KATHRYN WIKENHEISER-BROKAMP (NPI# 1437179249) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437179249 |
| Entity Type | Individual |
| Full Name | KATHRYN WIKENHEISER-BROKAMP |
| Credential | MD |
| Practice Address |
3333 Burnet Ave # Mlc1010 Department of Pathology and Laboratory Medicine Cincinnati OH 45229-3026 |
| Mailing Address |
Po Box 636256 Central Credentialing Cincinnati OH 45263-6256 |
| Practice Telephone | 5138030239 |
| Practice Fax Number | 5136363924 |
| Mailing Telephone | 5135855507 |
| Mailing Fax Number | 5135855511 |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2017-12-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
35-08-3105 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2424120 | 05 | |
| IN | 200455000 | 05 | |
| OH | AETNA | 7890492 | 01 |
| KY | 64069826 | 05 | |
| OH | UNITED HEALTHCARE | 11-01348 | 01 |
| OH | ANTHEM | 000000302667 | 01 |
| Street Address |
3333 BURNET AVE # MLC1010 DEPARTMENT OF PATHOLOGY AND LABORATORY MEDICINE |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45229-3026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992325567 | The Kroger Co | Pharmacy | 3255 Eden Ave, Suite 336, Cincinnati, OH 45229 | 2020-04-23 |
| 1942834916 | Abigail Elizabeth Ugas | Genetic Counselor, MS | 3333 Burnet Ave., Ml 4006, Cincinnati, OH 45229 | 2020-02-27 |
| 1477112308 | City of Cincinnati | Pharmacy | 3559 Reading Road, Suite 101, Cincinnati, OH 45229 | 2019-06-13 |
| 1720548134 | Luis Andres Compres Brugal | Student in an Organized Health Care Education/Training Program | Uc Health Neurology 3113 Bellevue Avenue, Cincinnati, OH 45229 | 2019-03-21 |
| 1457816118 | Linda Sue Hughes | Counselor | 4531 Reading Road, Cincinnati, OH 45229 | 2019-02-07 |
| 1437654902 | Dimpal Patel | Physician Assistant | 3333 Burnet Ave # Mlc2004, Cincinnati, OH 45229 | 2018-03-27 |
| 1235657909 | Shauntel Stewart | Nurse's Aide | 4439 Reading Rd Ste 101, Cincinnati, OH 45229 | 2017-09-01 |
| 1336662055 | Diane Davis | Home Health Aide | 768 East Mitchell Ave, Cincinnati, OH 45229 | 2017-07-25 |
| 1265971683 | Lauren Michelle Schmitt | Psychologist | 3333 Burnet Ave., Ml 4002, Cincinnati, OH 45229 | 2017-02-17 |
| 1801257308 | Monica Renee Whitehead | Psychologist | Cincinnati Children's Hospital, 3333 Burnet Avenue, Ml 3015, Cincinnati, OH 45229 | 2016-03-10 |
| Find all providers in zip 45229 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699186684 | Jenna Purdy | Pathology | 234 Goodman St Rm 110, Cincinnati, OH 45219-2364 | 2014-05-13 |
| 1295068575 | Bernard L Kasten Jr. | Pathology | 8622 Twilight Tear Ln, Cincinnati, OH 45249-1382 | 2009-09-17 |
| 1932359973 | Jerzy Waclaw Stanek | Pathology | 3333 Burnet Ave., Ml 1010, Cincinnati Children's Hospital Medical Center, Cincinnati, OH 45229-3039 | 2008-09-26 |
| 1528214012 | Matthew Bramlage | Pathology | 4142 Club View Dr, Cincinnati, OH 45209-1415 | 2008-08-15 |
| 1700909322 | Susan Brokaw | Pathology | 5340 Miami Rd, Cincinnati, OH 45243-3920 | 2007-04-09 |
| 1992784839 | Cynthia D Westermann | Pathology | 2000 Joseph E Sanker Blvd, Cincinnati, OH 45212-1979 | 2006-01-10 |
| 1750367595 | Sudha Arun Mehta | Pathology | 3101 Burnet Avenue, Clement Health Center Std Clinic, Cincinnati, OH 45229-3098 | 2005-12-22 |
| 1164084661 | Nicola Jing | Pathology | 234 Goodman St, Cincinnati, OH 45219-2364 | 2019-07-03 |
| 1497316988 | Red Bank Pathology Services, LLC | Pathology | 2139 Auburn Ave, Cincinnati, OH 45219-2906 | 2019-06-25 |
| 1235518887 | Levi Costa Machado | Pathology | 2139 Auburn Ave, Cincinnati, OH 45219-2906 | 2015-05-28 |
| Find all providers in CINCINNATI | ||||
| City | CINCINNATI |
| Zip Code | 45229 |
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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.