OPEN MRI OF SHEBOYGAN LLC (NPI# 1538248760) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538248760 |
| Entity Type | Organization |
| Organization Name | OPEN MRI OF SHEBOYGAN LLC |
| Practice Address |
1414 North Taylor Open Mri of Sheboygan Sheboygan WI 53081 |
| Practice Telephone | 9202089000 |
| Practice Fax Number | 9202089001 |
| Mailing Telephone | 9202089000 |
| Mailing Fax Number | 9202089001 |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2008-01-30 |
| Authorized Official Name | TIMOTHY J KAMKE (AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 9202089000 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 21258500 | 05 |
| Street Address |
1414 NORTH TAYLOR OPEN MRI OF SHEBOYGAN |
| City | SHEBOYGAN |
| State | WI |
| Zip Code | 53081 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770053696 | Kathy Hughes Counseling, LLC | Community/Behavioral Health | 630 Riverfront Dr Ste 203, Sheboygan, WI 53081 | 2018-12-04 |
| 1780159004 | Great Lakes Clinic and Consultants, LLC | Clinic/Center | 1407 North 8th Street, Suite 203, Sheboygan, WI 53081 | 2018-10-13 |
| 1174032106 | Laura Elizabeth Manning | Registered Nurse | 325 Linocln Ave, Sheboygan, WI 53081 | 2017-09-21 |
| 1043733686 | Chasidy D Wilke | Behavioral Analyst | 2223 Terrace View Dr Apt 3a, Sheboygan, WI 53081 | 2017-07-25 |
| 1700320074 | Darlene Wilken | Counselor | 2842 S. Business Dr, Sheboygan, WI 53081 | 2016-12-06 |
| 1942652185 | Jacob Steven Son | Dentist | 3555 Wasington Ave., Sheboygan, WI 53081 | 2016-07-12 |
| 1225491749 | Cassandra Lea Loehndorf | Social Worker | 3321 S. 12th St., Sheboygan, WI 53081 | 2016-04-01 |
| 1003201112 | Jason Meinhardt | Dentist | 2115 S Memorial Pl, Sheboygan, WI 53081 | 2015-04-06 |
| 1346634110 | Christopher Lenz | Specialist/Technologist | 2920 Superior Ave., Prevea Orthopedics, Sheboygan, WI 53081 | 2015-03-19 |
| 1780008060 | James Simac | Counselor | 503 Wisconsin Ave., Sheboygan, WI 53081 | 2014-02-07 |
| Find all providers in zip 53081 | ||||
| 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 |
|---|---|---|---|---|
| 1518290451 | Steven Kenneth Kanter | Radiology | 4323 Morning View Ct, K206, Sheboygan, WI 53081-1236 | 2009-09-10 |
| 1659564326 | George S. Fultz | Radiology | 316 Geele Ave, Sheboygan, WI 53083-5060 | 2007-08-24 |
| 1366559254 | Randal J Zabrowski | Radiology | 4541 N Evergreen Dr, Sheboygan, WI 53081-7935 | 2006-08-24 |
| 1780902395 | Nathan Evan Thompson | Radiology | 2629 N 7th St, Sheboygan, WI 53083 | 2010-05-06 |
| 1134309354 | John R Slaby | Radiology | 2629 N 7th St, Sheboygan, WI 53083-4932 | 2007-11-05 |
| 1649387846 | Awais H Siddique | Radiology | 2414 Kohler Memorial Dr, Sheboygan, WI 53081 | 2006-08-24 |
| 1902913304 | Daniel A Peterson | Radiology | 2414 Kohler Memorial Dr, Sheboygan, WI 53081 | 2006-08-23 |
| 1962517094 | Steven H Falconer | Radiology | 2414 Kohler Memorial Dr, Sheboygan, WI 53081-3129 | 2006-08-20 |
| 1164536892 | Rick G Thyes | Radiology | 2414 Kohler Memorial Dr, Sheboygan, WI 53081-3129 | 2006-08-19 |
| 1083623110 | Richard L Campbell | Radiology | 2414 Kohler Memorial Dr, Sheboygan, WI 53081-3129 | 2006-08-07 |
| Find all providers in SHEBOYGAN | ||||
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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.