CHRISTOPHER CARDONA CORREA (NPI# 1952836843) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952836843 |
| Entity Type | Individual |
| Full Name | CHRISTOPHER CARDONA CORREA |
| Credential | M.D. |
| Practice Address |
Beloit Clinic 1905 E. Huebbe Parkway Beloit WI 53511-1842 |
| Mailing Address |
Beloit Health System Inc 1905 E. Huebbe Parkway Beloit WI 53511-1842 |
| Practice Telephone | 6083642220 |
| Practice Fax Number | 6083637368 |
| Mailing Telephone | 6083642293 |
| Mailing Fax Number | 6083645452 |
| Enumeration Date | 2017-04-27 |
| Last Update Date | 2020-08-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 70930-20 | WI | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
BELOIT CLINIC 1905 E. HUEBBE PARKWAY |
| City | BELOIT |
| State | WI |
| Zip Code | 53511-1842 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265408009 | Cynthia L. Palabrica | Specialist | Beloit Clinic, 1905 E. Huebbe Parkway, Beloit, WI 53511-1842 | 2006-02-23 |
| 1609434406 | Kathryn Elizabeth Melloch | Dietitian, Registered | Beloit Clinic, 1905 E. Huebbe Parkway, Beloit, WI 53511-1842 | 2019-06-05 |
| 1154883593 | Kristin K. Lietzau | Orthopaedic Surgery | Beloit Clinic, 1905 E. Huebbe Parkway, Beloit, WI 53511-1842 | 2019-04-04 |
| 1881168680 | Anne Marie C Matelski | Physician Assistant | Beloit Clinic, 1905 E. Huebbe Parkway, Beloit, WI 53511-1842 | 2019-01-15 |
| 1053880690 | Cynthia L Philpott | Nurse Practitioner | Beloit Clinic, 1905 E. Huebbe Parkway, Beloit, WI 53511-1842 | 2018-11-13 |
| 1083142202 | Jennifer S. Cho-escalante | Family Medicine | Beloit Clinic, 1905 E. Huebbe Parkway, Beloit, WI 53511-1842 | 2017-06-01 |
| 1689027344 | Kristy Nicole-ortha Dygart | Nurse Practitioner | Beloit Clinic, 1905 E. Huebbe Parkway, Beloit, WI 53511-1842 | 2016-07-18 |
| 1598125072 | Brittany N R Blomberg | Family Medicine | Beloit Clinic, 1905 E. Huebbe Parkway, Beloit, WI 53511-1842 | 2016-02-26 |
| 1336536648 | Chitra Desai | Pediatrics | Beloit Clinic, 1905 E. Huebbe Parkway, Beloit, WI 53511-1842 | 2015-04-24 |
| 1962845941 | Meredith A. Maxey | Family Medicine | Beloit Clinic, 1905 E. Huebbe Parkway, Beloit, WI 53511-1842 | 2013-04-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730738485 | Linda Lee Cook | Technician | 914 Cranston Rd., Beloit, WI 53511 | 2019-09-05 |
| 1033773734 | Holistic Counseling Services, LLC | Counselor | 1517 Huebbe Parkway, Ste A, Beloit, WI 53511 | 2019-04-28 |
| 1578073870 | Bonita May Cooke | Counselor | 838 Grant St., Beloit, WI 53511 | 2017-10-02 |
| 1679091219 | Stacy Lynn Gallagher | Licensed Practical Nurse | 1060 Bittel St, Beloit, WI 53511 | 2017-09-04 |
| 1629448824 | Brenda Jean Allen | Registered Nurse | 2907 E. Leona Drive, Beloit, WI 53511 | 2015-09-30 |
| 1033595038 | Amber Noel Slaybaugh | Physical Therapist | 838 E. Azalea Ter., Beloit, WI 53511 | 2015-08-03 |
| 1407260326 | Quirt Family Dentistry, Sc | Dentist | 2777 Milwaukee Rd, Beloit, WI 53511 | 2014-06-18 |
| 1821436973 | Raymond K Spade | Counselor | 2240 Prairie Ave., Beloit, WI 53511 | 2013-06-11 |
| 1629321658 | Sarah Ann Nelson | Physical Therapist | 1905 W. Hart Road, Beloit, WI 53511 | 2012-10-15 |
| 1235494212 | Mary Ann Hudson | Nurse Practitioner | 700 College Street, Beloit College, Beloit, WI 53511 | 2012-07-06 |
| Find all providers in zip 53511 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902814932 | Jane E Fossum | Pediatrics | 1905 Huebbe Pkwy, Beloit, WI 53511-1842 | 2006-08-04 |
| 1336536648 | Chitra Desai | Pediatrics | Beloit Clinic, 1905 E. Huebbe Parkway, Beloit, WI 53511-1842 | 2015-04-24 |
| 1891052817 | Leah F. Farley | Pediatrics | 1905 E. Huebbe Parkway, Beloit Clinic, Beloit, WI 53511-1842 | 2012-04-15 |
| 1780857508 | Emarcia Patrice Peete | Pediatrics | 2825 Prairie Ave, Beloit, WI 53511-1844 | 2008-04-13 |
| 1326155870 | Abraham R Rodriguez | Pediatrics | 1905 E. Huebbe Parkway, Beloit Health System Inc, Beloit, WI 53511-1842 | 2006-08-23 |
| 1518977842 | Gary B Adamski | Pediatrics | 1905 E. Huebbe Parkway, Beloit Health System Inc, Beloit, WI 53511-1842 | 2006-08-09 |
| 1801804844 | Christopher C Gianvecchio | Pediatrics | 1905 E. Huebbe Parkway, Beloit Health System Inc., Beloit, WI 53511-1842 | 2006-08-04 |
| 1386677078 | Stephen Cole Werner Sr. | Pediatrics | 2825 Prairie Ave, Beloit, WI 53511-1844 | 2006-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437767977 | St Francs Pediatrics | Pediatrics | 3201 S 16th St Ste 100, Milwaukee, WI 53215-4579 | 2020-07-21 |
| 1780155275 | Children's Health System, Inc. | Pediatrics | 6809 122nd Avenue, Kenosha, WI 54342-7335 | 2018-12-10 |
| 1467972950 | Cameron Trammell Shamsi Kasmai | Pediatrics | 9000 W Wisconsin Ave # Ms 681, Milwaukee, WI 53226-4874 | 2017-06-26 |
| 1669903993 | Kristin Zorn | Pediatrics | 8701 W Watertown Plank Rd # Mfrc3018, Milwaukee, WI 53226-3548 | 2017-03-27 |
| 1487195822 | Jane A Rivas | Pediatrics | 9000 W Wisconsin Ave # C550, Milwaukee, WI 53226-4874 | 2017-03-18 |
| 1467996991 | Children's Medical Group | Pediatrics | N168w22730 Prairie View Lane, Jackson, WI 53037 | 2016-12-19 |
| 1366997496 | Ujuchukwu Chizurum Okpechi | Pediatrics | 2700 W 9th Ave Ste 211, Oshkosh, WI 54904-7865 | 2016-08-18 |
| 1396193454 | Helen Gerseny Waterman | Pediatrics | 123 E Mifflin St Apt 200, Madison, WI 53703-2810 | 2016-05-31 |
| 1972951127 | Hillary Herman | Pediatrics | 1506 S Oneida St Fl 5, Appleton, WI 54915-1305 | 2016-05-27 |
| 1811350416 | Brittney Allison Krueger | Pediatrics | 4855 S Moorland Rd Ste 150, New Berlin, WI 53151-7495 | 2016-03-31 |
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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.