KENNETH N KRUTSCH (NPI# 1609863141) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609863141 |
| Entity Type | Individual |
| Full Name | KENNETH N KRUTSCH |
| Credential | MD |
| Practice Address |
2101 Beaser Ave Annex A Ashland WI 54806-3638 |
| Practice Telephone | 7156823426 |
| Practice Fax Number | 7166823442 |
| Mailing Telephone | 7156823426 |
| Mailing Fax Number | 7166823442 |
| Enumeration Date | 2005-09-30 |
| Last Update Date | 2016-05-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 19044010 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 30233600 | 05 | |
| MI | 1543260 | 05 |
| Street Address |
2101 BEASER AVE ANNEX A |
| City | ASHLAND |
| State | WI |
| Zip Code | 54806-3638 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134532245 | Amy Jacobson | Audiologist | 2101 Beaser Ave, Suite 3, Ashland, WI 54806-3638 | 2014-06-05 |
| 1609117126 | Ashland Audiology LLC | Clinic/Center | 2101 Beaser Ave, Suite 3, Ashland, WI 54806-3632 | 2013-03-07 |
| 1942434378 | The Duluth Clinic, Ltd | Clinic/Center | 2101 Beaser Ave, Suite 1, Ashland, WI 54806-3638 | 2009-05-13 |
| 1952541617 | Ashland Eye Specialist, Sc | Ophthalmology | 2101 Beaser Ave, Suite 6, Ashland, WI 54806-3638 | 2009-02-20 |
| 1497915201 | Eye Specialist Optical, Inc. | Eyewear Supplier (Equipment, not the service) | 2101 Beaser Ave, Suite 6, Ashland, WI 54806-3638 | 2008-06-15 |
| 1902079510 | Peter J Marsolek | Technician/Technologist | 2101 Beaser Ave, Ste 6, Ashland, WI 54806-3638 | 2008-04-04 |
| 1588859300 | Kenneth N Krutsch Mdsc | Specialist | 2101 Beaser Ave, Annex A, Ashland, WI 54806-3638 | 2007-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992236525 | Robin Jurgensen | Counselor | 1619 W Third Street, Ashland, WI 54806 | 2017-03-24 |
| 1922479195 | Alexa M Honstad | Registered Nurse | Memorial Medical Center, Inc, 1615 Maple Lane, Ashland, WI 54806 | 2015-10-14 |
| 1982032728 | Noel Hong | Pharmacist | 1800 Us Highway 2, Ashland, WI 54806 | 2013-10-14 |
| 1588909402 | Kelli Danielle Culver | Registered Nurse | 216 3rd St W Ste 201, Ashland, WI 54806 | 2012-12-04 |
| 1114191756 | Karen Keyes | Occupational Therapist | 1635 Maple Lane, Behavioral Health Services, Ashland, WI 54806 | 2008-04-15 |
| 1174645204 | Michael Allyn Turgeon | Social Worker | 517 Beaser Avenue, Ashland, WI 54806 | 2007-04-06 |
| 1770669269 | Laura Anton Ia Nitsche | Speech-Language Pathologist | 618 Beaser Avenue, Ashland, WI 54806 | 2006-10-27 |
| 1104915222 | Patrick Alan Hickman | Chiropractor | 400 East Lakeshore Drive, Ashland, WI 54806 | 2006-10-12 |
| 1386732113 | Janet Lee Sternat | Physical Therapist | 618 Beaser Ave, Cesa #12, Ashland, WI 54806 | 2006-10-10 |
| 1295743193 | Ashland Dental Clinic Inc | Dentist | 300 9th Ave W, Ashland, WI 54806 | 2006-08-04 |
| Find all providers in zip 54806 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497873657 | Anthony Eugene Way | Urology | 400 Sheridan St, Ashland, OR 97520-1526 | 2007-03-27 |
| 1801859731 | Krishnaswamy Chenroyan Krishnamurthi | Urology | 1941 Baney Road South, Ashland, OH 44805 | 2006-04-11 |
| 1326023110 | Edakkunny W Unnikrishnan | Urology | 900 Saint Christopher Dr, Suite 201, Ashland, KY 41101-7032 | 2005-12-14 |
| 1477550416 | William Charles Thorndyke | Urology | 336 29th St, Ashland, KY 41101-1900 | 2005-07-06 |
| 1447511332 | Jeremy Bonzo | Urology | 336 29th St Ste 101, Ashland, KY 41101-1976 | 2012-06-06 |
| 1285916916 | Kings Daughters Medical Specialties Inc. | Urology | 2245 Winchester Ave Ste 1, Ashland, KY 41101-7848 | 2011-09-20 |
| 1013182443 | Justin Kevin Dixon | Urology | 336 29th St, Ashland, KY 41101-1900 | 2008-04-27 |
| 1679764534 | Brian Philip Defade | Urology | 1101 Saint Christopher Dr, Ashland, KY 41101-7087 | 2007-08-06 |
| 1194945956 | E.w. Unnikrishnan M.d. Psc | Urology | 900 Saint Christopher Dr, Suite 201, Ashland, KY 41101-7090 | 2007-04-26 |
| 1891895538 | John W Peck II | Urology | 2212 Mifflin Ave, Suite 130, Ashland, OH 44805-8848 | 2006-09-23 |
| Find all providers in ASHLAND | ||||
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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.