DR. RAJESH KANNAN ETHIRAJ (NPI# 1669667242) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669667242 |
| Entity Type | Individual |
| Full Name | DR. RAJESH KANNAN ETHIRAJ |
| Credential | M.D., |
| Practice Address |
3237 Voyager Dr Green Bay WI 54311-8349 |
| Practice Telephone | 9204688288 |
| Mailing Telephone | 9204688288 |
| Enumeration Date | 2007-09-07 |
| Last Update Date | 2018-03-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083X0100X |
Preventive Medicine Specialization: Occupational Medicine |
56255 | WI | Allopathic & Osteopathic Physicians |
| N | 2083X0100X |
Preventive Medicine Specialization: Occupational Medicine |
036121632 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
3237 VOYAGER DR |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54311-8349 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316976814 | Kevin F Nelson | Physician Assistant | 3237 Voyager Dr, Green Bay, WI 54311-8349 | 2006-06-30 |
| 1962030890 | Loryn Sheahan | Physical Therapy Assistant | 3237 Voyager Dr, Green Bay, WI 54311-8349 | 2020-03-27 |
| 1679032148 | Steffany Marie Di Biase | Nurse Practitioner | 3237 Voyager Dr, Green Bay, WI 54311-8349 | 2019-03-14 |
| 1699258871 | Adrienne A Hernandez | Physical Therapist | 3237 Voyager Dr, Green Bay, WI 54311-8349 | 2018-09-13 |
| 1164863429 | Nicole S Herzog | Physical Therapist | 3237 Voyager Dr, Green Bay, WI 54311-8349 | 2013-07-15 |
| 1003169376 | Mary C Fox | Nurse Practitioner | 3237 Voyager Dr, Green Bay, WI 54311-8349 | 2012-10-23 |
| 1245526714 | Brian Chapman | Physical Therapist | 3237 Voyager Dr, Green Bay, WI 54311 | 2011-06-23 |
| 1639340995 | Barbara Lynn Boucher | Nurse Practitioner | 3237 Voyager Dr, Green Bay, WI 54311-8349 | 2008-03-14 |
| 1679794184 | Jennifer Lynn Deneys | Physical Therapist | 3237 Voyager Dr, Green Bay, WI 54311-8349 | 2007-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295333847 | Karen Ginnow | Pharmacist | Walmart #1908, 2292 Main St, Green Bay, WI 54311 | 2020-10-15 |
| 1639786551 | Maggie Hall | Dental Hygienist | 2633 Development Dr. Ste 40, Green Bay, WI 54311 | 2020-09-24 |
| 1295370807 | Jennifer Marie Arendt | Technician | 2970 Mossy Oak Cir #39, Green Bay, WI 54311 | 2019-11-07 |
| 1518508803 | Cheryl Ann Johnson | Specialist | 830 Edgewood Dr., Green Bay, WI 54311 | 2019-10-08 |
| 1124670898 | Robert H Wagner Family Dentist S.c. | Dentist | 2830 Curry Court, Suite 1, Green Bay, WI 54311 | 2019-07-12 |
| 1821659624 | The Salvation Army | Counselor | The Salvation Army Ray & Joan Kroc Center, 1315 Lime Kiln Road, Green Bay, WI 54311 | 2019-06-24 |
| 1578052866 | Matthew Robert Wagner | Dentist | 2830 Curry Ln #1, Green Bay, WI 54311 | 2018-05-02 |
| 1861916769 | Atlas Spinal Care | Chiropractor | 2069 Central Ct, Suite 11, Green Bay, WI 54311 | 2017-08-01 |
| 1851844161 | Green Bay Family Dental LLC | Dentist | 2609 Development Dr., Green Bay, WI 54311 | 2016-08-03 |
| 1710382809 | Betsy Hoida | Pharmacist | 2485 Greenbrier Rd., Green Bay, WI 54311 | 2014-10-31 |
| Find all providers in zip 54311 | ||||
| Taxonomy Code | 2083X0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Occupational Medicine |
| Occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528235082 | Karen Besiada Hansen | Preventive Medicine | 835 Potts Ave, Green Bay, WI 54304-4535 | 2008-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154947737 | Agnesian Healthcare Inc | Preventive Medicine | 250 Camelot Dr, Fond Du Lac, WI 54935-8029 | 2020-06-19 |
| 1730677881 | Mark A Roberts | Preventive Medicine | 10552 N Watts Springs Park Rd, Edgerton, WI 53534-8947 | 2018-04-24 |
| 1588914667 | Chris Boyson Chiropractic | Preventive Medicine | 2000 S Memorial Dr, Front, Appleton, WI 54915-1284 | 2012-09-14 |
| 1811258775 | David Allen Goodman | Preventive Medicine | 3939 Monona Dr, 101, Monona, WI 53716-1175 | 2012-06-06 |
| 1689853681 | Magdalen Stepek | Preventive Medicine | 14555 W National Ave Ste 195, New Berlin, WI 53151-4484 | 2007-10-26 |
| 1083830335 | Gregory Kaftan | Preventive Medicine | 5555 30th Ave, Kenosha, WI 53144-2871 | 2007-04-17 |
| 1881754992 | James Paul Martin | Preventive Medicine | 520 Handeyside Lane, Suite 3, Fort Atkinson, WI 53558 | 2006-12-11 |
| 1821168600 | Robbin Elizabeth Papendick | Preventive Medicine | 18945 Danbury Ct, Brookfield, WI 53045-8163 | 2006-11-08 |
| 1881701282 | Nancy Berkas Petro | Preventive Medicine | 4111 W Mitchell St Ste 300, Milwaukee, WI 53215-1748 | 2006-08-23 |
| 1760433510 | William Greaves | Preventive Medicine | 8851 N Bayside Dr, Milwaukee, WI 53217-1910 | 2006-05-15 |
| Find all providers with the same taxonomy | ||||
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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.