DR. KAM KWAN SOO (NPI# 1538245170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538245170 |
| Entity Type | Individual |
| Full Name | DR. KAM KWAN SOO |
| Credential | MD |
| Practice Address |
677 E State St Burlington WI 53105 |
| Mailing Address |
Po Box 170526 Milwaukee WI 53217 |
| Practice Telephone | 2627639531 |
| Mailing Telephone | 4149646077 |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
19331 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 30152900 | 05 |
| Street Address |
677 E STATE ST |
| City | BURLINGTON |
| State | WI |
| Zip Code | 53105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487265716 | Amanda Waldera | Physical Therapist | 677 E State St, Burlington, WI 53105-1639 | 2020-08-11 |
| 1609400845 | Carolyn Haney | Occupational Therapy Assistant | 677 E State St, Burlington, WI 53105-1639 | 2020-02-26 |
| 1245864586 | Jazzlyn Garcia | Physical Therapy Assistant | 677 E State St, Burlington, WI 53105-1639 | 2020-02-25 |
| 1144854464 | Casey Roberts | Speech-Language Pathologist | 677 E State St, Burlington, WI 53105-1639 | 2020-02-25 |
| 1700430295 | Dana Siebenaller Wiemer | Occupational Therapy Assistant | 677 E State St, Burlington, WI 53105-1639 | 2019-08-01 |
| 1295390888 | Annette Brauckhoff | Occupational Therapist | 677 E State St, Burlington, WI 53105-1639 | 2019-05-08 |
| 1568027977 | Scott Street | Physical Therapy Assistant | 677 E State St, Burlington, WI 53105-1639 | 2019-05-01 |
| 1629558457 | Rebecca Lynn Baade | Speech-Language Pathologist | 677 E State St, Burlington, WI 53105-1639 | 2018-08-21 |
| 1376023176 | Thera Ann Rossmiller | Physical Therapy Assistant | 677 E State St, Burlington, WI 53105-1639 | 2018-08-21 |
| 1841717139 | Eileen Louise Dahl | Physical Therapy Assistant | 677 E State St, Burlington, WI 53105-1639 | 2017-08-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720574288 | Wisconsin Pain Management Specialists, LLC | Pain Medicine | 1050 S. Milwaukee Avenue, Suite 102, Burlington, WI 53105 | 2018-07-09 |
| 1952845679 | Jennifer Vozel | Registered Nurse | 40036 Bloomfield Rd, Burlington, WI 53105 | 2016-12-14 |
| 1356884613 | Labadie Family Dentistry, S.c. | Clinic/Center | 5019 Mormon Rd., Burlington, WI 53105 | 2016-11-18 |
| 1043654288 | Maureen Ann Mcnulty | Acupuncturist | 148 East State Street, Suite A, Burlington, WI 53105 | 2013-04-18 |
| 1003166349 | Jessica Robinson | Licensed Practical Nurse | 7656 Highland Ave, Burlington, WI 53105 | 2012-09-13 |
| 1063677334 | Douglas Armin Wild Sr. | Dentist | 2545 Partridge Wds. Ct., Burlington, WI 53105 | 2008-07-25 |
| 1346408945 | William Henry Basil | Dentist | 222 Adams St, Burlington, WI 53105 | 2008-05-30 |
| 1912108689 | Debra Jean Studey Leffelman | Midwife, Lay | 5617 Spring Valley Rd., Burlington, WI 53105 | 2007-05-30 |
| 1215142955 | Michelle Marie Mehring | Licensed Practical Nurse | 541 Kearney Rd, Burlington, WI 53105 | 2007-05-14 |
| 1003982802 | Alan Dean Meike | Chiropractor | 196 W Chestnut Street, Burlington, WI 53105 | 2006-11-27 |
| Find all providers in zip 53105 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760987473 | Tyler Fanning | Psychiatry & Neurology | Uvmmv 111 Colchester Avenue, Burlington, VT 05401 | 2018-03-26 |
| 1518351519 | Megan Carroll Gething | Psychiatry & Neurology | 111 Colchester Ave, Patrick 426, Uvm Medical Center, Dept. of Psychiatry, Burlington, VT 05401-1473 | 2015-03-27 |
| 1396152203 | Hiren Umrania | Psychiatry & Neurology | 1236 Huffman Mill Rd # 1500, Burlington, NC 27215-8700 | 2014-07-14 |
| 1831433200 | Lewis Willmuth | Psychiatry & Neurology | 125 Cliff St, Burlington, VT 05401-3905 | 2012-11-24 |
| 1730407131 | Armc Physicians Care, Inc. | Psychiatry & Neurology | 1236 Huffman Mill Rd Ste 1500, Burlington, NC 27215-8700 | 2010-05-10 |
| 1982848313 | Carla G Duszlak | Psychiatry & Neurology | 1211 May Ct, Burlington, NC 27215-3618 | 2009-04-29 |
| 1811030612 | Psychotherpeutic Services, Inc | Psychiatry & Neurology | 405 Rudd St, Burlington, NC 27217-2957 | 2007-02-14 |
| 1982745162 | David Clark Ward | Psychiatry & Neurology | 319 N Graham Hopedale Rd Fl A, Burlington, NC 27217-2992 | 2007-02-09 |
| 1033258033 | William Youngson Chen | Psychiatry & Neurology | 3132 Commerce Place, Suite A - 2, Burlington, NC 27215 | 2007-02-06 |
| 1609913771 | Richard Lewis Rubin | Psychiatry & Neurology | 789 Pine Street, Burlington, VT 05401 | 2007-01-30 |
| Find all providers in BURLINGTON | ||||
| City | BURLINGTON |
| Zip Code | 53105 |
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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.