MS. KRISTA M KITZEROW


Address: 9000 W Wisconsin Ave, Pediatric Surgery, Milwaukee, WI 53226-4874
Phone: 4142666550

MS. KRISTA M KITZEROW (NPI# 1619126968) 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) 1619126968
Entity Type Individual
Full Name MS. KRISTA M KITZEROW
Other Name MS. KRISTA M FANCHER
Credential PA-C
Practice Address 9000 W Wisconsin Ave
Pediatric Surgery
Milwaukee
WI 53226-4874
Practice Telephone 4142666550
Practice Fax Number 4142666560
Mailing Telephone 4142666550
Mailing Fax Number 4142666560
Enumeration Date 2008-09-11
Last Update Date 2012-08-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 2334 WI Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
WI 1619126968 05

Office Location

Street Address 9000 W WISCONSIN AVE
PEDIATRIC SURGERY
City MILWAUKEE
State WI
Zip Code 53226-4874

Providers in the same location

NPI Name Taxonomy Address Enumeration
1568466928 Deborah Costakos Ophthalmology 9000 W Wisconsin Ave, Pediatric Ophthalmology, Milwaukee, WI 53226-4874 2005-06-13
1477154748 Tara Anne Peloza Registered Nurse 9000 W Wisconsin Ave, Milwaukee, WI 53226-4874 2020-11-04
1518567676 Carolyn Mcnally Scoptur Nurse Practitioner 9000 W Wisconsin Ave, Milwaukee, WI 53226-4874 2020-10-28
1053910091 Casey Wolter Audiologist 9000 W Wisconsin Ave, Milwaukee, WI 53226-4874 2020-10-21
1558976001 Rachel Sawdy Nurse Practitioner 9000 W Wisconsin Ave, Milwaukee, WI 53226-4874 2020-09-11
1205441128 Kathleen Maloney Nurse Practitioner 9000 W Wisconsin Ave, Milwaukee, WI 53226-4874 2020-09-09
1992319065 Mariia Steffeny Nurse Practitioner 9000 W Wisconsin Ave, Milwaukee, WI 53226-4874 2020-09-04
1871106575 Elisabeth Mary Vogt Clinical Neuropsychologist 9000 W Wisconsin Ave, Milwaukee, WI 53226-4874 2020-08-24
1912517277 Theresa Lauer Kapke Psychologist 9000 W Wisconsin Ave, Milwaukee, WI 53226-4874 2020-08-03
1003425380 Khira Ahmed-yahia Nurse Practitioner 9000 W Wisconsin Ave, Milwaukee, WI 53226-4874 2020-07-23
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1912511155 Alexander Harlan Pharmacist 900 N 92nd St, Milwaukee, WI 53226 2020-09-04
1558985762 Armghan Haider Ans Student in an Organized Health Care Education/Training Program 9200 W. Wisconsin Ave. Froedtert Hospital & Medical Col, Milwaukee, WI 53226 2020-06-03
1669001103 Kimberly Tyler Student in an Organized Health Care Education/Training Program 8701 W Watertown Plank Road, Medical College of Wisconsin Dept of Internal Medicine, Wauwatosa, WI 53226 2020-04-06
1972131993 Francesca Meloy Devine Student in an Organized Health Care Education/Training Program Medical Education Office: Children's Corporate Center, 999 N. 92nd St., Suite 730, Milwaukee, WI 53226 2020-03-27
1285275248 Sharitta Alford Technician 12250 West North Avenue, Apartment 142b, Wauwatosa, WI 53226 2019-10-01
1619528023 Linda Marie Sabatinelli Technician 12107 W. Woodland Ave, Wauwatosa, WI 53226 2019-09-26
1598310195 Matthew Laviolette Surgery Medical College of Wisconsin, 8701 Watertown Plank Rd., Surgical Oncology, Milwaukee, WI 53226 2019-08-09
1962056432 Lyndsey Marie Bratberg Physician Assistant F&mcw Clinical Cancer Center 9200 W. Wisconsin Ave., Milwaukee, WI 53226 2019-08-01
1659832855 Benjamin David Seadler Surgery Mcw, Department of Surgery, 8701 Watertown Plank Road, Milwaukee, WI 53226 2019-03-29
1861953267 Michael Dryden Student in an Organized Health Care Education/Training Program 8701 Watertown Plank Rd., Milwaukee, WI 53226 2019-03-27
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1386257194 Harrison R Pham Physician Assistant 214 E Florida St Apt 526, Milwaukee, WI 53204-1657 2020-08-31
1942824602 Rebecca Frances Hasler Physician Assistant 2368 N Humboldt Blvd, Milwaukee, WI 53212-3524 2020-05-28
1194355784 Ashley Bishop Henning Physician Assistant 2350 N Lake Dr Ste 404, Milwaukee, WI 53211-4528 2020-01-22
1902457575 Kathryn Kasper Physician Assistant 2408 N Buffum St, Milwaukee, WI 53212-2902 2019-09-25
1972151314 Kelly J Meyer Physician Assistant 2900 W Oklahoma Ave Ste 414, Milwaukee, WI 53215-4330 2019-08-28
1659923795 Mikayla Preissner Physician Assistant 788 N Jefferson St Ste 401, Milwaukee, WI 53202-3718 2019-07-09
1245892124 Emily Mason Physician Assistant 2901 W Kk River Pkwy Ste 507, Milwaukee, WI 53215-3660 2019-07-01
1124513528 Kirby Kristine Hancock Physician Assistant 2350 N Lake Dr Ste 302, Milwaukee, WI 53211-4528 2018-06-27
1548785785 Anne Gustavson Physician Assistant 5500 W Brown Deer Rd Ste 400, Milwaukee, WI 53223-2265 2017-08-09
1205359973 Christina Marie Rende Physician Assistant 2350 N Lake Dr Ste 206, Milwaukee, WI 53211-4528 2017-07-24
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Competitor

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City MILWAUKEE
Zip Code 53226

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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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