TAHA JAMIL (NPI# 1609812569) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609812569 |
Entity Type | Individual |
Full Name | TAHA JAMIL |
Credential | M.D. |
Practice Address |
4916 N Waterford Dr Appleton WI 54913-6608 |
Practice Telephone | 9207331786 |
Mailing Telephone | 9207331786 |
Enumeration Date | 2006-06-21 |
Last Update Date | 2011-11-09 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 208100000X | Physical Medicine & Rehabilitation | 52090-020 | WI | Allopathic & Osteopathic Physicians |
Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
036-117176 | IL | Allopathic & Osteopathic Physicians |
N | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
01062459A | IN | Allopathic & Osteopathic Physicians |
Street Address |
4916 N WATERFORD DR |
City | APPLETON |
State | WI |
Zip Code | 54913-6608 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457994584 | Pamela J Andersen | Music Therapist | 245 N. Metro Drive, Appleton, WI 54913 | 2019-10-22 |
1396387510 | Nancy Sibley | Technician | N4423 County Road Ee, Appleton, WI 54913 | 2019-10-09 |
1659872240 | Meijer Stores Limited Partnership | Durable Medical Equipment & Medical Supplies | 3801 N. Richmond Street, Grand Chute, WI 54913 | 2018-02-28 |
1780116244 | Alison Pelger | Physician Assistant | 3916 North Intertech Court, Appleton, WI 54913 | 2017-04-03 |
1316311905 | Lucy Bouressa | Specialist/Technologist | 2105 E. Enterprise Ave, 113, Appleton, WI 54913 | 2015-11-19 |
1992189989 | Brittany Reinke | Physical Therapist | Walking and Wheeling, LLC, W4652 Glenn Street, Appleton, WI 54913 | 2015-07-20 |
1902280092 | Costco Wholesale Corporation | Pharmacy | 5401 W Integrity Way, Grand Chute, WI 54913 | 2015-07-17 |
1942646849 | Richard Anthony Mauthe | Pharmacist | 5401 W. Integrity Way, Neenah, WI 54913 | 2013-05-17 |
1750622163 | Tonya Janelle Wilderman | Pharmacist | 1400 N Mccarthy Rd, Apt 2, Grand Chute, WI 54913 | 2013-03-10 |
1295938777 | Jenna Marie Kadlec | Physical Therapist | 3916 N. Intertech Court, Appleton, WI 54913 | 2007-06-11 |
Find all providers in zip 54913 |
Taxonomy Code | 2081P2900X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Physical Medicine & Rehabilitation |
Specialization | Pain Medicine |
A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295894640 | Rae Jean Muchenberger | Physical Medicine & Rehabilitation | 8802 W Becher, West Allis, WI 53227-1628 | 2006-12-08 |
1366473597 | Aspen Orthopedic and Rehabilation Specalist | Physical Medicine & Rehabilitation | 19475 W. North Ave, Suite 201, Brookfield, WI 53045-4199 | 2006-07-05 |
1881681294 | Kenneth L Klein | Physical Medicine & Rehabilitation | 1969 W Hart Rd, Beloit, WI 53511-2230 | 2005-09-30 |
1053955682 | Kayla Smith | Physical Medicine & Rehabilitation | 1700 W Bender Rd, Glendale, WI 53209-3852 | 2019-11-06 |
1609220664 | Chen Cui | Physical Medicine & Rehabilitation | 600 Highland Ave, Madison, WI 53792-9055 | 2016-04-15 |
1477948834 | Brittany Bickelhaupt | Physical Medicine & Rehabilitation | 225000 Hummingbird Rd, Wausau, WI 54401-2948 | 2015-04-02 |
1881034627 | Matthew James Kortes | Physical Medicine & Rehabilitation | 500 E Veterans St, Tomah, WI 54660-3105 | 2013-06-25 |
1285908970 | Baycare Clinic, LLP | Physical Medicine & Rehabilitation | 2401 Holmgren Way, Green Bay, WI 54304-5224 | 2012-02-28 |
1376738336 | Oscar C Wille | Physical Medicine & Rehabilitation | 2301 N Lake Dr, Milwaukee, WI 53211-4508 | 2007-09-12 |
1427102631 | Susan L Husslein | Physical Medicine & Rehabilitation | 8802 W Becher St, West Allis, WI 53227 | 2007-01-23 |
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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.