MARK ANDREW KACHAN (NPI# 1003080102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003080102 |
| Entity Type | Individual |
| Full Name | MARK ANDREW KACHAN |
| Credential | DPM |
| Practice Address |
2793 Lineville Rd Green Bay WI 54313-7152 |
| Practice Telephone | 9204964700 |
| Mailing Telephone | 9204964700 |
| Enumeration Date | 2008-04-18 |
| Last Update Date | 2013-06-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 1024-25 | WI | Podiatric Medicine & Surgery Service Providers |
| N | 213E00000X | Podiatrist | MK002134 | MI | Podiatric Medicine & Surgery Service Providers |
| Street Address |
2793 LINEVILLE RD |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54313-7152 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932172053 | Susan Frangiskakis | Specialist | 2793 Lineville Rd, Green Bay, WI 54313-7152 | 2006-02-09 |
| 1063026276 | Matthew John Sprister | Nurse Practitioner | 2793 Lineville Rd, Green Bay, WI 54313-7152 | 2020-09-04 |
| 1780215251 | Christine Hyde | Nurse Practitioner | 2793 Lineville Rd, Green Bay, WI 54313-7152 | 2020-02-03 |
| 1275049140 | Miranda Mary Cseter | Physician Assistant | 2793 Lineville Rd, Green Bay, WI 54313-7152 | 2017-12-14 |
| 1205205424 | Jennifer N. Charles | Registered Nurse | 2793 Lineville Rd, Green Bay, WI 54313-7152 | 2015-09-17 |
| 1316222771 | Tiffany Lynn Laughlin | Nurse Practitioner | 2793 Lineville Rd, Green Bay, WI 54313-7152 | 2011-10-18 |
| 1720217722 | St Vincent Hospital-hospital Sisters-third Order of St Francis | Durable Medical Equipment & Medical Supplies | 2793 Lineville Rd, Green Bay, WI 54313-7152 | 2009-07-11 |
| 1154563229 | Joshua D Rankin | Pediatrics | 2793 Lineville Rd, Green Bay, WI 54313-7152 | 2009-04-03 |
| 1336300276 | Bradley Allen Locke | Pediatrics | 2793 Lineville Rd, Green Bay, WI 54313-7152 | 2008-06-23 |
| 1013197979 | Mariruth Neff | Nurse Practitioner | 2793 Lineville Rd, Green Bay, WI 54313-7152 | 2007-11-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548823420 | Martha Lynn Drew | Licensed Practical Nurse | 3101 Molly Brown Lane, Green Day, WI 54313 | 2019-04-17 |
| 1831691872 | Melanie Hammerbeck | Dentist | 1756 Cardinal Ln, Green Bay, WI 54313 | 2018-03-06 |
| 1649727108 | Amanda Marie Mckeefry | Dental Hygienist | 2304 Lineville Rd, Suite 101, Green Bay, WI 54313 | 2016-09-01 |
| 1326594813 | Kaylee Schartner | Dental Hygienist | 2304 Lineville Road, Suite 100, Suamico, WI 54313 | 2016-08-25 |
| 1134500226 | Salvanz Enterprises Inc | Pharmacy | 2673 Lineville Road, Green Bay, WI 54313 | 2015-06-15 |
| 1467849307 | Maureen Riordan | Specialist/Technologist | 2957 S Telemark Cir., Green Bay, WI 54313 | 2015-04-17 |
| 1043556780 | Kellen James Binder | Chiropractor | 2638 Tulip Lane, Suite B, Green Bay, WI 54313 | 2012-12-28 |
| 1407092737 | Sara Ann Anderson | Registered Nurse | 2691 Shade Tree Ln, Green Bay, WI 54313 | 2008-12-16 |
| 1467601344 | Melissa Lea Socha | Speech-Language Pathologist | 2153 School Lane, Suamiro Elementary, Green Bay, WI 54313 | 2008-09-16 |
| 1003070707 | Anne Marie Hein | Physical Therapist | 3101 S Packerland Dr, Green Bay, WI 54313 | 2008-07-11 |
| Find all providers in zip 54313 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316039068 | Green Bay Podiatry Associates Sc | Podiatrist | 2036 S Ridge Rd, Green Bay, WI 54304-4127 | 2006-09-29 |
| 1053304295 | Edward Patrick Vanbeek | Podiatrist | 1771 Allouez Ave, Green Bay, WI 54311-5645 | 2005-08-23 |
| 1265424162 | Thomas R Komp | Podiatrist | 2295 W Mason St, Green Bay, WI 54303-4706 | 2005-08-17 |
| 1346532678 | Michael R Mankovecky | Podiatrist | 1779 Main St, Green Bay, WI 54302-3250 | 2011-05-04 |
| 1366469793 | April C Borchardt | Podiatrist | 1821 S Webster Ave, Green Bay, WI 54301-2253 | 2006-07-15 |
| 1972557817 | Chad D Denamur | Podiatrist | 1160 Kepler Dr, Green Bay, WI 54311-8321 | 2006-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376161976 | Family Foot and Ankle Clinic LLC | Podiatrist | 1901 Westwood Boulevard, Wausau, WI 54401 | 2020-07-09 |
| 1588282453 | Family Foot and Ankle Clinic LLC | Podiatrist | 1021 Western Ave Ste C, Mosinee, WI 54455-1511 | 2020-07-08 |
| 1376161240 | Family Foot and Ankle Clinic LLC | Podiatrist | 1439 Churchill St Ste 202, Waupaca, WI 54981-2089 | 2020-07-08 |
| 1083237754 | Baycare Clinic LLP | Podiatrist | 630 Riverfront Dr, Sheboygan, WI 53081-4615 | 2020-05-28 |
| 1922637107 | Torhorst Foot and Ankle Clinic, Sc | Podiatrist | 2823 Post Rd, Stevens Point, WI 54481-6416 | 2020-04-08 |
| 1528446713 | Jonathan Shih | Podiatrist | 9200 W Loomis Rd Ste 116, Franklin, WI 53132 | 2015-05-08 |
| 1912310152 | Wyatt Isaac Wiedenfeld | Podiatrist | 853 S Main St, Oconto Falls, WI 54154-1203 | 2014-06-05 |
| 1710397039 | Kristina Lorene Thompson | Podiatrist | 37868 Us-18, Prairie Du Chien, WI 53821 | 2014-05-08 |
| 1972856169 | Midwest Foot and Wound Care Center LLC | Podiatrist | W3853 Stoneridge Dr, Fond Du Lac, WI 54937-6201 | 2012-10-25 |
| 1073880936 | Tahir A Khan | Podiatrist | 6001 W Center St Ste 108, Milwaukee, WI 53210-2154 | 2011-11-21 |
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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.