DR. MAMOUN A KLOUB (NPI# 1477601151) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477601151 |
| Entity Type | Individual |
| Full Name | DR. MAMOUN A KLOUB |
| Credential | MD, PHD |
| Practice Address |
W129n7055 Northfield Dr Dept of Neurology Menomonee Falls WI 53051-0538 |
| Practice Telephone | 2622552500 |
| Mailing Telephone | 2622552500 |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2016-03-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
50857 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 1477601151 | 05 | |
| DEA | FK0097849 | 01 | |
| WI | 34752400 | 05 | |
| MI | 105220384 | 05 |
| Street Address |
W129N7055 NORTHFIELD DR DEPT OF NEUROLOGY |
| City | MENOMONEE FALLS |
| State | WI |
| Zip Code | 53051-0538 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295737823 | Alicja D Lisak | Family Medicine | W129n7055 Northfield Dr, Menomonee Falls, WI 53051-0538 | 2005-08-12 |
| 1366043051 | Gary Homeier | Registered Nurse | W129n7055 Northfield Dr, Menomonee Falls, WI 53051-0538 | 2020-11-08 |
| 1871126805 | Olivia Diedrick | Social Worker | W129n7055 Northfield Dr, Menomonee Falls, WI 53051-0538 | 2020-02-18 |
| 1760982763 | Mark Mueller | Nurse Practitioner | W129n7055 Northfield Dr, Menomonee Falls, WI 53051-0538 | 2018-02-15 |
| 1518484344 | Kathryn Schlotthauer | Registered Nurse | W129n7055 Northfield Dr, Menomonee Falls, WI 53051-0538 | 2017-08-23 |
| 1013450006 | Froedtert Memorial Lutheran Hospital | General Acute Care Hospital | W129n7055 Northfield Dr, Menomonee Falls, WI 53051-0538 | 2016-11-23 |
| 1346619384 | Kristin Lerner | Physical Therapist | W129n7055 Northfield Dr, Menomonee Falls, WI 53051-0538 | 2015-09-21 |
| 1023486305 | Daniel Bruss | Physical Therapist | W129n7055 Northfield Dr, Menomonee Falls, WI 53051-0538 | 2015-09-03 |
| 1326435868 | Rebecca Mallow | Physical Therapist | W129n7055 Northfield Dr, Menomonee Falls, WI 53051-0538 | 2015-04-22 |
| 1336534056 | Whitney Anne Potharla | Nurse Practitioner | W129n7055 Northfield Dr, Building A, Suite 203, Menomonee Falls, WI 53051-0538 | 2015-03-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356968002 | Marisa Hiley | Nurse Practitioner | W129 N7055 Northfield Drive, Menomonee Falls, WI 53051 | 2020-06-29 |
| 1225687940 | Andres Sercovich | Pharmacist | W12501 Leatherwood Ct N74, Menomonee Falls, WI 53051 | 2019-09-05 |
| 1699329193 | Athletico Ltd | Physical Therapist | N88w15562 Main St, Menomonee Falls, WI 53051 | 2019-08-01 |
| 1386103059 | Aegis Group Practice LLC | Occupational Therapist | N48w14250 W Hampton Ave, Menomonee Falls, WI 53051 | 2019-03-13 |
| 1962969220 | Paladina Health, LLC | Family Medicine | Paladina Health Menomonee Falls, N84 W15787 Menomonee Avenue Suite 6, Menomonee Falls, WI 53051 | 2019-02-22 |
| 1053814772 | Waukesha County Community Dental Clinic, Inc. | Clinic/Center | N81w15062 Appleton Ave, Menomonee Falls, WI 53051 | 2018-03-09 |
| 1942753314 | Kelly Schmidt | Pharmacist | 200 Woodland Prime Ste 300, Menomonee Falls, WI 53051 | 2016-08-02 |
