WISCONSIN KIDNEY CARE, S.C. (NPI# 1114539087) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114539087 |
| Entity Type | Organization |
| Organization Name | WISCONSIN KIDNEY CARE, S.C. |
| Practice Address |
1310 Mendota St Ste 119 Madison WI 53714-1095 |
| Mailing Address |
1600 Stout St Ste 2000 Denver CO 80202-3113 |
| Practice Telephone | 7202045760 |
| Mailing Telephone | 7202045760 |
| Enumeration Date | 2020-08-20 |
| Last Update Date | 2020-08-20 |
| Authorized Official Name | MR. KYLE SNOOK (MANAGER) |
| Authorized Official Telephone | 9785052017 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 133VN1005X |
Dietitian, Registered Specialization: Nutrition, Renal |
Dietary & Nutritional Service Providers | ||
| N | 163WC0400X |
Registered Nurse Specialization: Case Management |
Nursing Service Providers | ||
| N | 163WN0300X |
Registered Nurse Specialization: Nephrology |
Nursing Service Providers | ||
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers | ||
| N | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
Ambulatory Health Care Facilities | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
Allopathic & Osteopathic Physicians |
| Street Address |
1310 MENDOTA ST STE 119 |
| City | MADISON |
| State | WI |
| Zip Code | 53714-1095 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265069421 | Access Elevator, Inc. | Contractor | 4229 Argosy Ct., Suite 2b, Madison, WI 53714 | 2020-03-26 |
| 1629426762 | Bethany Domoto | Occupational Therapist | 210 Dempsey Rd, Madison, WI 53714 | 2016-05-31 |
| 1871984989 | Warren Family Dental | Dentist | 4226 Milwaukee Street, Madison, WI 53714 | 2015-02-11 |
| 1316103567 | Heather Marie Kramer | Occupational Therapy Assistant | 5755 Burke Rd, Madison, WI 53714 | 2008-08-06 |
| 1841402906 | Genesis Eldercare Rehab Services | Occupational Therapist | 4502 Milwaukee Street, Madison, WI 53714 | 2007-05-03 |
| 1902928872 | Christine Haag | Dentist | 758 Corporate Dr., Suite 201, Madison, WI 53714 | 2007-04-04 |
| 1366958522 | Dana Johanek | Acupuncturist | 4222 Milwaukee St, 17, Madison, WI 53714 | 2017-12-22 |
| 1003338575 | Lacrima M Goldberg | Dentist | 826 Atlas Ave, Madison, WI 53714 | 2017-07-17 |
| 1497127120 | Kimberly Ann Klein | Occupational Therapist | 4502 Milwaukee Street, Madison, WI 53714 | 2015-10-21 |
| 1437310604 | Pediatric Dental Specialists of Madison LLC | Dentist | 49 N Walbridge Ave, Madison, WI 53714 | 2008-06-20 |
| Find all providers in zip 53714 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841523818 | Sana Waheed | Internal Medicine | 301 S Yellowstone Dr Apt 306, Madison, WI 53705-4378 | 2009-09-09 |
| 1376519389 | A Vishnu Moorthy | Internal Medicine | 3034 Fish Hatchery Rd, Madison, WI 53713 | 2006-02-28 |
| 1134668064 | Min Cho | Internal Medicine | 600 Highland Ave, Madison, WI 53792-0001 | 2017-02-12 |
| 1457748907 | Kurtis J Swanson | Internal Medicine | 600 Highland Ave, Madison, WI 53792-0001 | 2015-04-22 |
| 1932514619 | Sayee Sundar Alagusundaramoorthy | Internal Medicine | Uw Hospitals and Clinics 600 Highland Ave, Madison, WI 53792-6303 | 2014-06-21 |
| 1831523190 | Alabama Nephrologists Inc | Internal Medicine | 8371 Highway 72 W, Suite 204, Madison, AL 35758-9505 | 2013-08-22 |
| 1780948703 | Daniel Guerra Rodas | Internal Medicine | Uw Hospital and Clinics, 600 Highland Ave, Madison, WI 53792-0001 | 2012-06-25 |
| 1851521736 | Neetika Garg | Internal Medicine | 600 Highland Ave, Madison, WI 53792 | 2009-07-25 |
| 1184861718 | Sandesh Parajuli | Internal Medicine | 600 Highland Ave, Madison, WI 53792-0001 | 2009-01-20 |
| 1467623868 | Dennis Alan Stouder | Internal Medicine | 605 W Due West Ave, Madison, TN 37115-4423 | 2008-03-13 |
| Find all providers in MADISON | ||||
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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.