KELLY M MEYER (NPI# 1194709170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194709170 |
| Entity Type | Individual |
| Full Name | KELLY M MEYER |
| Other Name | KELLY M LYNCH |
| Credential | DO |
| Practice Address |
740 Deerwood Ave Neenah WI 54956 |
| Practice Telephone | 9207519600 |
| Mailing Telephone | 9207519600 |
| Enumeration Date | 2005-12-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 0102201356 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | OPTIMA HEALTH PROVIDER NO | 39739 | 01 |
| VA | ANTHEM PROVIDER NUMBER | 100864 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619595022 | Kelly J Meyer | Social Worker | 46 Rockville Ave, Rockville Centre, NY 11570-5535 | 2020-07-12 |
| 1972151314 | Kelly J Meyer | Physician Assistant | 2900 W Oklahoma Ave Ste 414, Milwaukee, WI 53215-4330 | 2019-08-28 |
| 1861052862 | Kelly Meyer | Home Health Aide | 3698 State Highway 241, Afton, WY 83110-9758 | 2019-06-20 |
| 1710442827 | Kelly Putman Meyer | Physical Therapist | 2575 Harrison Ave, Panama City, FL 32405-4458 | 2019-02-02 |
| 1043795974 | Kelly Morgan Meyer | Speech-Language Pathologist | 25432 Colligan St, Manhattan, IL 60442-1419 | 2018-09-26 |
| 1972083475 | Kelly Leigh Meyer | Occupational Therapy Assistant | Port Lavaca Nursing and Rehabilitation Center, 524 Village Rd, Port Lavaca, TX 77979 | 2018-08-15 |
| 1477087518 | Kelly Love Meyer | Counselor | 2801 Johnson Ave, San Luis Obispo, CA 93401-5864 | 2017-04-15 |
| 1134653561 | Kelly Meyer | Specialist/Technologist | 30 Edgemere Hill Rd, Catskill, NY 12414 | 2017-04-12 |
| 1144682238 | Kelly Meyer | Licensed Practical Nurse | N10971 Yaeger Rd, Clintonville, WI 54929-9036 | 2016-03-28 |
| 1760944151 | Kelly Meyer | Physician Assistant | 1397 Medical Park Blvd Ste 480, Wellington, FL 33414-3188 | 2019-04-03 |
| Street Address |
740 DEERWOOD AVE |
| City | NEENAH |
| State | WI |
| Zip Code | 54956 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023002110 | Peter A Roloff | Pediatrics | 740 Deerwood Ave, Neenah, WI 54956 | 2005-09-06 |
| 1437448131 | Emily A Olson | Pediatrics | 740 Deerwood Ave, Neenah, WI 54956-1601 | 2011-04-04 |
| 1245477801 | Kim N Lederhaus | Nurse Practitioner | 740 Deerwood Ave, Neenah, WI 54956-1601 | 2009-01-19 |
| 1134387426 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | 740 Deerwood Ave, Neenah, WI 54956 | 2008-05-23 |
| 1992853808 | Ascension Medical Group-fox Valley Wisconsin, Inc | Durable Medical Equipment & Medical Supplies | 740 Deerwood Ave, Neenah, WI 54956 | 2007-01-08 |
| 1932207636 | Wendy Carroll Hill | Pediatrics | 740 Deerwood Ave, Neenah, WI 54956-1601 | 2006-09-20 |
| 1134185861 | Kevin E. Gentile | Pediatrics | 740 Deerwood Ave, Neenah, WI 54956 | 2006-04-21 |
| 1104811686 | Patricia H Kasper | Pediatrics | 740 Deerwood Ave, Neenah, WI 54956 | 2005-09-12 |
| 1093709891 | William J Kasper | Pediatrics | 740 Deerwood Ave, Neenah, WI 54956 | 2005-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447768411 | Wisconsin Institute of Surgical Excellence LLC | Clinic/Center | 1265 W American Dr Ste 200, Neenah, WI 54956 | 2018-01-12 |
| 1639614290 | Clinton Robert Murchland | Pharmacist | 828 Fox Point Plaza, Pharmacy, Neenah, WI 54956 | 2017-01-05 |
| 1629448550 | Melissa Christine Hewitt | Physical Therapy Assistant | 1119 Higgins Ave, Neenah, WI 54956 | 2015-10-05 |
| 1437581923 | Ross Phan | Pharmacist | 1432 Seymour Crt, Neenah, WI 54956 | 2013-08-06 |
| 1518201318 | Meridith Nealy Starling | Social Worker | 124 W Wisconsin Ave, Suite 90 B, Neenah, WI 54956 | 2012-11-16 |
| 1639464886 | Wisconsin Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 901 S. Green Bay Rd, Neenah, WI 54956 | 2011-06-16 |
| 1669701439 | Donna Jean Falk | Licensed Practical Nurse | 1037 B Hunt Ave, Neenah, WI 54956 | 2009-12-08 |
| 1285868257 | Angela Marie Bilbrey | Dietitian, Registered | 307 S Commercial St Ste 101, Neenah, WI 54956 | 2009-05-06 |
| 1003083114 | A B See Vision Therapy Centers Sc | Optometrist | 1401 Mcmahon Dr., Suite 100, Neenah, WI 54956 | 2008-05-08 |
| 1629244173 | Tamra Marie Knutson | Radiology | 333 N Commercial St #100, Neenah, WI 54956 | 2008-05-05 |
| Find all providers in zip 54956 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629001912 | Peter David Holzwarth | Pediatrics | 120 Second Street, Neenah, WI 54956-2883 | 2006-07-09 |
| 1942239009 | Annika Ridlehoover | Pediatrics | 640 Deerwood Ave, Neenah, WI 54956-7110 | 2006-07-01 |
| 1023002110 | Peter A Roloff | Pediatrics | 740 Deerwood Ave, Neenah, WI 54956 | 2005-09-06 |
| 1689675563 | Petra M Laeven-sessions | Pediatrics | 130 2nd St, Pediatric Hospitalist Dept, Neenah, WI 54956-2883 | 2005-08-02 |
| 1366976409 | Nicholas L Anderson | Pediatrics | 130 2nd St, Neenah, WI 54956-2883 | 2017-04-15 |
| 1568810364 | Coraggio LLC | Pediatrics | 307 S Commercial St, Suite 101, Neenah, WI 54956-5700 | 2016-06-02 |
| 1265813562 | Shannon Duvernell | Pediatrics | 130 2nd St, Neenah, WI 54956-2883 | 2015-06-11 |
| 1023404621 | Jennifer E Szmanda | Pediatrics | 640 Deerwood Ave, Neenah, WI 54956 | 2015-04-09 |
| 1356737209 | Casandra Lynn Zummallen | Pediatrics | 130 2nd St, Neenah, WI 54956 | 2015-04-07 |
| 1467847715 | Sneha Subbarayan | Pediatrics | 640 Deerwood Ave, Neenah, WI 54956-7110 | 2015-04-03 |
| Find all providers in NEENAH | ||||
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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.