JAMES STEPHEN RADKE (NPI# 1518953025) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518953025 |
| Entity Type | Individual |
| Full Name | JAMES STEPHEN RADKE |
| Credential | MD |
| Practice Address |
252 Mchenry St Burlington WI 53105-1828 |
| Practice Telephone | 2627676148 |
| Practice Fax Number | 2627676147 |
| Mailing Telephone | 2627676148 |
| Mailing Fax Number | 2627676147 |
| Enumeration Date | 2005-09-21 |
| Last Update Date | 2012-09-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
036088439 | IL | Allopathic & Osteopathic Physicians |
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
33833 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 32223900 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386789659 | James A. Radke | Physician Assistant | 500 Vincent St, Stevens Point, WI 54481 | 2007-02-21 |
| Street Address |
252 MCHENRY ST |
| City | BURLINGTON |
| State | WI |
| Zip Code | 53105-1828 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104822493 | Melinee D Burnett | Physician Assistant | 252 Mchenry St, Burlington, WI 53105 | 2005-06-22 |
| 1053844142 | Kemal Kucuk | Internal Medicine | 252 Mchenry St, Burlington, WI 53105-1828 | 2017-04-06 |
| 1366983686 | Nguyen Q Ha | Internal Medicine | 252 Mchenry St, Burlington, WI 53105-1828 | 2017-03-20 |
| 1477094993 | John P Schmidt | Nurse Practitioner | 252 Mchenry St, Burlington, WI 53105-1828 | 2017-03-16 |
| 1700321726 | Mary Itzenheiser | Registered Nurse | 252 Mchenry St, Burlington, WI 53105-1828 | 2016-12-29 |
| 1134572530 | Lynn S Raml | Community Health Worker | 252 Mchenry St, Burlington, WI 53105-1828 | 2016-07-20 |
| 1760837793 | Brooke Beck | Nurse Practitioner | 252 Mchenry St, Burlington, WI 53105-1828 | 2016-04-27 |
| 1881058451 | Raihaan R Khattak | Internal Medicine | 252 Mchenry St, Burlington, WI 53105-1828 | 2016-04-11 |
| 1255700282 | Carol Mary Neumann | Dietitian, Registered | 252 Mchenry St, Burlington, WI 53105-1828 | 2015-09-21 |
| 1245609478 | Amy Lee | Dietitian, Registered | 252 Mchenry St, Burlington, WI 53105-1828 | 2015-09-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720574288 | Wisconsin Pain Management Specialists, LLC | Pain Medicine | 1050 S. Milwaukee Avenue, Suite 102, Burlington, WI 53105 | 2018-07-09 |
| 1952845679 | Jennifer Vozel | Registered Nurse | 40036 Bloomfield Rd, Burlington, WI 53105 | 2016-12-14 |
| 1356884613 | Labadie Family Dentistry, S.c. | Clinic/Center | 5019 Mormon Rd., Burlington, WI 53105 | 2016-11-18 |
| 1043654288 | Maureen Ann Mcnulty | Acupuncturist | 148 East State Street, Suite A, Burlington, WI 53105 | 2013-04-18 |
| 1003166349 | Jessica Robinson | Licensed Practical Nurse | 7656 Highland Ave, Burlington, WI 53105 | 2012-09-13 |
| 1063677334 | Douglas Armin Wild Sr. | Dentist | 2545 Partridge Wds. Ct., Burlington, WI 53105 | 2008-07-25 |
| 1346408945 | William Henry Basil | Dentist | 222 Adams St, Burlington, WI 53105 | 2008-05-30 |
| 1912108689 | Debra Jean Studey Leffelman | Midwife, Lay | 5617 Spring Valley Rd., Burlington, WI 53105 | 2007-05-30 |
| 1215142955 | Michelle Marie Mehring | Licensed Practical Nurse | 541 Kearney Rd, Burlington, WI 53105 | 2007-05-14 |
| 1003982802 | Alan Dean Meike | Chiropractor | 196 W Chestnut Street, Burlington, WI 53105 | 2006-11-27 |
| Find all providers in zip 53105 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| 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 |
|---|---|---|---|---|
| 1699069252 | Laurie Grossberg | Internal Medicine | Lahey Hospital and Medical Center 41 Mall Rd, Burlington, MA 01805-5400 | 2011-06-01 |
| 1578798591 | Rohini Reddy Vanga | Internal Medicine | 1248 Huffman Mill Rd Ste 201, Burlington, NC 27215-8700 | 2009-05-19 |
| 1912197054 | S. Peter Gibb | Internal Medicine | Lahey Clinic Foundation, 41 Mall Road, Burlington, MA 01805-0001 | 2007-07-25 |
| 1396818100 | Richard Sandford Zubarik | Internal Medicine | Smith 212-fletcher Allen Health Care, Colchester Avenue, Burlington, VT 05001 | 2006-11-17 |
| 1316455223 | Moses Cone Physician Services, Inc. | Internal Medicine | 1248 Huffman Mill Rd Ste 201, Burlington, NC 27215-8700 | 2018-01-12 |
| 1700315082 | Alexandra Pogosky | Internal Medicine | 41 Mall Rd, Burlington, MA 01805-0001 | 2017-06-08 |
| 1659766764 | Jason David Heffley | Internal Medicine | 111 Colchester Ave, Burlington, VT 05401-1473 | 2015-04-06 |
| 1811301070 | Jane Roberts | Internal Medicine | 111 Colchester Ave, Burlington, VT 05401-1473 | 2014-06-16 |
| 1841558533 | Joseph David Frasca | Internal Medicine | 111 Colchester Ave, Burlington, VT 05401-1473 | 2012-05-01 |
| 1942566732 | Anna Leszczynski | Internal Medicine | 41 Mall Rd, Burlington, MA 01805-0001 | 2012-04-05 |
| Find all providers in BURLINGTON | ||||
| City | BURLINGTON |
| Zip Code | 53105 |
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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.