KRISTIN M SCHROEDERUS (NPI# 1649314832) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649314832 |
| Entity Type | Individual |
| Full Name | KRISTIN M SCHROEDERUS |
| Credential | MD |
| Practice Address |
13133 N Port Washington Rd Suite G-18 Mequon WI 53097-2419 |
| Mailing Address |
788 N Jefferson St Suite 300/attn, Kaaren Butzen Milwaukee WI 53202-3718 |
| Practice Telephone | 2622435000 |
| Practice Fax Number | 2622435317 |
| Mailing Telephone | 4142728950 |
| Mailing Fax Number | 4142720859 |
| Enumeration Date | 2007-02-19 |
| Last Update Date | 2016-11-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207K00000X | Allergy & Immunology | 55114 | WI | Allopathic & Osteopathic Physicians |
| N | 2080P0201X |
Pediatrics Specialization: Pediatric Allergy/Immunology |
55114 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 1649314832 | 05 |
| Street Address |
13133 N PORT WASHINGTON RD SUITE G-18 |
| City | MEQUON |
| State | WI |
| Zip Code | 53097-2419 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982605226 | James Joseph Ansfield | Internal Medicine | 13133 N Port Washington Rd, Suite G-18, Mequon, WI 53097-2419 | 2005-08-09 |
| 1558713743 | Patrick M Schroeder | Physician Assistant | 13133 N Port Washington Rd, Suite 104, Mequon, WI 53097-2419 | 2016-07-12 |
| 1336506021 | The Sleep Wellness Institute Inc | Clinic/Center | 13133 N Port Washington Rd, Ste 104, Mequon, WI 53097-2419 | 2016-01-26 |
| 1770968521 | Patricia Kay Nelson | Nurse Practitioner | 13133 N Port Washington Rd, Suite G-18, Mequon, WI 53097-2419 | 2015-07-22 |
| 1497162317 | Kaitlin R. Ziemke | Nurse Practitioner | 13133 N Port Washington Rd, Suite G-18, Mequon, WI 53097-2419 | 2014-07-14 |
| 1578827960 | Elona Como | Physician Assistant | 13133 N Port Washington Rd, Suite 104, Mequon, WI 53097-2419 | 2012-06-29 |
| 1861754715 | Catherine Powers Zellmer | Physician Assistant | 13133 N Port Washington Rd, Suite G-16, Mequon, WI 53097-2419 | 2012-06-15 |
| 1326357815 | Erika L Mantsch | Physician Assistant | 13133 N Port Washington Rd, Suite G-16, Mequon, WI 53097-2419 | 2010-09-30 |
| 1518271956 | Csm Community Physician | Clinic/Center | 13133 N Port Washington Rd, Suite 122, Mequon, WI 53097-2419 | 2010-07-27 |
| 1285962605 | Candace Moore | Nurse Practitioner | 13133 N Port Washington Rd, Suite G-18, Mequon, WI 53097-2419 | 2009-11-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851512982 | Wendy S Balister | Dietitian, Registered | 13111 North Port Washington Rd, Mequon, WV 53097 | 2007-05-02 |
| 1902985922 | Lisa Lang | Counselor | 14135 North Cedarburg Road, Mequon, WI 53097 | 2006-11-02 |
| 1003915570 | Joan T Gnadt | Internal Medicine | 13133 N Port Washington Rd., Suite 111, Mequon, WI 53097 | 2006-09-21 |
| 1255439097 | Susan J Riegg | Pathology | 13111 N Port Washington Road, Mequon, WI 53097 | 2006-09-20 |
| 1891808887 | Gregory Eric Custer | Dentist | 13615 N Cedarburg Road, Mequon, WI 53097 | 2006-08-16 |
| 1114958600 | Richard K Karr | Orthopaedic Surgery | 13133n Port Washington Road, #216, Mequon, WI 53097 | 2006-07-05 |
| 1548204712 | Lauretta Lyon Schears | Occupational Therapist | 13111 N. Portwashington Rd, Mequon, WI 53097 | 2006-06-16 |
| 1235173337 | Sarah Marie Neman | Physical Therapy Assistant | 13111 N Prot Washington Rd., Mequon, WI 53097 | 2006-06-16 |
| 1538103643 | Elizabeth Gral Sullivan | Speech-Language Pathologist | 13111 North Port Washington Road, Mequon, WI 53097 | 2006-06-16 |
| 1952808701 | Lisa Lang LLC | Counselor | 14135 North Cedarburg Road, Mequon, WI 53097 | 2018-04-09 |
| Find all providers in zip 53097 | ||||
| Taxonomy Code | 207K00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. |
| Notes: Source: American Board of Medical Specialties, 2007, www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Allergy and Immunology, 2007. http://www.abai.org/ No subspecialty certificates in allergy and immunology are offered by the American Board of Allergy and Immunology (ABAI). The ABAI, however, does offer formal special pathways for physicians seeking dual certification in allergy/immunology and pediatric pulmonology; allergy/immunology and pediatric rheumatology; and allergy/immunology and adult rheumatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992917256 | Henry Robert Karlin | Allergy & Immunology | 10945 N Port Washington Rd, Suite #208, Mequon, WI 53092 | 2007-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922167402 | Green Bay Allergy Asthma & Immunology S.c. Oconto | Allergy & Immunology | 203 Smith Ave Ste 1, Oconto, WI 54153-1060 | 2006-12-08 |
| 1518032325 | Allergy and Asthma Associates, Sc | Allergy & Immunology | 436 - B East Longview Drive, Appleton, WI 54911 | 2006-11-21 |
| 1982712204 | Mark A Huftel | Allergy & Immunology | 2727 Plaza Drive, Wausau, WI 54401 | 2006-08-27 |
| 1477660009 | Allergy Research & Care Sc | Allergy & Immunology | 350 Green Tree Road, Glendale, WI 53217-3815 | 2006-08-23 |
| 1609898287 | Allergic Diseases Sc | Allergy & Immunology | 11121 West Oklahoma Avenue, West Allis, WI 53227 | 2006-07-24 |
| 1366475253 | Joseph George Zondlo | Allergy & Immunology | 2333 Riverside Dr., Green Bay, WI 54301 | 2006-07-07 |
| 1952333510 | Kulwant Singh Dhaliwal | Allergy & Immunology | 4906 39th Ave, Kenosha, WI 53144-2108 | 2006-07-06 |
| 1790720613 | Prohealth Care Medical Associates, Inc. | Allergy & Immunology | N17w24100 Riverwood Dr, Prohealth Care Medical Associates, Inc., Waukesha, WI 53188-1177 | 2006-06-17 |
| 1356393292 | Morton Soifer | Allergy & Immunology | 9466 N Broadmoor Rd, Bayside, WI 53217-1309 | 2006-05-17 |
| 1336192061 | Daniel F Wendelborn | Allergy & Immunology | 436 B East Longview Drive, Appleton, WI 54911 | 2006-05-17 |
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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.