DR. KELLIE R BROWN (NPI# 1154375400) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154375400 |
| Entity Type | Individual |
| Full Name | DR. KELLIE R BROWN |
| Credential | MD |
| Practice Address |
9200 W Wisconsin Ave Division of Vascular Surgery Milwaukee WI 53226-3522 |
| Practice Telephone | 4148056000 |
| Practice Fax Number | 4148056280 |
| Mailing Telephone | 4148056000 |
| Mailing Fax Number | 4148056280 |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2013-02-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
39719 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 1154375400 | 05 | |
| HUMANA | 005000261X | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275194797 | Kellie Marie Brown | Genetic Counselor, MS | 2279 45th St Ste 2412, Sacramento, CA 95817-1514 | 2019-06-25 |
| 1285092460 | Kellie Brown | Counselor | 8820 E Maplewood St, Inverness, FL 34450-7370 | 2016-02-03 |
| 1730423575 | Kellie M Brown | Specialist | 900 Baychester Ave Apt 17c, Bronx, NY 10475-1713 | 2012-11-17 |
| 1750653457 | Kellie Christine Brown | Counselor | 643 Green Country Dr, Tahlequah, OK 74464-6002 | 2012-01-27 |
| 1558657098 | Kellie J Brown | Counselor | 2001 S. Woodruff Ste. 6, Idaho Falls, ID 83402 | 2011-06-23 |
| 1770857948 | Kellie N Brown | Counselor | 10350 E Dakota Ave, Ste B, Denver, CO 80247-1314 | 2012-03-06 |
| Street Address |
9200 W WISCONSIN AVE DIVISION OF VASCULAR SURGERY |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53226-3522 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255334173 | Froedtert Memorial Lutheran Hospital, Inc. | General Acute Care Hospital | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2005-05-24 |
| 1013518182 | Shelby Koppinger | Pharmacist | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2020-11-05 |
| 1083215065 | Jennifer Lynn Scheffler | Physician Assistant | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2020-11-05 |
| 1306445952 | Elyan Carolina Ruiz Solano | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2020-10-23 |
| 1972101467 | Sarah Emily Ziem | Nurse Practitioner | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2020-10-15 |
| 1912504242 | Matthew Resop | Nurse Practitioner | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2020-10-09 |
| 1043817877 | Jacqueline Jordan Morgan | Nurse Practitioner | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2020-10-05 |
| 1134726227 | Joseph Beiler | Registered Nurse | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2020-10-02 |
| 1316553845 | Nathan Duncan | Pharmacist | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2020-09-21 |
| 1043826035 | Emily Mell | Physician Assistant | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2020-09-16 |
| Find all providers in the same location | ||||
| 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 | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932308186 | Great Lakes Medical & Surgical Center | Surgery | 6000 South 27th Street, Milwaukee, WI 53221 | 2007-07-17 |
| 1821352683 | Neel Anand Mansukhani | Surgery | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2012-06-26 |
| 1770731077 | Rajeev Gupta | Surgery | 2801 W Kinnickinnic River Pkwy Ste 330, Milwaukee, WI 53215-3678 | 2008-08-29 |
| 1639353204 | Anilkumar Singh Md Sc | Surgery | 2745 W Layton Ave, Suite 202, Milwaukee, WI 53221-2651 | 2007-12-19 |
| 1912045097 | Patricia E Burrows | Surgery | 9000 W Wisconsin Ave, Ms 721, Milwaukee, WI 53226-4874 | 2007-02-02 |
| 1285727453 | John Wilson Bowman | Surgery | 11414 W Park Pl, Ste 300, Milwaukee, WI 53224-3500 | 2006-10-02 |
| 1629006887 | Joseph Patrick Hart | Surgery | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2006-06-28 |
| 1205888948 | Brian D Lewis | Surgery | 9200 W Wisconsin Ave, Vascular Surgery, Milwaukee, WI 53226-3522 | 2006-05-17 |
| 1407809148 | Gary Seabrook | Surgery | 9200 W Wisconsin Ave, Vascular Surgery, Milwaukee, WI 53226-3522 | 2006-05-17 |
| 1487606737 | Jonathan B Towne | Surgery | 9200 West Wisconsin, Froedtert & Med College Clin - East, Milwaukee, WI 53226 | 2006-05-16 |
| Find all providers in MILWAUKEE | ||||
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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.