KARIE ANN MANTEY (NPI# 1225034119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225034119 |
| Entity Type | Individual |
| Full Name | KARIE ANN MANTEY |
| Credential | M.D. |
| Practice Address |
134 Hospital Dr Watertown WI 53098-3304 |
| Practice Telephone | 9202616500 |
| Practice Fax Number | 9202616107 |
| Mailing Telephone | 9202616500 |
| Mailing Fax Number | 9202616107 |
| Enumeration Date | 2005-06-24 |
| Last Update Date | 2014-03-26 |
| NPI Deactivation Date | 03/16/2006 |
| NPI Reactivation Date | 2006-03-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 45539 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 34316600 | 05 |
| Street Address |
134 HOSPITAL DR |
| City | WATERTOWN |
| State | WI |
| Zip Code | 53098-3304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083013270 | Jan S Beyer | Nurse Practitioner | 134 Hospital Dr, Watertown, WI 53098-3304 | 2014-08-14 |
| 1164627162 | Jeannie Kaye Adams | Nurse Practitioner | 134 Hospital Dr, Watertown, WI 53098-3304 | 2007-06-19 |
| 1396817789 | Meade Medical Clinic Sc | Clinic/Center | 134 Hospital Dr, Watertown, WI 53098-3304 | 2006-11-14 |
| 1114914538 | Scott A Martin | Pediatrics | 134 Hospital Dr, Watertown, WI 53098-3304 | 2005-09-30 |
| 1528065257 | James Edward Meade | Family Medicine | 134 Hospital Dr, Watertown, WI 53098-3304 | 2005-07-07 |
| 1437156163 | Jeffrey Alan Meade | Pediatrics | 134 Hospital Dr, Watertown, WI 53098-3304 | 2005-07-07 |
| 1326045485 | Cheryl A Kolkovich | Physician Assistant | 134 Hospital Dr, Watertown, WI 53098-3304 | 2005-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528558749 | Watertown Physician Practices LLC | Eyewear Supplier (Equipment, not the service) | 123 Hospital Dr Ste 2005, Watertown, WI 53098 | 2018-05-14 |
| 1851822076 | Fort Health Care Inc | Otolaryngology | 123 Hospital Dr Suite 106a, Watertown, WI 53098 | 2017-03-21 |
| 1598045692 | Bonnie Kay Peot | Licensed Practical Nurse | 1420 Wedgewood Drive, Watertown, WI 53098 | 2011-08-19 |
| 1275790404 | Kathy R. Adkins | Physical Therapy Assistant | 1020 Hill Street, Watertown, WI 53098 | 2008-05-16 |
| 1336361294 | Patrice Walter | Occupational Therapist | 125 Hospital Dr., Watertown, WI 53098 | 2007-05-02 |
| 1720161284 | Carolyn T Schneider-donley | Optometrist | 622 N. Church Street, Watertown, WI 53098 | 2006-10-20 |
| 1730156431 | Mohamed H Yafai | Internal Medicine | 123 Hospital Drive, Suite 2009, Watertown, WI 53098 | 2006-03-02 |
| 1093711236 | Dana M. Fields | Physician Assistant | 134 Hospital Drive, Watertown, WI 53098 | 2005-06-22 |
| 1528560018 | Watertown Medical Center LLC | Psychiatric Unit | 125 Hospital Drive, Watertown, WI 53098 | 2018-03-01 |
| 1437544863 | Zachary Richardson | Internal Medicine | 125 Hospital Dr, Watertown, WI 53098 | 2015-04-02 |
| Find all providers in zip 53098 | ||||
| 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 |
|---|---|---|---|---|
| 1689715658 | Teresa M. Kohlenberg | Pediatrics | 93 Garfield St, Watertown, MA 02472-4914 | 2007-02-10 |
| 1861589384 | Child and Adolescent Health Associates | Pediatrics | 513 Washington Street, Watertown, NY 13601-4001 | 2006-10-06 |
| 1265474894 | Brigido C Calado | Pediatrics | 1532 Utah St, Watertown, WI 53094-6410 | 2006-06-11 |
| 1477593069 | Robert Dennis Bacsik | Pediatrics | 435 Harris Dr, Watertown, NY 13601-4205 | 2006-06-08 |
| 1811947393 | Mario Francisco Victoria | Pediatrics | 18969 Us Route 11, 5699 Outer Washington Street, Watertown, NY 13601-5320 | 2006-05-12 |
| 1396702882 | Craig E. Crismon | Pediatrics | 511 14th Ave Ne, Watertown, SD 57201-6811 | 2006-04-27 |
| 1457326803 | Aida M. Yavshayan | Pediatrics | 375 Mount Auburn St, Watertown, MA 02472 | 2006-02-21 |
| 1285241307 | Ahmad Chatila | Pediatrics | 20011 Summit View Blvd, Watertown, NY 13601-1996 | 2020-09-24 |
| 1437437043 | Stephanie Ann Oliva | Pediatrics | 18969 Us Route 11, Pediatric Associates of Watertown, Watertown, NY 13601-6329 | 2011-07-31 |
| 1104145010 | Farhana Abdul Basit | Pediatrics | 238 Arsenal St, Watertown, NY 13601-2504 | 2010-05-18 |
| Find all providers in WATERTOWN | ||||
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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.