MRS. KIMBERLY KOLDENHOVEN (NPI# 1033378021) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033378021 |
| Entity Type | Individual |
| Full Name | MRS. KIMBERLY KOLDENHOVEN |
| Credential | PA-C |
| Practice Address |
3000 N Halsted St Ste 525 Chicago IL 60657-9269 |
| Practice Telephone | 7734333130 |
| Practice Fax Number | 7734333127 |
| Mailing Telephone | 7734333130 |
| Mailing Fax Number | 7734333127 |
| Enumeration Date | 2008-06-04 |
| Last Update Date | 2011-03-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
085.002977 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3000 N HALSTED ST STE 525 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60657-9269 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790878981 | William A Vitello | Orthopaedic Surgery | 3000 N Halsted St Ste 525, Chicago, IL 60657-9269 | 2006-10-02 |
| 1285270074 | Illinois Bone and Joint Institute, LLC | Physical Therapist | 3000 N Halsted St Ste 525, Chicago, IL 60657-9269 | 2019-11-27 |
| 1841728797 | Claire Matzke | Physical Therapist | 3000 N Halsted St Ste 525, Chicago, IL 60657-9269 | 2017-05-23 |
| 1588049100 | Lindsay Lipes | Physician Assistant | 3000 N Halsted St Ste 525, Chicago, IL 60657-9269 | 2015-07-24 |
| 1649655648 | Megan Moran | Physician Assistant | 3000 N Halsted St Ste 525, Chicago, IL 60657-9269 | 2015-07-21 |
| 1063778413 | Vasili Karas | Orthopaedic Surgery | 3000 N Halsted St Ste 525, Chicago, IL 60657-9269 | 2012-04-10 |
| 1033488366 | Caitlin Elaine Schlorff | Physician Assistant | 3000 N Halsted St Ste 525, Chicago, IL 60657 | 2011-12-15 |
| 1932439361 | Morgan Walsh | Occupational Therapist | 3000 N Halsted St Ste 525, Chicago, IL 60657-9269 | 2010-01-07 |
| 1871752881 | Shivani Shah Batra | Physical Medicine & Rehabilitation | 3000 N Halsted St Ste 525, Chicago, IL 60657-9269 | 2008-06-04 |
| 1245457308 | Stephen D Dorigan | Physical Therapist | 3000 N Halsted St Ste 525, Chicago, IL 60657-9269 | 2007-04-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992303887 | Simone Paes | Behavior Technician | 3141 N Sheffield Ave, Chicago, IL 60657 | 2020-10-13 |
| 1821613175 | Samridhi Khatri | Internal Medicine | 836 W. Wellington Ave, Advocate Illinois Masonic Medica, Suite 1312, Chigaco, IL 60657 | 2020-06-12 |
| 1467074617 | Dewolfe Aesthetic Services Sc | Surgery | 3357 N. Southport Aveune, Chicago, IL 60657 | 2020-05-11 |
| 1790304657 | Mehr Amer Mjeed | Student in an Organized Health Care Education/Training Program | Advocate Internal Medicine Clinic, Advocate Illinois Ma, 836 West Wellington Avenue, Chicago, IL 60657 | 2020-04-10 |
| 1457997561 | Jasleen Mohini Singh | Physician Assistant | 1645a W School Street, Suite A, Clinic Entrance, Chicago, IL 60657 | 2019-11-24 |
| 1306493408 | Art of Sight Eyecare, LLC | Optometrist | 2915 N. Broadway, Chicago, IL 60657 | 2019-08-22 |
| 1992359277 | Joseph Michael Rochford IIi | Counselor | 1358 W Belmont Ave, Unit # 202, Chicago, IL 60657 | 2019-07-25 |
| 1487116240 | Conrad Petersen Dermatology Sc | Dermatology | 2845 N Sheridan, Chicago, IL 60657 | 2019-04-02 |
| 1003388810 | Evolve Wellness S.c. | Counselor | 2845 North Sheridan Road, Suite 708, Chicago, IL 60657 | 2018-12-19 |
| 1639657414 | Advocate North Side Health Network | Psychiatric Unit | 836 W Wellington Ave., Chicago, IL 60657 | 2018-08-02 |
| Find all providers in zip 60657 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710547625 | Nadia Khan | Physician Assistant | 4543 N Malden St Apt 1s, Chicago, IL 60640-5687 | 2019-06-13 |
| 1962065516 | Jorge Mantilla | Physician Assistant | 5540 N Kimball Ave Apt 3e, Chicago, IL 60625-4674 | 2019-04-18 |
| 1770041949 | Laura Ann Ryan | Physician Assistant | 840 S Wood St Ste 417, Chicago, IL 60612-4325 | 2019-03-06 |
| 1407331184 | David Reyes | Physician Assistant | 2800 N Sheridan Rd Ste 209, Chicago, IL 60657-6157 | 2018-09-28 |
| 1053899138 | Won Hee Oh | Physician Assistant | 5841 S. Maryland Ave., Mc5040, Chicago, IL 60637 | 2018-08-01 |
| 1811494917 | Nicole Fisch | Physician Assistant | 7447 W Talcott Ave Ste 512, Chicago, IL 60631-3716 | 2018-04-06 |
| 1477909448 | Temidayo Olugbenga Odugbesan | Physician Assistant | 7016 S Sangamon St, Apt 3s, Chicago, IL 60621-1759 | 2016-05-10 |
| 1689096257 | Natalie Elizabeth Warmuth | Physician Assistant | 830 West Diversey Pkwy., Suite 300, Chicago, IL 60614-8711 | 2014-01-15 |
| 1184062754 | Lindsay Christine Jones | Physician Assistant | 205 East Huron, Northwestern Memorial Hospital Galter 11-140, Chicago, IL 60611 | 2013-06-05 |
| 1366741449 | Monica L Fiehler | Physician Assistant | 3537 Paysphere Cir, Chicago, IL 60674-0001 | 2011-03-15 |
| Find all providers in CHICAGO | ||||
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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.