KIERNAN J MINEHAN (NPI# 1407834112) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1407834112 |
Entity Type | Individual |
Full Name | KIERNAN J MINEHAN |
Credential | M.D. |
Practice Address |
3100 Superior Ave Sheboygan WI 53081-1948 |
Mailing Address |
1843 Michigan St Sturgeon Bay WI 54235-1007 |
Practice Telephone | 9204517468 |
Mailing Telephone | 9207460090 |
Mailing Fax Number | 9207461072 |
Enumeration Date | 2006-01-03 |
Last Update Date | 2013-05-21 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
44633 | WI | Allopathic & Osteopathic Physicians |
N | 2085R0001X |
Radiology Specialization: Radiation Oncology |
32200 | MN | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MN | 984365500 | 05 |
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 |
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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 | 2085R0001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Radiation Oncology |
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356520506 | Shannon Offerman | Radiology | 1222 N 23rd St, Sheboygan, WI 53081-3171 | 2007-10-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922652510 | Sangjune Lee | Radiology | 710 Ridge St Apt 207, Madison, WI 53705-3641 | 2019-07-31 |
1225456981 | John Martin Floberg | Radiology | 2140, Med 4 Mailbox, Hslc, 750 Highland Ave., Madison, WI 53705 | 2014-03-31 |
1669815569 | Joshua Knute Elson | Radiology | 6811 118th Ave, Kenosha, WI 53142 | 2013-04-10 |
1154651727 | Matthew Edward Witek | Radiology | 309 W Johnson St Apt 714, Madison, WI 53703-3553 | 2010-01-05 |
1558598441 | Eva Christensen | Radiology | 11516 N Port Washington Rd, Mequon, WI 53092-3441 | 2009-06-17 |
1265687024 | Marcia Js Richards | Radiology | 675 Park Cir, Elm Grove, WI 53122-2556 | 2008-11-20 |
1891888269 | Michael E Ray | Radiology | 900 E Grant, Appleton, WI 54911-3487 | 2006-09-30 |
1093759185 | Editha A Krueger | Radiology | 424 E Wisconsin Ave, Appleton, WI 54911-4860 | 2006-06-16 |
1336187251 | Laura B Ulmer | Radiology | 3809 Spring St, Racine, WI 53405-1667 | 2006-06-03 |
1558318782 | Linda Gemer | Radiology | 1277 Hickory Hill Dr, Green Bay, WI 54304-2363 | 2006-05-31 |
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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.