IHC-ST. NICHOLAS EMERGENCY PHYSICIANS, LLC (NPI# 1245288836) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245288836 |
| Entity Type | Organization |
| Organization Name | IHC-ST. NICHOLAS EMERGENCY PHYSICIANS, LLC |
| Practice Address |
3100 Superior Ave Sheboygan WI 53081-1948 |
| Mailing Address |
111 E Wisconsin Ave Suite 2000 Milwaukee WI 53202-4815 |
| Practice Telephone | 4142906718 |
| Practice Fax Number | 4142906755 |
| Mailing Telephone | 4142906718 |
| Mailing Fax Number | 4142906755 |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2019-09-16 |
| Authorized Official Name | KATHY KONDAS (OFFICER) |
| Authorized Official Telephone | 9548382371 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | FEDERAL BLACK LUNG PROGRA | 020447000 | 01 |
| WI | 21267500 | 05 | |
| WI | MEDICARE RAILROAD | DA1626 | 01 |
| WI | OWCP | 125362001 | 01 |
| WI | WEA | 130007874 | 01 |
| Street Address |
3100 SUPERIOR AVE |
| City | SHEBOYGAN |
| State | WI |
| Zip Code | 53081-1948 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730184342 | St. Nicholas Hospital-sisters of The Third Order of St Francis | General Acute Care Hospital | 3100 Superior Ave, Sheboygan, WI 53081-1948 | 2005-06-20 |
| 1447737762 | St Nicholas Hospital-sisters of The Third Order of St Francis | Internal Medicine | 3100 Superior Ave, Sheboygan, WI 53081-1994 | 2018-07-20 |
| 1689108755 | Janelle Schirmer | Dietitian, Registered | 3100 Superior Ave, Sheboygan, WI 53081-1948 | 2017-04-17 |
| 1588116958 | Elizabeth Ann Dyer | Physical Therapist | 3100 Superior Ave, Sheboygan, WI 53081-1948 | 2016-11-01 |
| 1366994154 | Alison Penny Kescenovitz | Physical Therapist | 3100 Superior Ave, Sheboygan, WI 53081-1948 | 2016-10-27 |
| 1922468685 | Michelle Schmitz | Dietitian, Registered | 3100 Superior Ave, Sheboygan, WI 53081-1948 | 2016-02-24 |
| 1821457524 | Jessica Mella | Dietitian, Registered | 3100 Superior Ave, Sheboygan, WI 53081-1948 | 2016-02-23 |
| 1043694672 | Amanda Beinemann | Nurse Practitioner | 3100 Superior Ave, Sheboygan, WI 53081-1948 | 2015-07-14 |
| 1063816031 | Muniba Chohan | Internal Medicine | 3100 Superior Ave, Sheboygan, WI 53081-1948 | 2014-10-20 |
| 1538569488 | Rachel Curtin | Nurse Practitioner | 3100 Superior Ave, Sheboygan, WI 53081-1948 | 2014-08-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770053696 | Kathy Hughes Counseling, LLC | Community/Behavioral Health | 630 Riverfront Dr Ste 203, Sheboygan, WI 53081 | 2018-12-04 |
| 1780159004 | Great Lakes Clinic and Consultants, LLC | Clinic/Center | 1407 North 8th Street, Suite 203, Sheboygan, WI 53081 | 2018-10-13 |
| 1174032106 | Laura Elizabeth Manning | Registered Nurse | 325 Linocln Ave, Sheboygan, WI 53081 | 2017-09-21 |
| 1043733686 | Chasidy D Wilke | Behavioral Analyst | 2223 Terrace View Dr Apt 3a, Sheboygan, WI 53081 | 2017-07-25 |
| 1700320074 | Darlene Wilken | Counselor | 2842 S. Business Dr, Sheboygan, WI 53081 | 2016-12-06 |
| 1942652185 | Jacob Steven Son | Dentist | 3555 Wasington Ave., Sheboygan, WI 53081 | 2016-07-12 |
| 1225491749 | Cassandra Lea Loehndorf | Social Worker | 3321 S. 12th St., Sheboygan, WI 53081 | 2016-04-01 |
| 1003201112 | Jason Meinhardt | Dentist | 2115 S Memorial Pl, Sheboygan, WI 53081 | 2015-04-06 |
| 1346634110 | Christopher Lenz | Specialist/Technologist | 2920 Superior Ave., Prevea Orthopedics, Sheboygan, WI 53081 | 2015-03-19 |
| 1780008060 | James Simac | Counselor | 503 Wisconsin Ave., Sheboygan, WI 53081 | 2014-02-07 |
| Find all providers in zip 53081 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619326295 | Nour Sinno | Emergency Medicine | 2629 N 7th St, Sheboygan, WI 53083-4932 | 2016-06-06 |
| 1376930214 | Andrew M Thorson | Emergency Medicine | 2629 N 7th St, Sheboygan, WI 53083-4932 | 2015-04-17 |
| 1558774430 | Krisen Rampersad | Emergency Medicine | 2414 Kohler Memorial Dr, Sheboygan, WI 53081-3129 | 2014-06-09 |
| 1548670326 | Steven Braun | Emergency Medicine | 2629 N 7th St, Sheboygan, WI 53083 | 2014-05-02 |
| 1932487816 | Jesse Michael Justus | Emergency Medicine | 2629 N 7th St, Sheboygan, WI 53083-4932 | 2011-07-27 |
| 1265726582 | Aaron Michael Ginster | Emergency Medicine | 2629 N 7th St, Sheboygan, WI 53083-4932 | 2011-06-03 |
| 1497052468 | Dina Bruce | Emergency Medicine | 2629 N 7th St, Sheboygan, WI 53083-4932 | 2011-02-27 |
| 1609187004 | Scott A Kunkel | Emergency Medicine | 2629 N 7th St, Sheboygan, WI 53083-4932 | 2010-06-30 |
| 1790910628 | Jennifer W Dorosh | Emergency Medicine | 2629 N 7th St, Sheboygan, WI 53083-4932 | 2009-05-21 |
| 1710181912 | Thomas R Mccann | Emergency Medicine | 2629 N 7th St, Sheboygan, WI 53083-4932 | 2007-06-12 |
| Find all providers in SHEBOYGAN | ||||
Please comment or provide details below to improve the information on IHC-ST. NICHOLAS EMERGENCY PHYSICIANS, LLC.
| 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.