DR. SAM KHALILI (NPI# 1487055133) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487055133 |
| Entity Type | Individual |
| Full Name | DR. SAM KHALILI |
| Credential | MD |
| Practice Address |
2801 W Kinnickinnic River Pkwy # 680 Milwaukee WI 53215 |
| Mailing Address |
2801 W Kinnickinnic River Pkwy # 680 Milwaukee WI 53215-3669 |
| Practice Telephone | 4143851922 |
| Mailing Telephone | 4143851922 |
| Enumeration Date | 2014-09-12 |
| Last Update Date | 2020-01-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 64697 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 100048505 | 05 |
| Street Address |
2801 W KINNICKINNIC RIVER PKWY # 680 |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53215 |
| 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 |
| 1992105621 | Nicole R Hall | Nurse Practitioner | 2901 S Kinnickinnic Ave, Milwaukee, WI 53215 | 2014-08-29 |
| 1275964025 | Rocketship Education Wisconsin Inc. | Local Education Agency (LEA) | 3003 West Cleveland Avenue, Milwaukee, WI 53215 | 2013-12-04 |
| Find all providers in zip 53215 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972104156 | Alliance Ent and Hearing Center, Sc | Otolaryngology | 2524 E Webster Place, Suite 201, Milwaukee, WI 53211-4257 | 2020-11-04 |
| 1962969915 | Alliance Ent & Hearing Center, S.c. | Otolaryngology | 2500 W Layton Ave Ste 230, Milwaukee, WI 53221-5421 | 2019-02-26 |
| 1881819092 | Ent Associates Sc | Otolaryngology | 2315 N Lake Dr Ste 1005, Milwaukee, WI 53211-4516 | 2007-04-14 |
| 1306930888 | Linda J Dindzans | Otolaryngology | 8532 W. Capitol Dr., Suite L100, Milwaukee, WI 53222 | 2006-10-02 |
| 1376500884 | Martin E Samuel | Otolaryngology | 2741 W Layton Avenue, Suite 206, Milwaukee, WI 53221-2600 | 2006-04-27 |
| 1275521288 | Madan N Kandula | Otolaryngology | 2885 N Mayfair Rd, Milwaukee, WI 53222-4404 | 2005-10-12 |
| 1184626475 | S. Fredric Horwitz I | Otolaryngology | 2350 W Villard Ave, # 207, Milwaukee, WI 53209-5086 | 2005-06-01 |
| 1952806788 | Kaleigh Alexis Stabenau | Otolaryngology | 9200 W Wisconsin Ave, Milwaukee, WI 53226 | 2018-03-26 |
| 1366963340 | Adam Clayton Thompson-harvey | Otolaryngology | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2017-06-29 |
| 1730610692 | Axel Shum | Otolaryngology | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2017-03-22 |
| 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.