NICHOLAS MARK CETTA (NPI# 1013019355) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013019355 |
| Entity Type | Individual |
| Full Name | NICHOLAS MARK CETTA |
| Credential | MD |
| Practice Address |
2901 35th St Lower Level Kenosha WI 53140 |
| Practice Telephone | 2626525115 |
| Practice Fax Number | 2626526552 |
| Mailing Telephone | 2626525115 |
| Mailing Fax Number | 2626526552 |
| Enumeration Date | 2006-09-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 32679300 | 05 |
| Street Address |
2901 35TH ST LOWER LEVEL |
| City | KENOSHA |
| State | WI |
| Zip Code | 53140 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184629677 | Birute Balciunas Schlecht | Podiatrist | 2901 35th St, Lower Level, Kenosha, WI 53140-5119 | 2005-06-20 |
| 1336709468 | Dana Mehring | Family Medicine | 2901 35th St, Kenosha, WI 53140-5117 | 2019-06-20 |
| 1104279561 | Advanced Foot and Ankle Center of Kenosha S.c. | Podiatrist | 2901 35th St, Lower Level South, Kenosha, WI 53140-5117 | 2016-07-20 |
| 1083018089 | Binder Family Chiropractic LLC | Chiropractor | 2901 35th St, Kenosha, WI 53140-5119 | 2014-10-20 |
| 1043509789 | A Plus Podiatry & Sports Medicine LLC | Podiatrist | 2901 35th St, Lower Level, Kenosha, WI 53140-5119 | 2011-04-04 |
| 1215948377 | Children's Dental Care of Kenosha | Dentist | 2901 35th St, Kenosha, WI 53140-5119 | 2006-08-11 |
| 1336124213 | Lori J Kerber | Dentist | 2901 35th St, Kenosha, WI 53140-5119 | 2005-12-13 |
| 1245215128 | Dennis M Connolly | Dentist | 2901 35th St, Kenosha, WI 53140-5119 | 2005-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225663396 | Lydia Zopf | Counselor | 2001 Alford Park Dr., Carthage College, Kenosha, WI 53140 | 2020-03-09 |
| 1952949406 | Rotate Rehabilitation and Performance | Physical Therapist | 5606 6th Avenue Suite Ll9, Kenosha, WI 53140 | 2019-12-16 |
| 1134778590 | Brenda Chiapetta | Registered Nurse | 3233 23rd Ave, Kenosha, WI 53140 | 2019-09-09 |
| 1275003394 | Kimberly Shaffner | Family Medicine | 4536 22nd Avenue, Kenosha, WI 53140 | 2018-12-01 |
| 1659863389 | Bart L Mengo | Contractor | 1715 60th Street, Kenosha, WI 53140 | 2018-05-30 |
| 1093182941 | Guided Wellness Counseling | Community/Behavioral Health | 1112 56th St, Kenosha, WI 53140 | 2015-08-26 |
| 1376970764 | Stacey L Andersen | Acupuncturist | 5603 7th Ave, Kenosha, WI 53140 | 2013-10-01 |
| 1841467438 | Deborah Schwerdtfeger | Occupational Therapy Assistant | 3415 Sheridan Road, Woodstock Rehab Dept, Kenosha, WI 53140 | 2008-05-13 |
| 1942492020 | Rebecca Ann Burdette | Counselor | 920 60th Street, Renosha, WI 53140 | 2007-08-13 |
| 1851598619 | Aurora Medical Group, Inc. | Durable Medical Equipment & Medical Supplies | 2707 15th Place, Kenosha, WI 53140 | 2007-06-27 |
| Find all providers in zip 53140 | ||||
| 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 |
|---|---|---|---|---|
| 1780155275 | Children's Health System, Inc. | Pediatrics | 6809 122nd Avenue, Kenosha, WI 54342-7335 | 2018-12-10 |
| 1992125041 | Landon Blair Krantz | Pediatrics | 8600 75th St Ste 101, Kenosha, WI 53142-8200 | 2014-04-16 |
| 1326033671 | Jaya V Iyer | Pediatrics | 6809 122nd Ave, Kenosha, WI 53142-7335 | 2005-09-13 |
| 1174527550 | Sheryn Abraham | Pediatrics | 8600 75th St, Ste 101, Kenosha, WI 53142-8200 | 2005-06-13 |
| 1649519299 | Children's Hospital of Wisconsin | Pediatrics | 8500 75th St, Kenosha, WI 53142-8213 | 2013-02-01 |
| 1952567547 | Umair Sharih | Pediatrics | 4536 22nd Ave, Kenosha, WI 53140-5917 | 2008-08-03 |
| 1740455096 | Children's Medical Group | Pediatrics | 6809 122nd Ave, Kenosha, WI 53142-7335 | 2008-04-28 |
| 1427223783 | Children's Medical Group | Pediatrics | 8600 75th St, Suite 101, Kenosha, WI 53142-8200 | 2008-04-28 |
| 1508076555 | Jesika Shah | Pediatrics | 6809 122nd Ave, Kenosha, WI 53142-7335 | 2007-05-22 |
| 1649397498 | Jennifer Margaret Nelson | Pediatrics | 10400 75th St, Pediatrics, Kenosha, WI 53142-7884 | 2007-03-26 |
| Find all providers in KENOSHA | ||||
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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.