
| Entity Type | Individual |
| Full Name | JANE M KORDUCKI |
| Credential | MD |
| Practice Address |
800 West Ave S La Crosse WI 54601-8806 |
| Mailing Address |
Po Box 1510 Eau Claire WI 54702-1510 |
| Practice Telephone | 6087919862 |
| Practice Fax Number | 6087919821 |
| Mailing Telephone | 6087850940 |
| Enumeration Date | 2005-10-11 |
| Last Update Date | 2020-09-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
29019 | WI | Allopathic & Osteopathic Physicians |
| Street Address |
800 WEST AVE S |
| City | LA CROSSE |
| State | WI |
| Zip Code | 54601-8806 |
| 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 | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| 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 |
|---|---|---|---|---|
| 1821331398 | Maria Daniela Hurtado Andrade | Internal Medicine | 800 West Ave S, La Crosse, WI 54601 | 2013-04-02 |
| 1033349246 | Rachel L Mckenney | Internal Medicine | 1836 South Ave, La Crosse, WI 54601-5429 | 2009-07-22 |
| 1689678286 | Robert H Caplan | Internal Medicine | 1836 South Ave, La Crosse, WI 54601-5429 | 2005-06-10 |
| 1376547257 | Daniel K Short | Internal Medicine | 1836 South Ave, La Crosse, WI 54601-5429 | 2005-06-09 |
| 1093717050 | Richard H Reynertson | Internal Medicine | 1836 South Ave, La Crosse, WI 54601-5429 | 2005-06-02 |
| 1700888922 | Arnold A Asp | Internal Medicine | 1836 South Ave, La Crosse, WI 54601-5429 | 2005-06-01 |
| 1871595116 | Gregory B Pehling | Internal Medicine | 800 West Ave S, La Crosse, WI 54601 | 2005-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649595588 | Irina Ciubotaru | Internal Medicine | 3807 Spring St Ste 310, Mount Pleasant, WI 53405-1667 | 2010-04-05 |
| 1477876068 | Gretajo Northrop | Internal Medicine | 226 N Meadow Ln, Madison, WI 53705-3331 | 2010-03-10 |
| 1457588246 | Earl Shrago | Internal Medicine | 1415 Linden Dr, Univ. Wisc., Madison, WI 53706-1527 | 2009-06-18 |
| 1679735997 | Diabetes Osteoporosis Thyroid Endocrine Center, LLC | Internal Medicine | 1532 S Green Bay Rd Ste 300, Mount Pleasant, WI 53406-4410 | 2008-06-27 |
| 1184897357 | Eshraq Al-jaghbeer | Internal Medicine | 2801 W Kinnickinnic River Pkwy Ste 245, Milwaukee, WI 53215-3678 | 2008-04-09 |
| 1205028487 | Jolita Satkus | Internal Medicine | 2801 W Kinnickinnic River Pkwy Ste 260, Milwaukee, WI 53215 | 2007-08-13 |
| 1437206893 | Farah Salahuddin | Internal Medicine | 3601 30th Avenue, Suite 203, Endocrine Clinic of Kenosha, Kenosha, WI 53144-1632 | 2007-01-05 |
| 1306906664 | Hak-joong Kim | Internal Medicine | 5757 W Oklahoma Ave, Suite 101, Milwaukee, WI 53219-4303 | 2006-12-09 |
| 1093823130 | Thomas Kelly | Internal Medicine | 201 Nth Mayfair Rd, 2nd Floor, Wauwatosa, WI 53226 | 2006-08-28 |
| 1386759389 | Steven Rabinowe | Internal Medicine | 4077 Lighthouse Dr, Racine, WI 53402-3113 | 2006-08-20 |
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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.