PATRICIA JEAN LIETHEN (NPI# 1285741736) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1285741736 |
Entity Type | Individual |
Full Name | PATRICIA JEAN LIETHEN |
Credential | MD |
Practice Address |
1640 E Sumner St Hartford WI 53027 |
Mailing Address |
3003 W Good Hope Rd Milwaukee WI 53209-2042 |
Practice Telephone | 2626704000 |
Practice Fax Number | 2626704451 |
Mailing Telephone | 4143523100 |
Enumeration Date | 2006-08-23 |
Last Update Date | 2011-04-21 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Q00000X | Family Medicine | 29470 | WI | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | 31555500 | 05 |
Street Address |
1640 E SUMNER ST |
City | HARTFORD |
State | WI |
Zip Code | 53027 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780679795 | Christopher M Garvey | Specialist | 1640 E Sumner St, Hartford, WI 53027-2684 | 2005-09-15 |
1053935288 | Rachel Elizabeth Burtka | Speech-Language Pathologist | 1640 E Sumner St, Hartford, WI 53027-2684 | 2020-06-03 |
1740815844 | Patricia K Burmeister | Registered Nurse | 1640 E Sumner St, Hartford, WI 53027-2684 | 2020-03-09 |
1568942779 | Joy Cochran | Physical Therapist | 1640 E Sumner St, Hartford, WI 53027-2684 | 2018-08-16 |
1033697511 | Benjamin Lehrer | Physician Assistant | 1640 E Sumner St, Hartford, WI 53027-2684 | 2018-08-06 |
1710470414 | Katie A Will | Nurse Practitioner | 1640 E Sumner St, Hartford, WI 53027 | 2018-06-07 |
1144745449 | Whitney Lee Uthmeier | Physician Assistant | 1640 E Sumner St, Hartford, WI 53027-2684 | 2017-08-08 |
1619404977 | Greta Raye Braun | Family Medicine | 1640 E Sumner St, Hartford, WI 53027-2684 | 2017-05-17 |
1437600400 | Katie M Kratz | Nurse Practitioner | 1640 E Sumner St, Hartford, WI 53027-2684 | 2016-10-14 |
1891147591 | Lauren Margaret Carlson | Physician Assistant | 1640 E Sumner St, Hartford, WI 53027-2684 | 2016-07-06 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942792254 | Quad/med, LLC | Clinic/Center | 1900 W. Sumner Street, Hartford, WI 53027 | 2018-06-01 |
1700390242 | Dr. Espinosa Dds Tooth Or Gum, LLC | Dentist | 784 South Main St, Hartford, WI 53027 | 2017-11-20 |
1598169559 | Amy Jo Hoeppner | Registered Nurse | 1621 Falcon Dr., Hartford, WI 53027 | 2014-10-20 |
1205179918 | Susan Aleen Sterman | Technician | 4835 Cty Rd U, Hartford, WI 53027 | 2013-04-01 |
1881927713 | Ross Timothy Koehler | Specialist/Technologist | 1900 W Sumner St, Hartford, WI 53027 | 2009-09-10 |
1518130004 | Kamalpreet Dulai | Family Medicine | 110 Lone Oak Lane, Hartford, WI 53027 | 2008-04-07 |
1679775688 | Kelly M Schroeder | Physical Therapist | 1640 E. Sumner Street, Hartford, WI 53027 | 2007-06-01 |
1871794453 | Sandra Ann Weber | Registered Nurse | 4815 North Merton Drive, Hartford, WI 53027 | 2007-05-30 |
1306051743 | Agnes P Dietenberger | Physical Therapy Assistant | 1640 E. Sumner St., Hartford, WI 53027 | 2007-05-11 |
1164636619 | Robert W Fulton | Physical Therapist | 1640 East Sumner Street, Hartford, WI 53027 | 2007-05-10 |
Find all providers in zip 53027 |
Taxonomy Code | 207Q00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891159596 | Andrea Leigh Gillis | Family Medicine | Family Medicine Center At Asylum Hill, 99 Woodland St, Hartford, CT 06105 | 2016-04-08 |
1366679565 | William C Popik | Family Medicine | 90 Goodwin Cir, Hartford, CT 06105-5205 | 2009-06-15 |
1093989519 | Vivian Olsen Simmons | Family Medicine | 169 2nd Avenue, Hartford, AL 36344-1219 | 2008-04-15 |
1518130004 | Kamalpreet Dulai | Family Medicine | 110 Lone Oak Lane, Hartford, WI 53027 | 2008-04-07 |
1780877381 | Ohio County Hospital Corporation | Family Medicine | 20 Mcmurty Avenue, Hartford, KY 42347 | 2007-08-27 |
1912928169 | Collins Medical Associates 2 PC | Family Medicine | 95 Woodland St Fl 1, Hartford, CT 06105-1230 | 2006-07-22 |
1942225313 | Richard Thomas Kennedy | Family Medicine | 169 North Second Ave, Hartford, AL 36344 | 2006-07-13 |
1417908948 | Suzanne Gehl | Family Medicine | 1023 W State St, Hartford, WI 53027-2726 | 2006-05-12 |
1386609543 | Kellie Distefano | Family Medicine | 525 S Center St, Hartford, MI 49057-1362 | 2006-04-19 |
1851362180 | Kevin Lamont Collins | Family Medicine | 19 Woodland Street, Suite 42, Hartford, CT 06105 | 2006-01-26 |
Find all providers in HARTFORD |
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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.