SAMEER GUPTA (NPI# 1669638508) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1669638508 |
Entity Type | Individual |
Full Name | SAMEER GUPTA |
Credential | MD |
Practice Address |
420 E Division St Fond Du Lac WI 54934-4560 |
Mailing Address |
420 E Division St Fond Du Lac WI 54935-4560 |
Practice Telephone | 9209268573 |
Mailing Telephone | 9209268340 |
Enumeration Date | 2008-07-30 |
Last Update Date | 2020-10-26 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
55235 | WI | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043293996 | Sameer Gupta | Family Medicine | 4906 Frederick Ave, Saint Joseph, MO 64506-3246 | 2005-11-23 |
1851741268 | Sameer Gorav Gupta | Internal Medicine | 75 Francis St, Boston, MA 02115-6110 | 2016-06-16 |
1609238690 | Sameer Gupta | Internal Medicine | 20 York St, New Haven, CT 06510-3220 | 2016-03-28 |
1699117101 | Sameer Gupta | Surgery | 2201 Hempstead Tpke, East Meadow, NY 11554-1859 | 2013-07-25 |
1013171420 | Sameer Gupta | Internal Medicine | 825 Old Lancaster Rd, Suite 320, Bryn Mawr, PA 19010-3231 | 2008-07-15 |
1720287436 | Sameer Gupta | Allergy & Immunology | 2023 W Vista Way, Vista, CA 92083-6030 | 2007-07-12 |
1831302447 | Sameer Gupta | Internal Medicine | 500 University Dr, H088, Hershey, PA 17033-2360 | 2007-05-08 |
1578500252 | Sameer Gupta | Pediatrics | University of Minnesota Physicians, 420 Delaware St Se, Mmc 742, Minneapolis, MN 55455 | 2006-06-01 |
Street Address |
420 E DIVISION ST |
City | FOND DU LAC |
State | WI |
Zip Code | 54934-4560 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760489017 | Ronald Eric Lilly | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 420 E Division St, Fond Du Lac, WI 54935-4560 | 2005-07-01 |
1831715721 | Agnesian Healthcare Inc | Preventive Medicine | 420 E Division St, Fond Du Lac, WI 54935-4560 | 2020-06-17 |
1336783042 | Lisa Jo Liedke | Nurse Practitioner | 420 E Division St, Fond Du Lac, WI 54935-4560 | 2019-11-05 |
1932740495 | Terrina Kay Goeden | Nurse Practitioner | 420 E Division St, Fond Du Lac, WI 54935-4560 | 2019-10-04 |
1801441910 | Courtney M Yenter | Nurse Practitioner | 420 E Division St, Fond Du Lac, WI 54935-4560 | 2019-08-06 |
1861046591 | Kimberly Kay Hornes | Nurse Practitioner | 420 E Division St, Fond Du Lac, WI 54935-4560 | 2019-07-31 |
1023662459 | Domenick Tirabassi Iv | Student in an Organized Health Care Education/Training Program | 420 E Division St, Fond Du Lac, WI 54935-4560 | 2019-07-24 |
1497308233 | Kelly Jo Rehfeldt | Nurse Practitioner | 420 E Division St, Fond Du Lac, WI 54935-4560 | 2019-07-22 |
1184286411 | Carley Jo Reinke | Nurse Practitioner | 420 E Division St, Fond Du Lac, WI 54935-4560 | 2019-07-08 |
1255823316 | Teegan R Kraus | Physician Assistant | 420 E Division St, Fond Du Lac, WI 54935 | 2018-06-05 |
Find all providers in the same location |
Taxonomy Code | 207RN0300X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Nephrology |
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
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 |
---|---|---|---|---|
1447242490 | Bret N Pasiuk | Internal Medicine | 305 Camelot Drive, Fond Du Lac, WI 54935-3871 | 2005-08-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841823390 | Kelby Roholt | Internal Medicine | 305 E Mahn Ct, Oak Creek, WI 53154-2101 | 2020-02-12 |
1477186922 | Sydney Kemps | Internal Medicine | 507 N 17th St, Milwaukee, WI 53233-5495 | 2020-02-12 |
1053708511 | Rishi Kora | Internal Medicine | 5650 N Green Bay Ave Ste 210, Glendale, WI 53209-4447 | 2015-04-22 |
1841523818 | Sana Waheed | Internal Medicine | 301 S Yellowstone Dr Apt 306, Madison, WI 53705-4378 | 2009-09-09 |
1841426798 | Wisconsin Vascular Access and Nephrology | Internal Medicine | 1962 N Prospect Ave # 310, Milwaukee, WI 53202-1414 | 2009-06-05 |
1184865099 | Zurab Albekioni | Internal Medicine | 3000 Westhill Dr Ste 108, Wausau, WI 54401-3795 | 2009-03-23 |
1104095017 | Mark Y Nunag | Internal Medicine | 2050 Continential Drive, West Bend, WI 53095 | 2008-02-25 |
1649448259 | Crystalkinetics, LLC | Internal Medicine | 4113 N Lake Dr, Shorewood, WI 53211-1720 | 2008-02-16 |
1699975193 | Dawn Wolfgram | Internal Medicine | 5000 W National Ave # Cc-111k, Milwaukee, WI 53295-1000 | 2007-07-23 |
1366657710 | Deepak Sharma | Internal Medicine | 7797 W Appletone Ave, Milwaukee, WI 53222 | 2007-05-11 |
Find all providers with the same taxonomy |
City | FOND DU LAC |
Zip Code | 54934 |
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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.