KIM MARIE KUMMROW (NPI# 1124673611) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124673611 |
| Entity Type | Individual |
| Full Name | KIM MARIE KUMMROW |
| Other Name | KIM MARIE LEICK |
| Credential | SFA-C |
| Practice Address |
9000 W Wisconsin Ave Ste 360 Milwaukee WI 53226-4874 |
| Mailing Address |
W340n6697 Timberline Rd Oconomowoc WI 53066-5151 |
| Practice Telephone | 4143377300 |
| Enumeration Date | 2019-08-02 |
| Last Update Date | 2019-11-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZC0007X |
Specialist/Technologist, Other Specialization: Surgical Assistant |
Technologists, Technicians & Other Technical Service Providers |
| Street Address |
9000 W WISCONSIN AVE STE 360 |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53226-4874 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912511155 | Alexander Harlan | Pharmacist | 900 N 92nd St, Milwaukee, WI 53226 | 2020-09-04 |
| 1558985762 | Armghan Haider Ans | Student in an Organized Health Care Education/Training Program | 9200 W. Wisconsin Ave. Froedtert Hospital & Medical Col, Milwaukee, WI 53226 | 2020-06-03 |
| 1669001103 | Kimberly Tyler | Student in an Organized Health Care Education/Training Program | 8701 W Watertown Plank Road, Medical College of Wisconsin Dept of Internal Medicine, Wauwatosa, WI 53226 | 2020-04-06 |
| 1972131993 | Francesca Meloy Devine | Student in an Organized Health Care Education/Training Program | Medical Education Office: Children's Corporate Center, 999 N. 92nd St., Suite 730, Milwaukee, WI 53226 | 2020-03-27 |
| 1285275248 | Sharitta Alford | Technician | 12250 West North Avenue, Apartment 142b, Wauwatosa, WI 53226 | 2019-10-01 |
| 1619528023 | Linda Marie Sabatinelli | Technician | 12107 W. Woodland Ave, Wauwatosa, WI 53226 | 2019-09-26 |
| 1598310195 | Matthew Laviolette | Surgery | Medical College of Wisconsin, 8701 Watertown Plank Rd., Surgical Oncology, Milwaukee, WI 53226 | 2019-08-09 |
| 1962056432 | Lyndsey Marie Bratberg | Physician Assistant | F&mcw Clinical Cancer Center 9200 W. Wisconsin Ave., Milwaukee, WI 53226 | 2019-08-01 |
| 1659832855 | Benjamin David Seadler | Surgery | Mcw, Department of Surgery, 8701 Watertown Plank Road, Milwaukee, WI 53226 | 2019-03-29 |
| 1861953267 | Michael Dryden | Student in an Organized Health Care Education/Training Program | 8701 Watertown Plank Rd., Milwaukee, WI 53226 | 2019-03-27 |
| Find all providers in zip 53226 | ||||
| Taxonomy Code | 246ZC0007X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Surgical Assistant |
| A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training. |
| Notes: Source: Association of Surgical Assistants, 2014. [7/1/2014: title modified, definition modified] http://www.surgicalassistant.org/index.php/surgical-assisting Additional Resources: National Surgical Assistant Association, www.nsaa.net. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073059333 | Christina Maria Johnson | Specialist/Technologist, Other | 5000 W Chambers St, Milwaukee, WI 53210-1650 | 2017-01-11 |
| 1336488733 | Thomas Gerald Thein | Specialist/Technologist, Other | 2901 W Kinnickinnic River Pkwy, Suite 201, Milwaukee, WI 53215 | 2013-02-05 |
| 1386965804 | Jacelyn A Ahrens | Specialist/Technologist, Other | 9000 W Wisconsin Ave, Pediatric Orthopaedic Surgery, Milwaukee, WI 53226-4874 | 2010-06-18 |
| 1720182397 | Martin Joseph Naber | Specialist/Technologist, Other | 575 W River Woods Pkwy, Suite 305, Milwaukee, WI 53212-1003 | 2006-09-12 |
| 1275522005 | Carrie Lynn Brotherhood | Specialist/Technologist, Other | 9000 W Wisconsin Ave, Pediatric Orthopaedic Surgery, Milwaukee, WI 53226-4874 | 2005-10-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740701614 | Gaylene Heaton | Specialist/Technologist, Other | 502 Copper St Ste 5, Hurley, WI 54534-1386 | 2017-06-30 |
| 1801330709 | Ann Nollet | Specialist/Technologist, Other | 2876 E Carlson Rd, Foxboro, WI 54836-9511 | 2016-12-12 |
| 1730635061 | Melissa Kristof | Specialist/Technologist, Other | 1821 Sounth Webster Ave., Green Bay, WI 54301 | 2016-08-28 |
| 1497150866 | Jonathan Ratzel | Specialist/Technologist, Other | 330 Brookside Dr Unit 1, Mayville, WI 53050-2855 | 2014-10-28 |
| 1033452503 | Allen Limberg | Specialist/Technologist, Other | 1200 Pintail Ln, Wausau, WI 54401-8110 | 2013-04-02 |
| 1932440989 | Superior Surgical Services, LLC | Specialist/Technologist, Other | 3121 Oak Knoll Dr, Apt 4, Eau Claire, WI 54701-6400 | 2013-03-14 |
| 1457618472 | Andreas Konrad Haase | Specialist/Technologist, Other | 3705 County Road H Apt 5, Franksville, WI 53126-9332 | 2012-04-15 |
| 1710265913 | Katherine Marie Holsclaw | Specialist/Technologist, Other | 18200 W Capitol Dr, Brookfield, WI 53045-1445 | 2011-07-22 |
| 1235432931 | Vickie L Kutzler | Specialist/Technologist, Other | 10400 75 Th Street, Kenosha, WI 53142-7884 | 2010-12-19 |
| 1316247489 | Christopher A Stevenson | Specialist/Technologist, Other | N8556 622nd St, Colfax, WI 54730-4610 | 2010-10-23 |
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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.