KIERNAN J MINEHAN


Address: 3100 Superior Ave, Sheboygan, WI 53081-1948
Phone: 9204517468

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
MN 984365500 05

Office Location

Street Address 3100 SUPERIOR AVE
City SHEBOYGAN
State WI
Zip Code 53081-1948

Providers in the same location

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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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 2085R0001X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Radiation Oncology

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1356520506 Shannon Offerman Radiology 1222 N 23rd St, Sheboygan, WI 53081-3171 2007-10-24

Providers in the same taxonomy and state

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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Competitor

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City SHEBOYGAN
Zip Code 53081

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Dataset Information

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.

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