Shekhar a Dagam MD Neurological Surgery SC

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

4351420 Issued in WI

Legal business name

SHEKHAR A DAGAM MD NEUROLOGICAL SURGERY SC

Practice address

2901 W Kinnickinnic River Pkwy
#201
Milwaukee, WI 53215-3677

Phone

(414) 385-7150

Fax

(414) 385-7159

NPI assigned

May 18, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Shekhar A Dagam, MDNPI 1629020946

Title

Owner

Phone

(414) 385-7150

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shekhar A Dagam, M.D.

  • Neurological Surgery Physician
  • Milwaukee, WI
  • NPI 1629020946
  Medicare reassignment NPD Authorized official
• Ana Stoica, APNP

  • Nurse Practitioner
  • Milwaukee, WI
  • NPI 1639782915
  Medicare reassignment NPD
• Beau Boedecker, PA-C

  • Physician Assistant
  • Milwaukee, WI
  • NPI 1093012734
  Medicare reassignment
• Katherine Mae Harms, R.N.

  • Registered Nurse
  • Waukesha, WI
  • NPI 1942499421
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485734400000",
    "number": "1114970399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 78082",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532780082",
            "telephone_number": "414-385-7150",
            "fax_number": "414-385-7159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 W KINNICKINNIC RIVER PKWY",
            "address_2": "#201",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532153677",
            "telephone_number": "414-385-7150",
            "fax_number": "414-385-7159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEKHAR A DAGAM MD NEUROLOGICAL SURGERY SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2017-01-30",
        "status": "A",
        "authorized_official_last_name": "DAGAM",
        "authorized_official_first_name": "SHEKHAR",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-385-7150",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "WI",
            "license": "4351420",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34412200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Megann Marcella Sheehy, APNP
• Sheetal Kandiah, MD, LLC
• Lynn K Sheets, MD
• Glenn Steven Shein, LMT
• Yuri M Sheinin, M.D.
• Suhas K Shelgikar
• Sheltering Arms LLC
• Angela Renee Shelton, M.S., CSW, LPC-TR
• Joyce Marie Shelton
• Shema Buda Home Care

• Neurological Surgery Physician in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Neurological Surgery Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.