| 1386027548 | Generations Family Dental Care Menomonee Falls, LLC | Dentist | N48 W14170 Hampton Ave., Menomonee Falls, WI 53051 | 2015-07-07 |
| 1184007551 | Monjot Kaur Kang | Pharmacist | N82 W15882 Appleton Ave, Menomonee Falls, WI 53051 | 2015-07-03 |
| 1417334038 | Costco Wholesale Corporation | Hearing Aid Equipment | 9235 Pershing Avenue, Menomonee Falls, WI 53051 | 2015-05-04 |
| Find all providers in zip 53051 | ||||
| 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 |
|---|---|---|---|---|
| 1588896369 | Asad Ullah | Psychiatry & Neurology | N84w16889 Menomonee Ave, Menomonee Falls, WI 53051-2810 | 2009-08-13 |
| 1518196807 | Sajjad Nasir | Psychiatry & Neurology | W129n7055 Northfield Dr, North Hills Health Center, Menomonee Falls, WI 53051-0538 | 2009-07-08 |
| 1831345057 | Sheila Eichenseer | Psychiatry & Neurology | W129n7055 Northfield Dr, Community Memorial Medical Commons, Menomonee Falls, WI 53051-0538 | 2008-08-08 |
| 1912919507 | Eric E Potts | Psychiatry & Neurology | N84w16889 Menomonee Ave, Menomonee Falls, WI 53051-2810 | 2006-08-12 |
| 1912937707 | Scott D. Van Steen | Psychiatry & Neurology | N84w16889 Menomonee Ave, Menomonee Falls, WI 53051-2810 | 2006-07-04 |
| 1558391607 | Margaret E. Sweet | Psychiatry & Neurology | W180n7950 Town Hall Rd, Menomonee Falls, WI 53051-4049 | 2006-07-04 |
| 1871567271 | Edward Reshel | Psychiatry & Neurology | W180n7950 Town Hall Rd, Menomonee Falls, WI 53051-4049 | 2006-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689162661 | Tseun Han James Kong | Psychiatry & Neurology | Uw Hospitals and Clinics, 600 Highland Ave, Madison, WI 53792 | 2018-04-25 |
| 1235630625 | The Cervical Spine Institute and Neuromonitoring, LLC | Psychiatry & Neurology | 2221 S Webster Ave # 268, Green Bay, WI 54301-2158 | 2018-02-22 |
| 1235647793 | Midwest Monitoring, LLC | Psychiatry & Neurology | 4321 W College Ave Ste 200, Appleton, WI 54914 | 2018-01-18 |
| 1477937274 | Baycare Clinic LLP | Psychiatry & Neurology | 4801 Expo Drive, Manitowoc, WI 54220 | 2015-07-13 |
| 1184011975 | Abdulrahim Ismail | Psychiatry & Neurology | 3003 University Dr Ste 203, Marinette, WI 54143-4110 | 2015-04-20 |
| 1033505821 | Heydi Flores Podadera | Psychiatry & Neurology | 721 N Midvale Blvd, Madison, WI 53705-3233 | 2015-04-08 |
| 1104221092 | Sharon Anne Bremer | Psychiatry & Neurology | 423 Landimore Ln, Wales, WI 53183-9552 | 2014-11-04 |
| 1891120093 | Robert T Schmidt Jr. | Psychiatry & Neurology | 2460 Old Plank Rd, De Pere, WI 54115-8658 | 2013-09-06 |
| 1356656771 | Klasinski Neurocare, Sc | Psychiatry & Neurology | 500 Vincent St Ste B, Stevens Point, WI 54481-1842 | 2010-08-10 |
| 1497931661 | Audrey Jantzen | Psychiatry & Neurology | 1685 Highland Ave, Department of Neurology - Centennial Building, Madison, WI 53705-2281 | 2008-01-17 |
| Find all providers with the same taxonomy | ||||
| City | MENOMONEE FALLS |
| Zip Code | 53051 |
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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.