ANATOLIY VELIKODANOV (NPI# 1740423441) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1740423441 |
Entity Type | Individual |
Full Name | ANATOLIY VELIKODANOV |
Credential | APNP |
Practice Address |
5300 W Villard Ave Milwaukee WI 53218-4345 |
Practice Telephone | 4144386666 |
Practice Fax Number | 4144386667 |
Mailing Telephone | 4144386666 |
Mailing Fax Number | 4144386667 |
Enumeration Date | 2009-04-09 |
Last Update Date | 2011-08-09 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163W00000X | Registered Nurse | 151683-30 | WI | Nursing Service Providers |
Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
3666-33 | WI | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
5300 W VILLARD AVE |
City | MILWAUKEE |
State | WI |
Zip Code | 53218-4345 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962418236 | Champalal Gupta | Internal Medicine | 5300 W Villard Ave, Milwaukee, WI 53218-4345 | 2006-07-31 |
1124576939 | Audra L Hale | Nurse Practitioner | 5300 W Villard Ave, Milwaukee, WI 53218-4345 | 2016-09-21 |
1316320724 | Timothy Patrick Kalmer | Nurse Practitioner | 5300 W Villard Ave, Milwaukee, WI 53218-4345 | 2015-07-02 |
1316336795 | Lubsey Medical Clinic Inc | Nurse Practitioner | 5300 W Villard Ave, Milwaukee, WI 53218-4345 | 2015-01-22 |
1013289164 | Maureen Tsogbe | Nurse Practitioner | 5300 W Villard Ave, Milwaukee, WI 53218-4345 | 2012-02-06 |
1306174255 | Erika Lubsey | Obstetrics & Gynecology | 5300 W Villard Ave, Milwaukee, WI 53218-4345 | 2009-12-03 |
1366683419 | Anuja M Sheth | Internal Medicine | 5300 W Villard Ave, Milwaukee, WI 53218-4345 | 2009-03-19 |
1528234085 | Kimula A Wilson | Registered Nurse | 5300 W Villard Ave, Milwaukee, WI 53218-4345 | 2008-05-05 |
1831286129 | Barbara Szopinski | Nurse Practitioner | 5300 W Villard Ave, Milwaukee, WI 53218-4345 | 2006-10-06 |
1962501593 | V G Lubsey, Md, Sc | Internal Medicine | 5300 W Villard Ave, Milwaukee, WI 53218-4345 | 2006-09-21 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417571050 | Kaak Living | Clinic/Center | 5938 N 76th Street, Milwaukee, WI 53218 | 2020-05-29 |
1306495064 | Jeanette Bearden | Technician | 4477 N 57 St., Milwaukee, WI 53218 | 2019-09-05 |
1770074080 | Sunvale Homes LLC | Home Health | 4714 N 58th St, Milwaukee, WI 53218 | 2018-05-22 |
1447740006 | Quantum Care LLC | Home Health | 6424 W Fondulac Avenue, Unit 1, Milwaukee, WI 53218 | 2018-05-18 |
1811413008 | Ewura Asie Amonoo | Case Manager/Care Coordinator | 5153 W. Silver Spring, Milwaukee, WI 53218 | 2017-08-18 |
1649706714 | Life Tree Pharmacy LLC | Pharmacy | 8329-5 W Appleton Ave, Milwaukee, WI 53218 | 2017-05-10 |
1720524341 | Nastassia S Jackson | Counselor | 6830 W Villard Ave Ste 190, Milwaukee, WI 53218 | 2017-01-07 |
1801330493 | Mary Beth Cafaro | Social Worker | 5555 N. 51st Blvd, Milwaukee, WI 53218 | 2016-12-15 |
1669823613 | Lasonya Carol Wilson | Licensed Practical Nurse | 5830 N 75th St, Milwaukee, WI 53218 | 2016-06-30 |
1225302243 | Drew Douglas Cannon | Social Worker | 5555 N 51st Street, Milwaukee, WI 53218 | 2012-03-08 |
Find all providers in zip 53218 |
Taxonomy Code | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457640948 | Angela Marie Pelzek | Nurse Practitioner | 1555 N River Center Dr Ste 206, Milwaukee, WI 53212-3958 | 2011-04-05 |
1275719411 | Teresa Marie Skora | Nurse Practitioner | 2555 N. Dr. Martin L. King Jr. Dr, Milwaukee, WI 53212-2709 | 2008-01-17 |
1942296215 | Sarah Packman | Nurse Practitioner | 1702 W Walnut St, Milwaukee, WI 53205-1616 | 2005-09-22 |
1356347686 | Wendy R. Janssen | Nurse Practitioner | 5000 W. National Ave, Milwaukee, WI 53295 | 2005-06-22 |
1598769911 | Ann Elizabeth Wittwer | Nurse Practitioner | 5000 West National Ave, Yellow Clinic, Milwaukee, WI 53295 | 2005-06-13 |
1275536625 | Cynthia Festge | Nurse Practitioner | 3351 N Downer Ave, Milwaukee, WI 53211-2954 | 2005-05-31 |
1043817877 | Jacqueline Jordan Morgan | Nurse Practitioner | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2020-10-05 |
1427609148 | Kathryn Anne Lochmann | Nurse Practitioner | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2019-09-24 |
1760966170 | Michael Frank Potnek | Nurse Practitioner | 210 W Capitol Dr, Milwaukee, WI 53212-1123 | 2018-09-20 |
1588144315 | Mary Rodgers | Nurse Practitioner | 9200 W Wisconsin Ave, Milwaukee, WI 53226 | 2018-08-21 |
Find all providers in MILWAUKEE |
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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.