DALIA F. SHAHWAN (NPI# 1598018459) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598018459 |
| Entity Type | Individual |
| Full Name | DALIA F. SHAHWAN |
| Credential | NURSE PRACTITIONER |
| Practice Address |
2603 W Rawson Ave Suite 713 Oak Creek WI 53154-8422 |
| Practice Telephone | 4144316900 |
| Mailing Telephone | 4144316900 |
| Enumeration Date | 2012-10-16 |
| Last Update Date | 2016-02-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 5100-33 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
5100-33 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
5100-33 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 1639190671 | 05 |
| Street Address |
2603 W RAWSON AVE SUITE 713 |
| City | OAK CREEK |
| State | WI |
| Zip Code | 53154-8422 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437125531 | American Homepatient, Inc. | Durable Medical Equipment & Medical Supplies | 2603 W Rawson Ave, Suite 121, Oak Creek, WI 53154-8422 | 2006-02-28 |
| 1720472897 | Truecare Primary Care LLC | Family Medicine | 2603 W Rawson Ave, Suite 127, Oak Creek, WI 53154-8422 | 2015-03-26 |
| 1871916031 | Farid Ahmad | Family Medicine | 2603 W Rawson Ave, 127, Oak Creek, WI 53154-8422 | 2014-01-23 |
| 1821259227 | Margaret Bolek | Dentist | 2603 W Rawson Ave, Suite 123, Oak Creek, WI 53154-8422 | 2008-06-19 |
| 1275792830 | Carrie Lynn Zettel | Acupuncturist | 2603 W Rawson Ave, Suite 104, Oak Creek, WI 53154-8422 | 2008-06-08 |
| 1558383976 | Brian J Mcgee | Physical Therapist | 2603 W Rawson Ave, Suite 104, Oak Creek, WI 53154-8422 | 2006-07-24 |
| 1811915366 | Walter Melnyczenko | Obstetrics & Gynecology | 2603 W Rawson Ave, Oak Creek, WI 53154-8422 | 2006-07-17 |
| 1639101405 | Wisconsin Neurology Clinic, LLC | Psychiatry & Neurology | 2603 W Rawson Ave, Suite 128, Oak Creek, WI 53154-8422 | 2006-07-06 |
| 1215982491 | Midwest Urgent Medical Services LLC | Clinic/Center | 2603 W Rawson Ave, Suite 113, Oak Creek, WI 53154-8422 | 2006-05-24 |
| 1780648048 | Virendra K Misra | Psychiatry & Neurology | 2603 W Rawson Ave, Suite 128, Oak Creek, WI 53154-8422 | 2006-04-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235762881 | Imr Oak Creek Opco, LLC | Skilled Nursing Facility | 2700 West Honadel Boulevard, Oak Creek, WI 53154 | 2020-02-21 |
| 1619512605 | Sharon Boushon | Technician | 642 E Pergola Place, Oak Creek, WI 53154 | 2019-11-13 |
| 1255991386 | Jodi Kruszka | Nurse Practitioner | 825 E Manitowoc Avenue, Oak Creek, WI 53154 | 2019-06-20 |
| 1184288896 | Thomas Carl Jonson | Durable Medical Equipment & Medical Supplies | 9036 S Carollton Dr., Oak Creek, WI 53154 | 2019-04-29 |
| 1982127577 | Zainab Saddiq | Optometrist | 8661 S. Howell Ave, 200, Oak Creek, WI 53154 | 2017-07-25 |
| 1649700980 | Froedtert & The Medical College of Wisconsin Community Physicians, Inc | Durable Medical Equipment & Medical Supplies | 7901 South 6th Street, Oak Creek, WI 53154 | 2017-06-19 |
| 1770969578 | Suhani Virparia | Pharmacist | 171 W. Town Square Way, Oak Creek, WI 53154 | 2015-08-04 |
| 1275919144 | Jessica Ford | Social Worker | 8825 South Howell Avenue, Suite 305, Oak Creek, WISCONSIN 53154 | 2015-08-03 |
| 1700269388 | Tarnit Singh Kapoor | Dentist | 8421 Howell Ave, Oak Creek, WI 53154 | 2015-07-01 |
| 1447656350 | Kiersten Kirking | Physical Therapist | 210 W. Raindbow Ridge Dr., 1207, Oak Creek, WI 53154 | 2014-11-05 |
| Find all providers in zip 53154 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205436821 | Elizabeth Stevenson | Nurse Practitioner | 1021 Gilson St, Madison, WI 53715-1721 | 2020-11-01 |
| 1427678176 | Cody Cameron Brunet | Nurse Practitioner | 1002 Bultman Rd, Madison, WI 53704-8933 | 2020-04-23 |
| 1023643434 | Rochelle Allexia Codlyn | Nurse Practitioner | 2268 Manley Dr, Sun Prairie, WI 53590-9688 | 2020-03-05 |
| 1861953960 | Youa Thao | Nurse Practitioner | 132 Devonshire Ct Apt 2, Plover, WI 54467-4194 | 2019-03-29 |
| 1053886465 | Elizabeth A Jarecki | Nurse Practitioner | 3115 Lilly Rd Unit 209, Brookfield, WI 53005-7612 | 2018-10-11 |
| 1669862868 | Jami Marie Lyons | Nurse Practitioner | 234 Cashman Dr, Chippewa Falls, WI 54729-3543 | 2015-01-27 |
| 1619374816 | Melissa Kaye Miller | Nurse Practitioner | 710 W Starin Rd, Whitewater, WI 53190-1121 | 2014-12-03 |
| 1275703233 | Mary Ellen Devine Touhey | Nurse Practitioner | N79w28630 Appaloosa Ln, Hartland, WI 53029-9038 | 2008-03-06 |
| 1366636797 | Karen R. Sinnett | Nurse Practitioner | 125 W Nebraska St, Muscoda, WI 53573 | 2007-08-29 |
| 1508851239 | Rita Marie Thomas | Nurse Practitioner | 910 Fremont St, 217 Delzell Hall, Uwsp, Stevens Point, WI 54481-3105 | 2005-09-19 |
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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.