Chestnut Medicine of Wi Ltd is a Internal Medicine Physician (organization) practicing in Waukesha, Wisconsin. The National Provider Identifier (NPI) is #1043805930, which was assigned on March 3, 2021, and the registration record was last updated on May 27, 2022. The practitioner's main practice location is at 1451 Cleveland Ave, Waukesha, WI 53186-3876; the contact telephone number is 2625472123, and the fax number is 2625476204. The primary taxonomy of Chestnut Medicine of Wi Ltd is Internal Medicine Physician (207R00000X). The authorized official for Chestnut Medicine of Wi Ltd is Omair Siraj (Ceo).
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.
| NPI | 1043805930 |
| Entity Type | Organization |
| Organization Name | CHESTNUT MEDICINE OF WI LTD |
| Provider Name | CHESTNUT MEDICINE OF WI LTD |
| Practice Address |
1451 Cleveland Ave Waukesha WI 53186-3876 |
| Practice Telephone | 2625472123 |
| Practice Fax Number | 2625476204 |
| Mailing Address |
Po Box 33 Bedford Park IL 60499-0033 |
| Mailing Telephone | 7039648199 |
| Mailing Fax Number | 7036496188 |
| Certification Date | 2022-05-27 |
| Enumeration Date | 2021-03-03 |
| Last Update Date | 2022-05-27 |
| Is Organization Subpart | N |
| Official Name | OMAIR SIRAJ |
| Official Title | CEO |
| Telephone | 7039648199 |
| Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
|---|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 193400000X SINGLE SPECIALTY GROUP |
| Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| Classification | Internal Medicine |
| Grouping | Allopathic & Osteopathic Physicians |
| Definition: 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. |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Huma Ashraf | 901 Harry S Truman Dr N, Largo, MD 20774-5477 | Internal Medicine Physician | 2024-04-04 |
| Stephen Allen Chun | Po Box 661180, Arcadia, CA 91066-1180 | Internal Medicine Physician | 2024-04-05 |
| Takugo Cho | 123 Summer St, Worcester, MA 01608-1216 | Internal Medicine Physician | 2024-04-04 |
| Mohamad Khaled Abouelnaaj | 1500 Red River St, Austin, TX 78701-1918 | Internal Medicine Physician | 2024-04-04 |
| Integrative Health Arizona LLC | 4835 Lbj Fwy Ste 900, Dallas, TX 75244-6001 | Internal Medicine Physician | 2024-04-04 |
| Georgia E Williams | 1501 Red River St Fl 2, Austin, TX 78712-1845 | Internal Medicine Physician | 2024-04-05 |
| Py Medicl Services of Ri PC | 10 Woodland Dr, Coventry, RI 02816-6716 | Internal Medicine Physician | 2024-04-04 |
| Uday Chauhan Md PC | 11449 N Via Campagna Dr, Fresno, CA 93730-8872 | Internal Medicine Physician | 2024-04-05 |
| Rthm Medical Group of California, P.C. | 6036 Se 40th Ave, Portland, OR 97202-7616 | Internal Medicine Physician | 2024-04-04 |
| Post Acute Specialists New Jersey, P.C. | 290 Red School Ln, Phillipsburg, NJ 08865-2276 | Internal Medicine Physician | 2024-04-04 |
| Find all providers with the same taxonomy | |||
| Street Address |
1451 CLEVELAND AVE |
| City | WAUKESHA |
| State | WI |
| Zip Code | 53186-3876 |
| Country | US |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Kayla Post | 1451 Cleveland Ave, Waukesha, WI 53186-3876 | Speech-Language Pathologist | 2021-01-26 |
| Aria of Waukesha LLC | 1451 Cleveland Ave, Waukesha, WI 53186-3876 | Skilled Nursing Facility | 2020-11-03 |
| Renee Louise Miser | 1451 Cleveland Ave, Waukesha, WI 53186-3876 | Occupational Therapist | 2009-06-01 |
| John W Bach | 1451 Cleveland Ave, Waukesha, WI 53186-3876 | Physical Therapist | 2007-09-26 |
| Lynn Marie Knull | 1451 Cleveland Ave, Waukesha, WI 53186-3876 | Occupational Therapist | 2007-10-10 |
| Jessica Ann Geisberger | 1451 Cleveland Ave, Waukesha, WI 53186-3876 | Physical Therapy Assistant | 2017-07-23 |
| Kathryn A Nieman | 1451 Cleveland Ave, C/O The Virginia Health Care Center, Waukesha, WI 53186 | Occupational Therapist | 2011-05-24 |
