DR. KRISTIN K CASSIDY (NPI# 1366451411) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366451411 |
| Entity Type | Individual |
| Full Name | DR. KRISTIN K CASSIDY |
| Credential | MD |
| Practice Address |
150 Lance Dr Twin Lakes WI 53181 |
| Mailing Address |
3301 W Forest Home Ave Milwaukee WI 53215-2843 |
| Practice Telephone | 2628772124 |
| Practice Fax Number | 2628779833 |
| Mailing Telephone | 4146476326 |
| Mailing Fax Number | 4146718860 |
| Enumeration Date | 2006-08-07 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 40094 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DEA NUMBER | BC6072932 | 01 | |
| WI | 34012400 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396044186 | Kristin Cassidy | Occupational Therapist | 11660 Eddie and Park Rd, Saint Louis, MO 63126 | 2011-03-21 |
| Street Address |
150 LANCE DR |
| City | TWIN LAKES |
| State | WI |
| Zip Code | 53181 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093986325 | Lisa A Buse | Social Worker | 210 North Lake Ave, Twin Lakes, WI 53181 | 2008-03-14 |
| 1144300518 | Bruce M. Kempken | Dentist | 348 E. Main St., Twin Lakes, WI 53181 | 2006-10-17 |
| 1356437958 | Mark A Dull | Chiropractor | 237 E. Main St, Twin Lakes, WI 53181 | 2006-10-04 |
| 1992734115 | Herbert Michael Kaske | Dentist | 330 E Main St, Twin Lakes, WI 53181-0729 | 2006-07-01 |
| 1578876041 | Joseph R. Ford | Physical Therapist | 301 E Main St, Ste 103, Twin Lakes, WI 53181-4200 | 2010-07-26 |
| 1972126639 | Danielle Renea Klotz | Student in an Organized Health Care Education/Training Program | 595 Tindalls Nest, Twin Lakes, WI 53181-9176 | 2020-05-28 |
| 1093821498 | Twin Lakes Volunteer Fire Department & Rescue Squad Inc | Ambulance | 236 East Main Street, Twin Lakes, WI 53181-9198 | 2006-08-21 |
| 1114336849 | Laura Greenwald | Massage Therapist | 1718 Willow Rd, Twin Lakes, WI 53181-9209 | 2014-08-06 |
| 1336599810 | Kateri Lynne Gullifor | Developmental Therapist | 1950 Sunset Dr, Twin Lakes, WI 53181-9235 | 2016-06-15 |
| 1518936780 | Janice E Cox | Registered Nurse | 11840 Fox River Rd, Twin Lakes, WI 53181-9347 | 2006-03-17 |
| Find all providers in zip 53181 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295350973 | Nelson Nwumeh | Internal Medicine | 8338 Gridley Ave, Wauwatosa, WI 53213-3042 | 2020-06-09 |
| 1730718560 | Kevin Mcdonald | Internal Medicine | Uw Hospitals and Clinic 600 Highland Ave, Madison, WI 53792-0001 | 2020-04-03 |
| 1487216560 | Somto Tagbo Nwaedozie | Internal Medicine | 1000 N Oak Ave # 1000, Marshfield, WI 54449-5703 | 2019-06-28 |
| 1851816862 | Cubic Life Integrative Care S.c. | Internal Medicine | 325 Forest Grove Dr Ste 200, Pewaukee, WI 53072-3894 | 2017-08-10 |
| 1407387673 | Navkiran Kaur Dhillon | Internal Medicine | 830 E Deer Ridge Pass, Oak Creek, WI 53154-3300 | 2017-03-21 |
| 1639617665 | Edward Min Chi | Internal Medicine | 2320 N Lake Dr Ste 3603, Milwaukee, WI 53211-4507 | 2017-02-09 |
| 1821542739 | Mark Ridder | Internal Medicine | M120 Highway 97, Marshfield, WI 54449 | 2016-08-09 |
| 1093166266 | Alexa Mary Clare Gavaga | Internal Medicine | 835 S Main St Ste 1, Oconto Falls, WI 54154-1282 | 2016-06-28 |
| 1437513173 | Jonathan Shaffer | Internal Medicine | 4600 N Cramer St, Whitefish Bay, WI 53211-1203 | 2016-04-08 |
| 1750743159 | Andrew Charles Rose | Internal Medicine | 999 N 92nd St Ste 730, Milwaukee, WI 53226-4875 | 2016-03-24 |
| Find all providers with the same taxonomy | ||||
| City | TWIN LAKES |
| Zip Code | 53181 |
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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.