KATE DOBBERSTEIN (NPI# 1316568504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316568504 |
| Entity Type | Individual |
| Full Name | KATE DOBBERSTEIN |
| Practice Address |
2105 E Enterprise Ave Ste 113 Appleton WI 54913-7862 |
| Mailing Address |
1151 Barbary Ln Winneconne WI 54986-9660 |
| Practice Telephone | 9202166171 |
| Mailing Telephone | 9202166171 |
| Enumeration Date | 2020-04-29 |
| Last Update Date | 2020-04-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PS0010X |
Emergency Medicine Specialization: Sports Medicine |
536336 | WI | Allopathic & Osteopathic Physicians |
| Street Address |
2105 E ENTERPRISE AVE STE 113 |
| City | APPLETON |
| State | WI |
| Zip Code | 54913-7862 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811974306 | Russ P Bartholomew | Physical Therapist | 2105 E Enterprise Ave Ste 113, Advanced Physical Therapy, Appleton, WI 54913-7862 | 2005-12-27 |
| 1932716784 | Heidi Bohl | Specialist/Technologist | 2105 E Enterprise Ave Ste 113, Appleton, WI 54913-7862 | 2020-09-25 |
| 1790394666 | Allison Mary Von Brevern | Physical Therapist | 2105 E Enterprise Ave Ste 113, Appleton, WI 54913-7862 | 2020-07-27 |
| 1659998284 | Blake Randall Van Maanen | Physical Therapist | 2105 E Enterprise Ave Ste 113, Appleton, WI 54913-7862 | 2020-06-30 |
| 1023677903 | Jonathan D Freeman | Physical Therapist | 2105 E Enterprise Ave Ste 113, Appleton, WI 54913-7862 | 2019-06-13 |
| 1396237178 | Trenton C Rehman | Physical Therapist | 2105 E Enterprise Ave Ste 113, Appleton, WI 54913-7862 | 2018-06-06 |
| 1023520889 | Jarrod P Schuh | Physical Therapist | 2105 E Enterprise Ave Ste 113, Appleton, WI 54913-7862 | 2017-11-01 |
| 1255855136 | Amber R Lisowe | Physical Therapist | 2105 E Enterprise Ave Ste 113, Appleton, WI 54913-7862 | 2017-08-01 |
| 1053841742 | Joshua L Fischer | Physical Therapist | 2105 E Enterprise Ave Ste 113, Appleton, WI 54913-7862 | 2017-06-14 |
| 1881077295 | Kayla B Schneider | Specialist | 2105 E Enterprise Ave Ste 113, Appleton, WI 54913-7862 | 2015-07-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457994584 | Pamela J Andersen | Music Therapist | 245 N. Metro Drive, Appleton, WI 54913 | 2019-10-22 |
| 1396387510 | Nancy Sibley | Technician | N4423 County Road Ee, Appleton, WI 54913 | 2019-10-09 |
| 1659872240 | Meijer Stores Limited Partnership | Durable Medical Equipment & Medical Supplies | 3801 N. Richmond Street, Grand Chute, WI 54913 | 2018-02-28 |
| 1780116244 | Alison Pelger | Physician Assistant | 3916 North Intertech Court, Appleton, WI 54913 | 2017-04-03 |
| 1316311905 | Lucy Bouressa | Specialist/Technologist | 2105 E. Enterprise Ave, 113, Appleton, WI 54913 | 2015-11-19 |
| 1992189989 | Brittany Reinke | Physical Therapist | Walking and Wheeling, LLC, W4652 Glenn Street, Appleton, WI 54913 | 2015-07-20 |
| 1902280092 | Costco Wholesale Corporation | Pharmacy | 5401 W Integrity Way, Grand Chute, WI 54913 | 2015-07-17 |
| 1942646849 | Richard Anthony Mauthe | Pharmacist | 5401 W. Integrity Way, Neenah, WI 54913 | 2013-05-17 |
| 1750622163 | Tonya Janelle Wilderman | Pharmacist | 1400 N Mccarthy Rd, Apt 2, Grand Chute, WI 54913 | 2013-03-10 |
| 1295938777 | Jenna Marie Kadlec | Physical Therapist | 3916 N. Intertech Court, Appleton, WI 54913 | 2007-06-11 |
| Find all providers in zip 54913 | ||||
| Taxonomy Code | 207PS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Sports Medicine |
| An emergency physician with special knowledge in sports medicine is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention and management of injury and illness. A sports medicine physician has knowledge and experience in the promotion of wellness and the role of exercise in promoting a healthy lifestyle. Knowledge of exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation and epidemiology is essential to the practice of sports medicine. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified 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 |
|---|---|---|---|---|
| 1942831086 | Gregory Q Schultz | Emergency Medicine | 1531 S Madison St Fl 4, Appleton, WI 54915-1800 | 2020-01-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134578347 | Andrew Jedlicka | Emergency Medicine | 3409 N Downer Ave, Pav 250, Milwaukee, WI 53211 | 2016-06-08 |
| 1396121554 | Adam Hallet | Emergency Medicine | 2321 Stout Rd, Menomonie, WI 54751-7003 | 2015-08-10 |
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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.