| Shaunee M Stone | 1451 Cleveland Ave, Waukesha, WI 53186-3876 | Occupational Therapist | 2021-01-28 |
| Jo Meek | 1451 Cleveland Ave, Waukesha, WI 53186-3876 | Occupational Therapist | 2006-08-21 |
| Marie Hansen | 1451 Cleveland Ave, Waukesha, WI 53186-3876 | Speech-Language Pathologist | 2011-01-25 |
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| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Travel Health Partners Wi Sc | 20700 Watertown Road, Suite 240, Waukesha, WI 53186 | Community Health Worker | 2024-04-04 |
| Rebecca Menelle | 1809 Shepherd Ct, Apt 206, Waukesha, WI 53186 | Physical Therapist | 2016-09-13 |
| Dianne Isnard | W231n1440 Corporate Court, Waukesha, WI 53186 | Physical Therapist | 2016-09-02 |
| Allure Medical of Wisconsin PLLC | 1930 W Bluemound Rd Ste 340, Waukesha, WI 53186 | Vascular Surgery Physician | 2018-04-25 |
| Richard J. Salm Jr. | S22w22660 East Broadway, Suite 2, Waukesha, WI 53186 | Dentist | 2007-03-30 |
| Recovercare, LLC. | 21870 Watertown Rd., Units 10 & 11, Building B, Brookfieldd, WI 53186 | Durable Medical Equipment & Medical Supplies | 2008-06-17 |
| Mary B Mckee | 22370 W Bluemound Rd, #102, Waukesha, WI 53186 | Registered Dietitian | 2017-08-14 |
| Amani A Maguid Md Sc | 21675 E Moreland Blvd Ste 100, Waukesha, WI 53186 | Specialist | 2012-06-11 |
| 180 Medical, Inc. | N8w22195 Johnson Dr, Suite 100, Waukesha, WI 53186 | Durable Medical Equipment & Medical Supplies | 2009-11-19 |
| Coppe Healthcare Solutions · Wisconsin Viral Research Group | W229 N1870 Westwood Dr, Waukesha, WI 53186 | Clinical Medical Laboratory | 2008-06-30 |
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| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Chestnut Hill Rehabilitation and Nursing Center · Radius 91 Operating Chestnut Hill | 32 Chestnut St, East Longmeadow, MA 01028-2803 | Skilled Nursing Facility | 2005-10-25 |
| Chestnut Health Systems Inc. · Chestnut Family Health Center | 12 N 64th St, Belleville, IL 62223-3809 | Federally Qualified Health Center (FQHC) | 2022-12-14 |
| Chestnut Hill Clinic Company, LLC · Family Medicine Wyncote Tower Health Medical Group | 8835 Germantown Ave, Philadelphia, PA 19118-2718 | Clinical Social Worker | 2006-11-09 |
| Chestnut Hill Dental Care · Chestnut Hill Smiles | 9 E Highland Ave, Philadelphia, PA 19118-3307 | Dental Clinic/Center | 2014-02-20 |
| Ehpp Chestnut Ridge LLC · Excela Chestnut Ridge Weldon Street | 501 Weldon St, Latrobe, PA 15650-1520 | Non-Pharmacy Dispensing Site | 2009-01-16 |
| Upmc Community Medicine, Inc. · Chestnut Ridge Family Medicine - Upmc | 2040 Quaker Valley Rd, Fishertown, PA 15539-9723 | Non-Pharmacy Dispensing Site | 2008-07-23 |
| Chestnut Hill Clinic Company, LLC · Telemedicine Chestnut Hill Tower Health Medical Group | 8835 Germantown Ave, Philadelphia, PA 19118-2718 | Infectious Disease Physician | 2020-01-10 |
| Chestnut Ridge Cypress LLC · Chestnut Ridge Nursing and Rehabilitation Center | 125 Samaritan Dr, Cumming, GA 30040-2354 | Skilled Nursing Facility | 2013-12-18 |
| Chestnut Health Systems, Inc · Chestnut Family Health Center Granite City | 50 Northgate Industrial Dr, Granite City, IL 62040-6805 | Federally Qualified Health Center (FQHC) | 2015-09-23 |
| Jefferson University Physicians · Family Medicine 833 Chestnut | 833 Chestnut St, Suite 630, Philadelphia, PA 19107-4414 | Family Medicine Physician | 2008-04-18 |
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This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.
| Subject | Transparency and Disclosure |
| Jurisdiction | Federal |
| Data Provider | National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS) |
| Source | download.cms.gov |
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid). Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008. This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information. |