DR. MICHAEL VINCENT KOWAL (NPI# 1043530025) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043530025 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL VINCENT KOWAL |
| Credential | D.O. |
| Practice Address |
3801 Spring Street Racine WI 53405 |
| Mailing Address |
474 N Lake Shore Dr Unit 2311 Chicago IL 60611-3400 |
| Practice Telephone | 2626874011 |
| Mailing Telephone | (847) 204-0690 |
| Enumeration Date | 2010-06-01 |
| Last Update Date | 2017-09-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 61558-21 | WI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184773525 | Michael Kowal | Dentist | 139 Remsen St, Suite 1, Cohoes, NY 12047 | 2007-01-08 |
| 1144889155 | Michael Kowal | Behavior Technician | 650 W Grand Ave Ste 207, Elmhurst, IL 60126-1025 | 2019-06-12 |
| Street Address |
3801 SPRING STREET |
| City | RACINE |
| State | WI |
| Zip Code | 53405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316055759 | Adriana C Gusatu | Internal Medicine | 3801 Spring Street, Racine, WI 53405-1667 | 2006-08-27 |
| 1457793218 | Niya Sharron Bealin | Psychologist | 3801 Spring Street, Racine, WI 53405 | 2013-07-22 |
| 1134560949 | Marcia Kay Hayek | Dietitian, Registered | 3801 Spring Street, Wheaton Franciscan Healthcare - All Saints, Racine, WI 53405 | 2013-07-09 |
| 1073824207 | Andrew Thomas Konicek | Emergency Medicine | 3801 Spring Street, Racine, WI 53403-1010 | 2010-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609407923 | Anita Kathy Nykaza | Dietitian, Registered | 3805 A Suite 311, Racine, WI 53405 | 2020-01-27 |
| 1023666062 | Shawn L Drulia | Physician Assistant | 3805 Spring St #320, Racine, WI 53405 | 2019-09-03 |
| 1235627720 | Oxygen One, Inc. | Durable Medical Equipment & Medical Supplies | 3805a Spring Street, Suite 210, Racine, WI 53405 | 2018-04-30 |
| 1356838650 | Melissa Metzger | Psychologist | 2340 Mohr Ave, Racine, WI 53405 | 2018-04-23 |
| 1689029217 | Melissa Ileen Swainston | Nurse Practitioner | 3803 Spring St., Suite Number 410, Racine, WI 53405 | 2016-05-02 |
| 1215305487 | Denetta Lauraelaine Flowers | Licensed Practical Nurse | 4311 Durand Ave., #104, Mt.pleasant, WI 53405 | 2015-09-04 |
| 1841675204 | Colleen Koderca | Registered Nurse | 3317-meachem Rd, Racine, WI 53405 | 2015-07-28 |
| 1790102986 | Georges Wakim | Specialist/Technologist | 3811 Spring St., Suite 102, Racine, WI 53405 | 2014-03-25 |
| 1982021176 | Matthew F Patzke | Specialist/Technologist | 3811 Spring Street Suite 102, Racine, WI 53405 | 2014-03-25 |
| 1073930269 | Jessica Geisler | Specialist/Technologist | 3811 Spring Street Suite #102, Racine, WI 53405 | 2014-03-25 |
| Find all providers in zip 53405 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073824207 | Andrew Thomas Konicek | Emergency Medicine | 3801 Spring Street, Racine, WI 53403-1010 | 2010-06-22 |
| 1730353517 | Brian Michael Ames | Emergency Medicine | 3805b Spring St, Ste 230, Racine, WI 53405-1643 | 2008-04-14 |
| 1942347737 | Antoinette Marie Zell | Emergency Medicine | 2405 Northwestern Ave, Suite #115, Racine, WI 53404-2503 | 2007-01-31 |
| 1184654121 | Racine Emergency Physicians, S.c. | Emergency Medicine | 3801 Spring St, Racine, WI 53405-1667 | 2006-07-04 |
| 1477544427 | Jeffrey M Vanbendegom | Emergency Medicine | 3801 Spring St, Racine, WI 53405-1667 | 2005-10-31 |
| 1427048552 | Ruthann M Cunningham | Emergency Medicine | 3801 Spring St, Racine, WI 53405-1667 | 2005-10-28 |
| 1699764068 | Emmie Andrea Chen | Emergency Medicine | 3805b Spring St, Suite 230, Racine, WI 53405-1641 | 2005-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275012171 | Kathleen Ray Price | Emergency Medicine | 146 Old Orchard Ln, Neenah, WI 54956-4954 | 2018-08-10 |
| 1043730690 | Jonathan Weseman | Emergency Medicine | 3003 University Dr, Marinette, Marinette, WI 54143 | 2017-06-25 |
| 1780115634 | Sean Anthony Mackman | Emergency Medicine | 9200 W Wisconsin Ave # 1p, Milwaukee, WI 53226-3522 | 2017-03-22 |
| 1114375367 | Arthur How Jen Chiu | Emergency Medicine | 1726 Chadbourne Ave, Madison, WI 53726-4108 | 2016-05-28 |
| 1912352873 | Glenn Thiel | Emergency Medicine | N20015 Echo Lake Rd, Niagra, WI 54151 | 2016-04-28 |
| 1437512613 | Jacob Tyler Clark | Emergency Medicine | 1035 Kepler Dr, Green Bay, WI 54311-8320 | 2016-04-04 |
| 1639532526 | Rinal Patel | Emergency Medicine | 9200 W Loomis Rd Ste 212, Franklin, WI 53132 | 2016-03-30 |
| 1871955187 | Scott Erickson | Emergency Medicine | 4876 N Sheffield Ave, Whitefish Bay, WI 53217-5962 | 2016-03-25 |
| 1992166821 | Nicholas W Hawley | Emergency Medicine | 3003 W Good Hope Rd # Bcm320, Milwaukee, WI 53209-2042 | 2016-03-20 |
| 1164802138 | Adam Nicholson | Emergency Medicine | 600 Highlanc Ave, Madison, WI 53792-0001 | 2015-06-04 |
| Find all providers with the same taxonomy | ||||
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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.