GOPAKUMAR S NAMBUDIRI (NPI# 1700841798) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700841798 |
| Entity Type | Individual |
| Full Name | GOPAKUMAR S NAMBUDIRI |
| Credential | MD |
| Practice Address |
1400 Bellinger St Eau Claire WI 54703-5222 |
| Mailing Address |
Po Box 1510 Eau Claire WI 54702-1510 |
| Practice Telephone | 7158385222 |
| Mailing Telephone | 7158385222 |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2009-04-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
42583 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 34026800 | 05 |
| Street Address |
1400 BELLINGER ST |
| City | EAU CLAIRE |
| State | WI |
| Zip Code | 54703-5222 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467456848 | Ganesh Ram | Physician Assistant | 1400 Bellinger St, Eau Claire, WI 54703-5222 | 2005-06-13 |
| 1467050807 | Rachel E Ciresi | Physical Therapist | 1400 Bellinger St, Eau Claire, WI 54703-5222 | 2020-10-16 |
| 1427668805 | Taran Allan Brody | Speech-Language Pathologist | 1400 Bellinger St, Eau Claire, WI 54703-5222 | 2020-07-31 |
| 1720608300 | John Anthony Zadroga | Family Medicine | 1400 Bellinger St, Eau Claire, WI 54703-5222 | 2020-04-23 |
| 1982223541 | Michelle Botts Olson | Family Medicine | 1400 Bellinger St, Eau Claire, WI 54703-5222 | 2020-04-14 |
| 1003435728 | Sarah Hotovy | Family Medicine | 1400 Bellinger St, Eau Claire, WI 54703-5222 | 2020-04-13 |
| 1730708520 | Sasha Marie Ulrich | Family Medicine | 1400 Bellinger St, Eau Claire, WI 54703-5222 | 2020-04-11 |
| 1134757248 | Rajani Kasana | Family Medicine | 1400 Bellinger St, Eau Claire, WI 54703-5222 | 2020-04-01 |
| 1902439813 | Jessica Ewing | Nurse Practitioner | 1400 Bellinger St, Eau Claire, WI 54703-5222 | 2020-02-19 |
| 1366075756 | Kayla Sue Meixner | Occupational Therapist | 1400 Bellinger St, Eau Claire, WI 54703-5222 | 2020-02-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114535929 | Eclipse Counseling LLC | Clinic/Center | 1136 Barron St, Eau Claire, WI 54703 | 2020-07-17 |
| 1982261012 | Melissa Mae Jenneman | Social Worker | 306 Broadway Street, Eau Claire, WI 54703 | 2019-05-23 |
| 1396217014 | Jennifer Grace Joos | Case Manager/Care Coordinator | 2523 Diane Ln, Eau Claire, WI 54703 | 2018-12-19 |
| 1811437346 | Phillip Dolan | Specialist/Technologist | 2801 E Princeton Ave, Eau Claire, WI 54703 | 2017-03-02 |
| 1467830463 | Ryan Behnke | Specialist/Technologist | 725 Hudson St., Eau Claire, WI 54703 | 2015-05-11 |
| 1366737769 | Eric D. Carlson | Dentist | 1020 Menomonie Street, Eau Claire, WI 54703 | 2011-06-14 |
| 1669782587 | Jennifer Jean Andersen | Registered Nurse | 2027 West Ridge Dr., Eau Claire, WI 54703 | 2010-10-13 |
| 1407011257 | Scott R Lau | Hearing Instrument Specialist | 1802 Galloway Street, Eau Claire, WI 54703 | 2008-07-22 |
| 1134316615 | Robert G Grayson | Dentist | 2725 Morningside Dr, Eau Claire, WI 54703 | 2007-09-28 |
| 1689880858 | Okie Earl Allen | Hearing Instrument Specialist | 616 Lamplighter Ct, Eau Claire, WI 54703 | 2007-05-15 |
| Find all providers in zip 54703 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770826521 | Timothy Francis Burns | Internal Medicine | 1400 Bellinger St, Eau Claire, WI 54703-5222 | 2013-03-30 |
| 1023266640 | Sameer Ahmad Batoo | Internal Medicine | 1400 Bellinger St, Eau Claire, WI 54703 | 2008-09-08 |
| 1861571218 | Muhammad Muslim | Internal Medicine | 900 W Clairemont Ave, Eau Claire, WI 54701-6122 | 2006-11-06 |
| 1598865818 | Bilal Naqvi | Internal Medicine | 900 W Clairemont Ave, Eau Claire, WI 54701 | 2006-09-25 |
| 1932211281 | David J Schifeling | Internal Medicine | 900 W Clairemont Ave, Eau Claire, WI 54701 | 2006-08-31 |
| 1750395745 | Eyad S Al-hattab | Internal Medicine | 1400 Bellinger St, Eau Claire, WI 54703-5222 | 2006-07-28 |
| 1013972009 | Sandeep K Basu | Internal Medicine | 1400 Bellinger St, Eau Claire, WI 54703-5222 | 2006-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649716358 | Fox Valley Hematology & Oncology, S.c. | Internal Medicine | 1716 Lawrence Dr, De Pere, WI 54115-9108 | 2017-01-19 |
| 1629416409 | Christopher Robert D'angelo | Internal Medicine | 958 Basswood Ave, Verona, WI 53593-8220 | 2013-06-13 |
| 1811250426 | Michael Bade Wheeler | Internal Medicine | 28391 Essential Road, Merton, WI 53056-0012 | 2012-06-19 |
| 1366732752 | Ezzideen Barjes Alrawi | Internal Medicine | 111 Ann St, Waukesha, WI 53188-2263 | 2011-04-19 |
| 1063730042 | Bradley C Heraly | Internal Medicine | 1726 Shawano Avenue, Green Bay Oncology, Green Bay, WI 54303 | 2010-05-14 |
| 1528276417 | Kelly Jo Cooke | Internal Medicine | 721 American Ave Ste 508, Prohealth Care Medical Associates Inc., Waukesha, WI 53188-5071 | 2007-05-21 |
| 1205044773 | Derek Steven Serna | Internal Medicine | 1683 Whistling Hill Cir, Hartland, WI 53029 | 2007-05-18 |
| 1770706624 | Fox Valley Hematology & Oncology, S.c. | Internal Medicine | N3063 Cty Qq, Waupaca, WI 54981-9796 | 2007-04-10 |
| 1003039959 | Fox Valley Hematology & Oncology, S.c. | Internal Medicine | 1370 N Shawano St E, New London, WI 54961-2155 | 2007-04-10 |
| 1356486591 | Galen R Hasler | Internal Medicine | 350 S Hamilton St, 203, Madison, WI 53703-3861 | 2007-02-21 |
| Find all providers with the same taxonomy | ||||
| City | EAU CLAIRE |
| Zip Code | 54703 |
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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.