EDOM KIDANE (NPI# 1366826760) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366826760 |
| Entity Type | Individual |
| Full Name | EDOM KIDANE |
| Credential | MD |
| Practice Address |
3237 S 16th St Milwaukee WI 53215 |
| Mailing Address |
3237 S 16th St Milwaukee WI 53215-4526 |
| Practice Telephone | 4143894845 |
| Mailing Telephone | 4143894845 |
| Enumeration Date | 2015-07-15 |
| Last Update Date | 2018-08-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208M00000X | Hospitalist | 67091 | WI | Allopathic & Osteopathic Physicians |
| Street Address |
3237 S 16TH ST |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336135375 | Don Suk Lee | Internal Medicine | 3237 S 16th St, Milwaukee, WI 53215-4526 | 2005-09-26 |
| 1235730672 | Laura Marie Steele | Dietitian, Registered | 3237 S 16th St, Milwaukee, WI 53215-4526 | 2020-11-03 |
| 1912527318 | Benjamin Modrell | Pharmacist | 3237 S 16th St, Milwaukee, WI 53215-4526 | 2020-04-26 |
| 1316571896 | Jonathan D Krueger | Pharmacist | 3237 S 16th St, Milwaukee, WI 53215-4526 | 2020-02-24 |
| 1316508617 | Anna Kathryn Baker | Physician Assistant | 3237 S 16th St, Milwaukee, WI 53215-4526 | 2019-06-26 |
| 1740766971 | Diana Jean Maier | Health Educator | 3237 S 16th St, Milwaukee, WI 53215-4526 | 2018-07-11 |
| 1669973632 | Brian T Prost | Nurse Anesthetist, Certified Registered | 3237 S 16th St, Milwaukee, WI 53215-4526 | 2018-02-26 |
| 1053827410 | Alisa Orel | Dietitian, Registered | 3237 S 16th St, Milwaukee, WI 53215-4526 | 2017-12-21 |
| 1922523836 | Freddie J. Mertzig | Nurse Practitioner | 3237 S 16th St, Milwaukee, WI 53215-4526 | 2017-08-11 |
| 1467816561 | Girma Tesfaye Beyene | Internal Medicine | 3237 S 16th St, Milwaukee, WI 53215-4526 | 2016-04-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841829918 | Joshua Michael Brooks | Student in an Organized Health Care Education/Training Program | Aurora St. Lukes Medical Center 2901 W Oklahoma Ave, Milwaukee, WI 53215 | 2020-04-02 |
| 1053967091 | Kristina Strupp | Clinical Nurse Specialist | 2900 W. Oaklahoma Avenue, Milwaukee, WI 53215 | 2019-08-15 |
| 1427510296 | Madelyn Pickle | Student in an Organized Health Care Education/Training Program | 2801 W. Kinnickinnic Rd Ste 250, Milwaukee, WI 53215 | 2019-04-02 |
| 1932601838 | Elizabeth D Morawski | Nurse Practitioner | 2801 Kinnickinnic Parkway, Suite 630, Milwaukee, WI 53215 | 2018-03-06 |
| 1457872673 | Canzata Kimberly Dent | Counselor | 2727 W. Cleveland Suite 204, Milwaukee, WI 53215 | 2017-06-28 |
| 1538689955 | Christian Pena | Durable Medical Equipment & Medical Supplies | 2800 W Forest Home Ave, Suite 100, Milwaukee, WI 53215 | 2017-06-27 |
| 1386178804 | Dane A Olsen | Family Medicine | 801 W Kinnickinnic River Pkwy., Suite 250, Milwaukee, WI 53215 | 2017-04-12 |
| 1811443492 | Thomas Diamond | Physical Therapist | 2901 Kinnickinnic Parkway, Milwaukee, WI 53215 | 2016-09-01 |
| 1487055133 | Sam Khalili | Otolaryngology | 2801 W Kinnickinnic River Pkwy # 680, Milwaukee, WI 53215 | 2014-09-12 |
| 1992105621 | Nicole R Hall | Nurse Practitioner | 2901 S Kinnickinnic Ave, Milwaukee, WI 53215 | 2014-08-29 |
| Find all providers in zip 53215 | ||||
| Taxonomy Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871864629 | Malini Guha Majumder | Hospitalist | 2900 W Oaklahoma Ave, Suite 315, Milwaukee, WI 53215 | 2012-01-25 |
| 1306363940 | Arun Kumar | Hospitalist | 2323 N Lake Dr, Milwaukee, WI 53211-4508 | 2017-08-24 |
| 1922539790 | Lucian George Dorneanu | Hospitalist | 2320 N Lake Dr, Milwaukee, WI 53211-4507 | 2017-03-23 |
| 1942670179 | Thomas Nick Amosson | Hospitalist | 2323 N Lake Dr, Milwaukee, WI 53211 | 2015-09-30 |
| 1740667310 | Mohammed U Hussaini | Hospitalist | 2900 W Oklahoma Ave, Milwaukee, WI 53215 | 2015-05-01 |
| 1568859320 | Ikechukwu Ibekwe | Hospitalist | 2323 N Lake Dr, Milwaukee, WI 53211-4508 | 2015-04-20 |
| 1548656663 | Nisha Y Patel | Hospitalist | 2323 N Lake Dr, Milwaukee, WI 53211 | 2015-04-15 |
| 1225424849 | Robert W Bender | Hospitalist | 2323 N Lake Dr, Milwaukee, WI 53211-4508 | 2015-04-09 |
| 1265827562 | Jennifer Marie Jamison | Hospitalist | 2323 N Lake Dr, Milwaukee, WI 53211-4508 | 2015-04-02 |
| 1487049128 | Lydia Rita Assioun | Hospitalist | 2320 N Lake Dr, Milwaukee, WI 53211-4507 | 2015-03-31 |
| Find all providers in MILWAUKEE | ||||
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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.