DR. KELLI LOUISE SASADA (NPI# 1265698690) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265698690 |
| Entity Type | Individual |
| Full Name | DR. KELLI LOUISE SASADA |
| Credential | M.D. |
| Practice Address |
9555 76th St Suite 4105 Pleasant Prairie WI 53158-1984 |
| Practice Telephone | 2625778080 |
| Practice Fax Number | 2625778081 |
| Mailing Telephone | 2625778080 |
| Mailing Fax Number | 2625778081 |
| Enumeration Date | 2008-08-05 |
| Last Update Date | 2012-08-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
57485 | WI | Allopathic & Osteopathic Physicians |
| N | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
MD60215747 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | DEPT OF LABOR & INDUSTRIES | 0281999 | 01 |
| WI | 1265698690 | 05 |
| Street Address |
9555 76TH ST SUITE 4105 |
| City | PLEASANT PRAIRIE |
| State | WI |
| Zip Code | 53158-1984 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518915073 | United Occupational Medicine and Walk In Services, LLC | Emergency Medicine | 9555 76th St, Pleasant Prairie, WI 53158-1984 | 2006-05-05 |
| 1558971051 | Josephine Kristiansen | Pharmacist | 9555 76th St, Pleasant Prairie, WI 53158-1984 | 2020-08-09 |
| 1932727641 | Amy Ann Giese | Dietitian, Registered | 9555 76th St, Pleasant Prairie, WI 53158-1984 | 2020-07-09 |
| 1205453404 | Meghan Keefer | Nurse Practitioner | 9555 76th St, Pleasant Prairie, WI 53158-1984 | 2020-07-03 |
| 1396375762 | Sherri Lynn O'shea | Dietitian, Registered | 9555 76th St, Pleasant Prairie, WI 53158-1984 | 2020-01-24 |
| 1083179238 | Ihc-wound Care Services LLC | Emergency Medicine | 9555 76th St, Pleasant Prairie, WI 53158-1984 | 2019-02-01 |
| 1093292625 | Shannon L Yow | Nurse Practitioner | 9555 76th St, Pleasant Prairie, WI 53158-1984 | 2018-07-26 |
| 1447746805 | Jordon W. Thomsen | Physician Assistant | 9555 76th St, Pleasant Prairie, WI 53158-1984 | 2018-07-09 |
| 1780177048 | Rachel E Garnett | Physician Assistant | 9555 76th St, Pleasant Prairie, WI 53158-1984 | 2018-06-12 |
| 1750803474 | Matthew D Peterson | Physician Assistant | 9555 76th St, Pleasant Prairie, WI 53158-1984 | 2017-07-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497393516 | Aurora Surgery Centers, LLC | Clinic/Center | 12500 Aurora Drive, Pleasant Prairie, WI 53158 | 2019-12-19 |
| 1770144297 | Jill Plaisted | Counselor | 8503 75th Street, Suite A, Pleasant Prairie, WI 53158 | 2019-06-25 |
| 1427593847 | Douglas Marion Mcdaniel | Physical Therapy Assistant | 5932 85th St, Pleasant Prairie, WI 53158 | 2016-12-20 |
| 1477095602 | Molly Weber | Speech-Language Pathologist | 8717 82nd St, Apartment 109, Pleasant Prairie, WI 53158 | 2016-11-04 |
| 1568919165 | Nicole Taylor | Specialist/Technologist | 9321 8th Avenue, Pleasant Prairie, WI 53158 | 2016-09-01 |
| 1578980165 | Forefront Dermatology, S.c. | Dermatology | 9020 76th St, Suite E, Pleasant Prairie, WI 53158 | 2014-03-21 |
| 1750603130 | Shelley L Johnson | Nurse Practitioner | 9697 Saint Catherines Dr # 300, Pleasant Prairie, WI 53158 | 2010-02-25 |
| 1194054981 | Jennifer S Stevens | Behavioral Analyst | 10450 72nd Ave, Pleasant Prairie, WI 53158 | 2009-12-08 |
| 1932273398 | Pamela Anderson | Registered Nurse | 11202 79 Street, Pleasant Prairie, WI 53158 | 2006-11-20 |
| 1033205562 | Holly Seidman | Pharmacist | 1309 110th Street, Pleasant Prairie, WI 53158 | 2006-10-04 |
| Find all providers in zip 53158 | ||||
| Taxonomy Code | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750899357 | Helen Manning | Obstetrics & Gynecology | University of Wisconsin Gynecology 600 Highland Avenue, Madison, WI 53792-0001 | 2018-01-17 |
| 1326427824 | Kathleen P Penzenstadler | Obstetrics & Gynecology | 4202 W Oakwood Park Ct Ste 120, Franklin, WI 53132-9565 | 2015-05-29 |
| 1508187949 | Jessica Love Thomason | Obstetrics & Gynecology | 4914 W Parkview Dr, Mequon, WI 53092-2027 | 2010-06-21 |
| 1669703195 | Ik Hak Bae | Obstetrics & Gynecology | 2116 Craig Rd., Eau Claire, WI 54701 | 2010-01-22 |
| 1104091685 | Cara Robinson King | Obstetrics & Gynecology | 1528 Vilas Ave, Madison, WI 53711-2228 | 2008-04-25 |
| 1619022274 | Perinatal Center of Wisconsin, Inc. | Obstetrics & Gynecology | 3353 N Dr Martin Luther King Dr, Milwaukee, WI 53212-1455 | 2007-01-24 |
| 1841368206 | Dennis Dean Christensen | Obstetrics & Gynecology | 3706 Orin Rd, Madison, WI 53704-3643 | 2006-12-01 |
| 1497860639 | Irfane M Khatib | Obstetrics & Gynecology | 1110 Oak Ridge Dr, Eau Claire, WI 54701-6133 | 2006-08-20 |
| 1043255367 | Colleen Anne Keane-mullooly | Obstetrics & Gynecology | 302 N Jackson St, Milwaukee, WI 53202-5904 | 2006-06-19 |
| 1013965615 | Edward G Vogel | Obstetrics & Gynecology | 2641 Development Dr, Green Bay, WI 54311-4240 | 2006-05-05 |
| Find all providers with the same taxonomy | ||||
| City | PLEASANT PRAIRIE |
| Zip Code | 53158 |
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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.