MRS. STEPHANIE L KEITH


Address: 2311 N Prospect Ave Ste 5a, Milwaukee, WI 53211-4445
Phone: 4143193000

MRS. STEPHANIE L KEITH (NPI# 1518262542) 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) 1518262542
Entity Type Individual
Full Name MRS. STEPHANIE L KEITH
Other Name STEPHANIE L WEATHERS
Credential PA-C
Practice Address 2311 N Prospect Ave Ste 5a
Milwaukee
WI 53211-4445
Mailing Address 2885 N Mayfair Rd
Wauwatosa
WI 53222-4404
Practice Telephone 4143193000
Practice Fax Number 4143193097
Mailing Telephone 4147716780
Mailing Fax Number 4147550476
Enumeration Date 2011-01-23
Last Update Date 2019-12-19
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363A00000X Physician Assistant 4291 WI Physician Assistants & Advanced Practice Nursing Providers
N 363A00000X Physician Assistant APA1969 OK Physician Assistants & Advanced Practice Nursing Providers
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
4291 WI Physician Assistants & Advanced Practice Nursing Providers
N 363AS0400X Physician Assistant
Specialization: Surgical Technologist
APA1969 OK Physician Assistants & Advanced Practice Nursing Providers

Other Providers STEPHANIE KEITH

NPI Name Taxonomy Address Enumeration
1346735537 Stephanie Ryan Keith Counselor 2100 Comer Ave, Columbus, GA 31904-8725 2018-06-29
1023555190 Stephanie Keith Physician Assistant 2173 Main St, Madison, MS 39110-6309 2017-01-26
1891152518 Stephanie Keith Technician, Other 1901 Carnegie Ave, Suite 1-c, Santa Ana, CA 92705-5504 2016-01-26
1801172606 Stephanie Lois Keith Speech-Language Pathologist 1625 19th Ave, Seattle, WA 98122-2848 2011-10-25

Office Location

Street Address 2311 N PROSPECT AVE STE 5A
City MILWAUKEE
State WI
Zip Code 53211-4445

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1821602335 Gabriella Caitrin Emanuele Occupational Therapist Harborchase of Shorewood, 1111 E Capitol Drive, Shorewood, WI 53211 2020-09-02
1710527783 Sage Specialty Pharmacy Inc. Pharmacy 4001 N. Oakland Ave, Shorewood, WI 53211 2020-01-08
1861043952 Rosina Bloomingdale Norton Nurse Practitioner 1921 E Harford Ave, Milwaukee, WI 53211 2019-09-20
1528556255 Renee Reckelberg Specialist/Technologist 3409 North Downer Avenue, Pavilion, Suite 350, Milwaukee, WI 53211 2018-04-27
1700325602 Wisconsin Vision, Inc. Optometrist 4163 N Oakland Ave, Shorewood, WI 53211 2017-02-13
1750827556 Daniel Butz M.d., S.c. Plastic Surgery 2350 N Lake Dr Ste 304, Milwaukee, WI 53211 2017-01-17
1528517232 Therese Simonis Speech-Language Pathologist 2390 N Lake Drive, Milwaukee, WI 53211 2016-09-23
1982075701 Katie Michel Specialist/Technologist 3409 N. Downer Ave, Milwaukee, WI 53211 2015-10-20
1255776365 Sarah Elizabeth Brill Social Worker 4433 N Oakland Ave Ste D, Shorewood, WI 53211 2013-05-02
1679814537 Nicole Anne Parulski Physical Therapist 2301 North Lake Dr, Milwaukee, WI 53211 2013-03-01
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1093085664 Abraham David Pacheco Physician Assistant 3246 S 35th St, Milwaukee, WI 53215-4156 2012-01-12
1386603439 Harland L Cook Physician Assistant 2315 M Lake Drive, #703, Milwaukee, WI 53211 2006-03-18
1871576256 Kristin Ann Skoraczewski Physician Assistant 960 N 12th St, Suite 1800, Milwaukee, WI 53233-1306 2005-11-21
1144704677 Jennifer Lynn Vanderpool Physician Assistant 2301 N Lake Dr, Milwaukee, WI 53211-4508 2018-09-20
1528554292 Andrea Rakoczy Physician Assistant 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 2018-07-06
1639665763 Lanie E Rudie Physician Assistant 9200 W Wisconsin Ave, Milwaukee, WI 53226 2018-07-01
1154815298 Aaron Kleinertz Physician Assistant 9200 W Wisconsin Ave, Milwaukee, WI 53226 2018-06-21
1912419953 Krista Chipman Physician Assistant 9000 W Wisconsin Ave, Milwaukee, WI 53226-4874 2017-10-31
1578086468 Benjamin Ingram Physician Assistant 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 2017-07-21
1225481187 Taylor Boyle Physician Assistant 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 2016-07-15
Find all providers in MILWAUKEE

Competitor

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City MILWAUKEE
Zip Code 53211

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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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