PLANNED PARENTHOOD OF WI, INC. (NPI# 1104091610) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104091610 |
| Entity Type | Organization |
| Organization Name | PLANNED PARENTHOOD OF WI, INC. |
| Other Organization Name | KENOSHA |
| Practice Address |
3601 Roosevelt Rd Kenosha WI 53142-7231 |
| Mailing Address |
302 N Jackson St Milwaukee WI 53202-5904 |
| Practice Telephone | 2626540900 |
| Enumeration Date | 2008-04-25 |
| Last Update Date | 2015-10-23 |
| Authorized Official Name | SUSAN MARIE ODEGAARD (DIRECTOR, BUSINESS OPERS.) |
| Authorized Official Telephone | 4142893796 |
| Is Organization Subpart | Y |
| Parent Organization Name | PLANNED PARENTHOOD OF WI, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332900000X | Non-Pharmacy Dispensing Site | Suppliers | ||
| Y | 261QA0005X |
Clinic/Center Specialization: Ambulatory Family Planning Facility |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Kenosha | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932571767 | Planned Parenthood of Wi, Inc. | Clinic/Center | 508 W Wisconsin Ave, Appleton, WI 54911-4337 | 2015-10-20 |
| 1760852495 | Planned Parenthood of Wi, Inc. | Clinic/Center | 3601 Roosevelt Rd, Kenosha, WI 53142-7231 | 2015-10-07 |
| 1326169046 | Planned Parenthood of Wi, Inc. | Nurse Practitioner | 302 N Jackson St, Milwaukee, WI 53202-5904 | 2007-04-02 |
| Street Address |
3601 ROOSEVELT RD |
| City | KENOSHA |
| State | WI |
| Zip Code | 53142-7231 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710946926 | Hope M Kelling | Registered Nurse | 3601 Roosevelt Rd, Kenosha, WI 53142-7231 | 2006-03-17 |
| 1790214930 | Caroline Ruth Paull | Nurse Practitioner | 3601 Roosevelt Rd, Kenosha, WI 53142-7231 | 2017-06-10 |
| 1760852495 | Planned Parenthood of Wi, Inc. | Clinic/Center | 3601 Roosevelt Rd, Kenosha, WI 53142-7231 | 2015-10-07 |
| 1437597754 | Michelle Anne Griffiths | Nurse Practitioner | 3601 Roosevelt Rd, Kenosha, WI 53142-7231 | 2013-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588297816 | Caring Hearts Home Health Care | In Home Supportive Care | 6021-57th Ave, Suite C103, Kenosha, WI 53142 | 2020-02-14 |
| 1144785395 | Michael L Wrzesinski | Counselor | 4109 67th Street, Kenosha, WI 53142 | 2019-02-01 |
| 1720538499 | David Smith | Counselor | 10900 67th Street, Kenosha, WI 53142 | 2016-10-06 |
| 1326404641 | Smile Doctors Ltd | Dentist | 7003 39th Ave, Kenosha, WI 53142 | 2016-01-04 |
| 1225409485 | Antonia Marie Decker | Physician Assistant | 10400 75th St. Ste 204, Kenosha, WI 53142 | 2015-10-14 |
| 1780060582 | Joshua Haas | Pharmacist | 7701 Green Bay Road, Kenosha, IL 53142 | 2015-08-04 |
| 1811379225 | Dana Mary Stout | Registered Nurse | 7401 104th Avenue, Suite 110, Comprehensive Orthopaedics, S.c., Kenosha, WI 53142 | 2015-06-22 |
| 1669815569 | Joshua Knute Elson | Radiology | 6811 118th Ave, Kenosha, WI 53142 | 2013-04-10 |
| 1356610166 | Michael J Gallo | Pharmacist | 7535 North Greenbay Rd, Kenosha, WI 53142 | 2011-12-22 |
| 1720357999 | Orest Carnevale | Registered Nurse | 7316 155th Ct, Kenosha, WI 53142 | 2011-12-18 |
| Find all providers in zip 53142 | ||||
| Taxonomy Code | 261QA0005X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Family Planning Facility |
| An abortion/family planning facility where services are provided at a fixed specific location. An Ambulatory Family Planning Facility does not provide overnight accommodations. The following procedures may be performed at an Ambulatory Family Planning Facility: abortions, laproscopy, hysterectomies, tubule ligation and other related procedures. Abortion is considered voluntary termination of pregnancy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477862894 | Gentle Hands Home Care LLC | Clinic/Center | 5924 N 61th Street, Milwaukee, WI 53218 | 2010-10-04 |
| 1124157227 | Wellness Center of Door County Inc | Clinic/Center | 312 N 5th Ave, Sturgeon Bay, WI 54235-2102 | 2007-03-05 |
| 1679572788 | Southwestern Wi Community Action Program, Inc | Clinic/Center | 275 W Main St, Platteville, WI 53818-3110 | 2005-07-20 |
| 1023162997 | Karen S. Watson Md Sc | Clinic/Center | 201 N Mayfair Rd, Suite 515, Wauwatosa, WI 53226-4216 | 2007-01-22 |
| 1720131097 | Bernard Smith | Clinic/Center | 1428 N Farwell Ave, Milwaukee, WI 53202-2904 | 2007-01-19 |
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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.