INDEPENDENT PHYSICIANS OF WISCONSIN, LLC (NPI# 1871975920) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871975920 |
| Entity Type | Organization |
| Organization Name | INDEPENDENT PHYSICIANS OF WISCONSIN, LLC |
| Practice Address |
5434 W Capitol Dr Ste 3 Milwaukee WI 53216-2298 |
| Practice Telephone | 4142171229 |
| Mailing Telephone | 4142171229 |
| Enumeration Date | 2015-06-25 |
| Last Update Date | 2018-01-10 |
| Authorized Official Name | MOHAMMAD QASIM KHAN (MANAGING MEMBER) |
| Authorized Official Telephone | 4148750505 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
Allopathic & Osteopathic Physicians | ||
| N | 207RS0012X |
Internal Medicine Specialization: Sleep Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376050450 | Independent Physicians of Wisconsin, LLC | Family Medicine | 5233 S 27th St, Milwaukee, WI 53221-3764 | 2018-01-10 |
| 1427565548 | Independent Physicians of Wisconsin, LLC | Family Medicine | 3201 S 16th St Ste 2020, Milwaukee, WI 53215-4532 | 2018-01-10 |
| 1487161568 | Independent Physicians of Wisconsin, LLC | Family Medicine | 2501 W Silver Spring Dr, Milwaukee, WI 53209-4217 | 2018-01-10 |
| 1366959447 | Independent Physicians of Wisconsin, LLC | Family Medicine | 5434 W Capitol Dr Ste 3, Milwaukee, WI 53216-2298 | 2018-01-10 |
| 1346757465 | Independent Physicians of Wisconsin, LLC | Family Medicine | 7114 W Capitol Dr, Milwaukee, WI 53216-2052 | 2018-01-10 |
| Street Address |
5434 W CAPITOL DR STE 3 |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53216-2298 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366959447 | Independent Physicians of Wisconsin, LLC | Family Medicine | 5434 W Capitol Dr Ste 3, Milwaukee, WI 53216-2298 | 2018-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750906137 | Lilshana Woods | Technician | 3946 N 52nd St, Milwaukee, WI 53216 | 2020-06-11 |
| 1063981710 | Jon Maurice Smoots | Prevention Professional | 7710 W. Casper Street, Milwaukee, WI 53216 | 2018-11-23 |
| 1467948844 | Alexcis Coleman | Counselor | 6815 W Capitol Dr Ste 217, Milwaukee, WI 53216 | 2018-07-09 |
| 1457841066 | Rebeka Fried | Occupational Therapist | 3134 N 53rd St, Milwaukee, WI 53216 | 2018-05-18 |
| 1952831497 | Nina Marie Evans | Home Health Aide | 6815 W. Capitol Drive Suite 117, Milwaukee, WI 53216 | 2017-06-18 |
| 1578009080 | Annette L Veasey | Counselor | 4222 W Capitol Dr Ste 308, Milwaukee, WI 53216 | 2017-01-09 |
| 1295277143 | Gentle Hands Home Healthcare | Home Health | 6815 N. 68th Street, Milwaukee, WI 53216 | 2016-11-09 |
| 1639622780 | Luisa Julia Morales | Counselor | 5228 Fond Du Lac Ave, Milwaukee, WI 53216 | 2016-07-25 |
| 1568811776 | Eye-care Home Health Care | In Home Supportive Care | 6221 W Keefe Pkwy, Milwaukee, WI 53216 | 2016-06-08 |
| 1013382167 | Helens Supportive Services | Home Health | 6222 W Capitol Drive Sutie 200c, Milwaukee, WI 53216 | 2015-12-01 |
| Find all providers in zip 53216 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive 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 |
|---|---|---|---|---|
| 1639617665 | Edward Min Chi | Internal Medicine | 2320 N Lake Dr Ste 3603, Milwaukee, WI 53211-4507 | 2017-02-09 |
| 1750743159 | Andrew Charles Rose | Internal Medicine | 999 N 92nd St Ste 730, Milwaukee, WI 53226-4875 | 2016-03-24 |
| 1942694401 | Iryna Nemesh | Internal Medicine | 1020 N 12th St Fl 2, Milwaukee, WI 53233 | 2015-03-23 |
| 1376955492 | Ashish Chaddha | Internal Medicine | 900 North 92nd Street, Milwaukee, WI 53226 | 2014-05-22 |
| 1518305671 | Aishah Aslam | Internal Medicine | 3070 N 51st St Ste 106, Milwaukee, WI 53210-1661 | 2013-06-11 |
| 1578822318 | Joel S Weiner | Internal Medicine | 720 E Wisconsin Ave, 2w440, Milwaukee, WI 53202-4703 | 2012-05-14 |
| 1174800049 | John Herman Esser | Internal Medicine | 1050 W Acacia Rd, Milwaukee, WI 53217 | 2011-11-07 |
| 1467731570 | Valena Grbic | Internal Medicine | 2311 N Prospect Avenue, Milwaukee, WI 53211 | 2011-08-06 |
| 1629396965 | Catherine A Kim | Internal Medicine | 3003 W Good Hope Rd Bldg 1642nd, Milwaukee, WI 53209-2042 | 2010-05-11 |
| 1730402892 | Robert Anthony Kebbekus | Internal Medicine | 8200 Warren Ave, Milwaukee, WI 53213-2124 | 2010-03-03 |
| 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.