CRAIG R KELMAN


Address: 425 Pine Ridge Blvd Ste 300, Wausau, WI 54401
Phone: 7158472000

CRAIG R KELMAN (NPI# 1528350436) 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) 1528350436
Entity Type Individual
Full Name CRAIG R KELMAN
Credential MD
Practice Address 425 Pine Ridge Blvd Ste 300
Wausau
WI 54401
Mailing Address 425 Pine Ridge Blvd Ste 300
Wausau
WI 54401-4124
Practice Telephone 7158472000
Enumeration Date 2011-05-11
Last Update Date 2018-06-27
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207T00000X Neurological Surgery 68818-20 WI Allopathic & Osteopathic Physicians
N 207T00000X Neurological Surgery 0101262140 VA Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
1250 E Marshall St, Richmond, VA 232985051 8048289165 8048284493

Office Location

Street Address 425 PINE RIDGE BLVD STE 300
City WAUSAU
State WI
Zip Code 54401

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1437640877 Joseph T Fitz Student in an Organized Health Care Education/Training Program Aspirus Wausau Family Medicine, 425 Wind Ridge Drive, Wausau, WI 54401 2018-05-22
1699293241 Amanda Nedd Dietitian, Registered 425 Pine Ridge Boulevard Suite 220 C, Wausau, WI 54401 2017-09-05
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1013389618 Grace Lutheran Foundation Inc Skilled Nursing Facility 2727 Plaza Dr., Wausau, WI 54401 2015-10-22
1881091163 Judy Lao Dental Hygienist 413 North 17th Avenue, Wausau, WI 54401 2014-12-02
1295012011 Allison Waraksa Pharmacist 504 S. 17th Ave, Wausau, WI 54401 2011-11-08
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Taxonomy Information

Taxonomy Code 207T00000X
Grouping Allopathic & Osteopathic Physicians
Classification Neurological Surgery

Taxonomy Definition

A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1538269402 Christopher I. Mackay Neurological Surgery 2800 Westhill Dr., Suite 200, Wausau, WI 54407-3770 2006-09-22
1447508429 Jamie R Lyons Neurological Surgery 3200 Westhill Dr Ste 201, Wausau, WI 54401-4707 2012-08-22
1871688135 Andrew Beaumont Neurological Surgery 425 Pine Ridge Blvd, Suite 300, Wausau, WI 54401-4123 2006-10-04
1750493433 Brian Edward Bunch Neurological Surgery 3200 Westhill Dr, Suite 102, Wausau, WI 54401-4706 2006-08-31
1114976289 Terence R. Lichtor Neurological Surgery 2800 Westhill Dr, Ste 200, Wausau, WI 54401-3771 2006-05-08

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1952545014 Irene Kim Neurological Surgery 999 N 92nd St Ste 310, Milwaukee, WI 53226-4875 2009-04-20
1649419169 Walter P Jacobsen Neurological Surgery 2801 W Kinnickinnic River Pkwy Ste 680, Milwaukee, WI 53215-3669 2009-02-05
1538324793 Jose Luis Salazar Neurological Surgery 3220 N Shore Dr, Delavan, WI 53115-3800 2008-07-26
1205094711 Bruce Clarke Bressler Neurological Surgery 3117 Bay View Dr, Green Bay, WI 54311-5909 2008-05-30
1154506921 Werner E Langheim Neurological Surgery 4505 Fox Bluff Lane, Middleton, WI 53562-2327 2007-12-29
1427251339 Pedro Daniel Suberviola Neurological Surgery 3255 Yale Ct, Brookfield, WI 53005-2772 2007-06-07
1831212778 Allan Bertram Levin Neurological Surgery 4585 Fox Bluff Ln, Middleton, WI 53562-2327 2007-04-07
1013093178 Cully R White Neurological Surgery 2901 W Kinnickinnic River Parkway, Suite 201, Milwaukee, WI 53215 2006-10-31
1679672430 S. Marshall Cushman Neurological Surgery 3805b Spring St Ste 320, Racine, WI 53405-1644 2006-09-21
1235232810 Neurological Surgery Sc Neurological Surgery 3201 So 16th Street, Suite 2025, Milwaukee, WI 53215-4534 2006-09-07
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Competitor

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City WAUSAU
Zip Code 54401

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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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