LILANI PRIYADARSHI PERERA (NPI# 1669559969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669559969 |
| Entity Type | Individual |
| Full Name | LILANI PRIYADARSHI PERERA |
| Credential | MD |
| Practice Address |
12203 Corporate Pkwy Mequon WI 53092-3388 |
| Mailing Address |
3003 W Good Hope Rd Milwaukee WI 53209-2042 |
| Practice Telephone | 2623878200 |
| Mailing Telephone | 4143523100 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2014-10-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
48834-020 | WI | Allopathic & Osteopathic Physicians |
| Street Address |
12203 CORPORATE PKWY |
| City | MEQUON |
| State | WI |
| Zip Code | 53092-3388 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346235058 | East Mequon Surgery Center LLC | Clinic/Center | 12203 Corporate Pkwy, Mequon, WI 53092-3388 | 2005-09-19 |
| 1477187649 | Andrew M Oswald | Physician Assistant | 12203 Corporate Pkwy, Mequon, WI 53092-3388 | 2020-02-26 |
| 1174018584 | Ashley A Mcguire | Family Medicine | 12203 Corporate Pkwy, Mequon, WI 53092 | 2018-06-27 |
| 1053839571 | Annette S Harris | Nurse Practitioner | 12203 Corporate Pkwy, Mequon, WI 53092-3388 | 2017-09-05 |
| 1568843696 | Mikhail Eiseler | Family Medicine | 12203 Corporate Pkwy, Mequon, WI 53092 | 2015-06-15 |
| 1548640774 | Brant Michael Balthazor | Physician Assistant | 12203 Corporate Pkwy, Mequon, WI 53092-3388 | 2015-06-03 |
| 1720499759 | Ryan William Clark | Pain Medicine | 12203 Corporate Pkwy, Mequon, WI 53092 | 2014-05-13 |
| 1316382211 | Heidi Rae Schmidt | Physician Assistant | 12203 Corporate Pkwy, Mequon, WI 53092-3388 | 2013-05-06 |
| 1285966101 | Kristin M Shtulberg | Registered Nurse | 12203 Corporate Pkwy, Mequon, WI 53092-3388 | 2010-02-02 |
| 1487894267 | Joe Lipp Jr. | Specialist/Technologist, Other | 12203 Corporate Pkwy, Mequon, WI 53092-3388 | 2009-03-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942790761 | Kathryn Mueller | Specialist/Technologist | 117 Linden Lane, Apt 7, Thiensville, WI 53092 | 2018-05-17 |
| 1427547082 | Shopko Stores Operating Co LLC | Eyewear Supplier (Equipment, not the service) | 10996 N Port Washington Rd, Mequon, WI 53092 | 2018-05-08 |
| 1912437252 | Froedtert & The Medical College of Wisconsin Community Physicians Inc | Durable Medical Equipment & Medical Supplies | 11430 Port Washington Road, Mequon, WI 53092 | 2017-06-19 |
| 1629437256 | Sean S Tsang | Acupuncturist | 909 W. Mequon Rd., Mequon, WI 53092 | 2016-02-10 |
| 1497128433 | Nancy Snoots | Counselor | 4430 W Tarrytown Ln, Mequon, WI 53092 | 2015-11-12 |
| 1609265214 | Evan Guettel | Physical Therapist | 11363 N. Port Washington Road, Mequon, WI 53092 | 2015-01-20 |
| 1881091148 | Sarah Krueger | Counselor | 216 N Green Bay Rd Suite 108, Thiensville, WI 53092 | 2014-12-01 |
| 1245667088 | Lora Transportation, LLC | Non-emergency Medical Transport (VAN) | 1228 West Baldwin Crt., Mequon, WI 53092 | 2013-10-10 |
| 1710314000 | Roxxi M Davis | Social Worker | 7113 Tamarack Ct, Mequon, WI 53092 | 2013-10-01 |
| 1225473713 | Forefront Dermatology, S.c. | Dermatology | 10303 N Port Washington Rd Ste 101, Mequon, WI 53092 | 2013-05-09 |
| Find all providers in zip 53092 | ||||
| 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 |
|---|---|---|---|---|
| 1265872998 | Eugene Kligman | Internal Medicine | 13133 N Port Washington Rd Ste G16, Mequon, WI 53097-2423 | 2013-06-26 |
| 1982605226 | James Joseph Ansfield | Internal Medicine | 13133 N Port Washington Rd, Suite G-18, Mequon, WI 53097-2419 | 2005-08-09 |
| 1568534824 | Srihari R Ramanujam | Internal Medicine | 13133 N. Port Washington Road, Suite G-16, Mequon, WI 53097 | 2006-11-14 |
| 1295765287 | Thomas R. Puetz | Internal Medicine | 12203 Corporate Pkwy, Mequon, WI 53092-3388 | 2006-07-04 |
| 1154358869 | Drew M Elgin | Internal Medicine | 13133 N Port Washington Rd, Suite G16, Mequon, WI 53097-2419 | 2006-06-27 |
| 1790711836 | Jeffrey W Schenck | Internal Medicine | 13133 N Port Washington Rd, Suite G16, Mequon, WI 53097-2419 | 2006-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770929226 | Paul Michael Estrada | Internal Medicine | 437 N Frances St, Madison, WI 53703-2013 | 2013-05-10 |
| 1174851273 | Victor Ciofoaia | Internal Medicine | 700 West Ave South, La Crosse, WI 54601 | 2009-12-01 |
| 1255594537 | Freddy Caldera Jr. | Internal Medicine | 1685 Highland Avenue, 4256 Mfcb, Madison, WI 53705 | 2008-07-07 |
| 1457552689 | Erica Ann Samuel | Internal Medicine | 2424 S 90th St Ste 410, West Allis, WI 53227-2455 | 2007-05-28 |
| 1629157425 | Charles Cromwell | Internal Medicine | 2311 N Prospect, Milwaukee, WI 53211 | 2006-11-03 |
| 1992805832 | Suhasini Turlapati | Internal Medicine | 820 E Grant Street, Appleton, WI 54911 | 2006-09-22 |
| 1679676936 | Holy Family Memorial Inc | Internal Medicine | 800 Lakefront Way, Two Rivers, WI 54241-3301 | 2006-09-05 |
| 1639287436 | Kevin A Lang | Internal Medicine | M207 Marsh Ln, Marshfield, WI 54449-9293 | 2006-08-29 |
| 1063423515 | Joel M Carlson | Internal Medicine | 420 Dewey Street, Wisconsin Rapids, WI 54495-0005 | 2006-08-10 |
| 1174538854 | Associates In Gastroenterology Sc | Internal Medicine | 2700 E Enterprise Ave, Unit C, Appleton, WI 54913-7890 | 2006-07-30 |
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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.