MRI & IMAGING OF WISCONSIN INC (NPI# 1538127816) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538127816 |
| Entity Type | Organization |
| Organization Name | MRI & IMAGING OF WISCONSIN INC |
| Other Organization Name | KENOSHA DIAGNOSTIC IMAGING |
| Practice Address |
8500 75th St Suite 106 Kenosha WI 53142-8213 |
| Mailing Address |
Po Box 934978 Atlanta GA 31193-4978 |
| Practice Telephone | 2626979800 |
| Practice Fax Number | 2626978450 |
| Mailing Telephone | 8666591211 |
| Mailing Fax Number | 3367741751 |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2009-12-01 |
| Authorized Official Name | MR. DANIEL J SCHAEFER (COO) |
| Authorized Official Telephone | 7703000101 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 21268400 | 05 | |
| WI | BC | 488503 | 01 |
| MEDICARE RR | 470001862 | 01 |
| Other Name | Type Code |
|---|---|
| Kenosha Diagnostic Imaging | Doing Business As Name - Organization |
| Street Address |
8500 75TH ST SUITE 106 |
| City | KENOSHA |
| State | WI |
| Zip Code | 53142-8213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578956231 | Molly K. Slaber | Physician Assistant | 8500 75th St, Suite 102, Kenosha, WI 53142-8213 | 2015-03-05 |
| 1649519299 | Children's Hospital of Wisconsin | Pediatrics | 8500 75th St, Kenosha, WI 53142-8213 | 2013-02-01 |
| 1649583188 | Alpha Medical Imaging Inc | Clinic/Center | 8500 75th St, Suite 106, Kenosha, WI 53142-8213 | 2010-07-26 |
| 1043460850 | Justin Edward Wittkopf | Otolaryngology | 8500 75th St, Ste 102, Kenosha, WI 53142-8213 | 2008-09-29 |
| 1912036419 | Herslof's, Inc | Technician/Technologist | 8500 75th St, Suite 103, Kenosha, WI 53142-8213 | 2007-03-02 |
| 1013920297 | Kristen Volkman | Pediatrics | 8500 75th St, Suite 101, Kenosha, WI 53142-8213 | 2006-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588297816 | Caring Hearts Home Health Care | In Home Supportive Care | 6021-57th Ave, Suite C103, Kenosha, WI 53142 | 2020-02-14 |
| 1144785395 | Michael L Wrzesinski | Counselor | 4109 67th Street, Kenosha, WI 53142 | 2019-02-01 |
| 1720538499 | David Smith | Counselor | 10900 67th Street, Kenosha, WI 53142 | 2016-10-06 |
| 1326404641 | Smile Doctors Ltd | Dentist | 7003 39th Ave, Kenosha, WI 53142 | 2016-01-04 |
| 1225409485 | Antonia Marie Decker | Physician Assistant | 10400 75th St. Ste 204, Kenosha, WI 53142 | 2015-10-14 |
| 1780060582 | Joshua Haas | Pharmacist | 7701 Green Bay Road, Kenosha, IL 53142 | 2015-08-04 |
| 1811379225 | Dana Mary Stout | Registered Nurse | 7401 104th Avenue, Suite 110, Comprehensive Orthopaedics, S.c., Kenosha, WI 53142 | 2015-06-22 |
| 1669815569 | Joshua Knute Elson | Radiology | 6811 118th Ave, Kenosha, WI 53142 | 2013-04-10 |
| 1356610166 | Michael J Gallo | Pharmacist | 7535 North Greenbay Rd, Kenosha, WI 53142 | 2011-12-22 |
| 1720357999 | Orest Carnevale | Registered Nurse | 7316 155th Ct, Kenosha, WI 53142 | 2011-12-18 |
| Find all providers in zip 53142 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285683284 | Ihc-kenosha Radiology, LLC | Radiology | 6308 8th Avenue, Uhs Kenosha Campus, Kenosha, WI 53143-5031 | 2006-05-08 |
| 1043509680 | Massihullah Hamidi | Radiology | 10400 75th St, Kenosha, WI 53142-7884 | 2011-04-05 |
| 1417272667 | Mohsin Yunus Ghadiali | Radiology | 6308 8th Ave, Kenosha, WI 53143-5031 | 2010-03-31 |
| 1689998148 | Luke A Falesch | Radiology | 10400 75th St, Kenosha, WI 53142-7884 | 2010-03-26 |
| 1932204146 | Michael Alan Price | Radiology | 6308 8th Ave, Kenosha, WI 53143-5031 | 2006-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487264511 | Howard Simon Md PC | Radiology | 3960 Hillside Dr Ste 106, Delafield, WI 53018-2148 | 2020-08-04 |
| 1952951154 | Premier Radiology Wisconsin, LLC | Radiology | 10180 Washington Ave Ste 101, Mt Pleasant, WI 53177-1604 | 2019-09-19 |
| 1013478635 | Troy Nelson Tenbrunsel | Radiology | Uw Hospitals & Clinics 600 Highland Road, Madison, WI 53792-0001 | 2019-03-27 |
| 1336660216 | Kevin Shuai Lian | Radiology | 420 W Dayton St Unit 1142, Madison, WI 53703 | 2017-06-30 |
| 1346774726 | Molly Peterson | Radiology | 2639 University Ave Ste 201, Madison, WI 53705-3750 | 2017-04-12 |
| 1821445107 | Ryan Griesbach | Radiology | Uw Hospitals and Clinic, 600 Highland Ave, Madison, WI 53792-0001 | 2016-05-17 |
| 1629442181 | Dysphagia Testing, LLC | Radiology | 10638 Hidden Creek Dr, Mequon, WI 53092-8538 | 2015-11-20 |
| 1679987341 | Daniel Joseph Baumel | Radiology | 513 Clifden Dr, Madison, WI 53711-1530 | 2014-06-20 |
| 1235549247 | Benjamin Sawatzky | Radiology | 9 S Marquette St, Madison, WI 53704-5117 | 2014-04-29 |
| 1285054064 | Matthew Gregory Pipho | Radiology | 9306 Briar Haven Dr, Verona, WI 53593-8791 | 2014-04-21 |
| Find all providers with the same taxonomy | ||||
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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.