NOELLE C KISTING (NPI# 1649378969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649378969 |
| Entity Type | Individual |
| Full Name | NOELLE C KISTING |
| Other Name | NOELLE DUNN |
| Credential | MD |
| Practice Address |
375 W River Woods Pkwy Glendale WI 53212-1080 |
| Mailing Address |
4425 N Port Washington Rd Attn: Clinic Credentialing Glendale WI 53212-1082 |
| Practice Telephone | 4149637100 |
| Practice Fax Number | 4149637101 |
| Mailing Telephone | 4149637100 |
| Mailing Fax Number | 4149637101 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2012-12-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 38033 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 32339300 | 05 |
| Street Address |
375 W RIVER WOODS PKWY |
| City | GLENDALE |
| State | WI |
| Zip Code | 53212-1080 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275506081 | Thorsteinn Skulason | Dermatology | 375 W River Woods Pkwy, Suite 116, Glendale, WI 53212-1080 | 2006-02-10 |
| 1194330712 | Columbia St. Mary's Hospital Milwaukee, Inc | Family Medicine | 375 W River Woods Pkwy, Glendale, WI 53212-1080 | 2020-09-10 |
| 1992160626 | Ihc-urgent Care Services LLC | Physician Assistant | 375 W River Woods Pkwy, Glendale, WI 53212-1080 | 2015-12-23 |
| 1346330826 | Mary D Washburne | Family Medicine | 375 W River Woods Pkwy, Glendale, WI 53212-1080 | 2006-10-13 |
| 1558462036 | Leah Taylor Donovan | Nurse Practitioner | 375 W River Woods Pkwy, Suite 205, Glendale, WI 53212-1080 | 2006-09-26 |
| 1376565267 | Manish J. Gharia | Dermatology | 375 W River Woods Pkwy, Glendale, WI 53212-1080 | 2006-07-23 |
| 1215980941 | Valerie B. Lyon | Dermatology | 375 W River Woods Pkwy, Suite 116, Glendale, WI 53212-1080 | 2006-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609481001 | Beth Leanna | Counselor | Benedict Center 1849 N Dr. Marin Luther King Dr., Suite 101, Milwaukee, WI 53212 | 2020-09-11 |
| 1326683749 | A.b.d.h. Counseling Services LLC | Clinic/Center | 518 E Concordia Avenue, Milwaukee, WI 53212 | 2019-11-08 |
| 1467095703 | Ifrah Hameed | Psychologist | 1849 N Doctor M.l.k. Jr Dr# 101, Milwaukee, WI 53212 | 2019-10-18 |
| 1386293330 | Rachel Mae Nelson Bagha | Student in an Organized Health Care Education/Training Program | 1849 N Doctor M.l.k. Jr Dr #101, Milwaukee, WI 53212 | 2019-09-11 |
| 1164085205 | Mary Sue Daase Bowen | Counselor | 2821 N 4th Street, Milwaukee, WI 53212 | 2019-04-15 |
| 1649733189 | Stacey King | Counselor | Rivershore Comprehensive Treatment Facility, 3703 N Richards St, Milwaukee Wi, Milwaukee, WI 53212 | 2019-04-11 |
| 1710447701 | Scott William Stauder | Student in an Organized Health Care Education/Training Program | 1121 E. North Ave., Milwaukee, WI 53212 | 2019-03-25 |
| 1821561168 | Lydia Ann Mendez | Counselor | 3703 N Richards St, Milwaukee, WI 53212 | 2019-01-09 |
| 1851863302 | Glen Victor Fleming | Counselor | 2821 North 4th Street Suite 210, Milwaukee, WI 53212 | 2018-12-21 |
| 1093285140 | Megan Marie Volp | Advanced Practice Midwife | 2555 N Doctor M.l.k. Jr Dr, Milwaukee, WI 53212 | 2018-12-03 |
| Find all providers in zip 53212 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
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| 1356967327 | Kristian Adair | Family Medicine | 7200 W Bell Rd Ste E102, Glendale, AZ 85308-8534 | 2020-06-24 |
| 1336761295 | Glendale Whole Health | Family Medicine | 230 N Maryland Aave #110, Glendale, CA 91206 | 2020-05-14 |
| 1053930248 | Shine Mmg Inc | Family Medicine | 450 N Brand Blvd Ste 625a, Glendale, CA 91203-2347 | 2020-04-08 |
| 1497381446 | Leonardo C Ortiz Md A Medical Corporation | Family Medicine | 2145 Ashington Dr, Glendale, CA 91206-1140 | 2020-03-20 |
| 1508498130 | Nare Stepanyan Md Inc | Family Medicine | 1030 S Glendale Ave Ste 503, Glendale, CA 91205-2820 | 2020-02-11 |
| 1194368530 | Carolyn Kathan | Family Medicine | 3732 W Charleston Ave, Glendale, AZ 85308-2708 | 2019-10-17 |
| 1932740966 | Starcare Homes LLC | Family Medicine | 9416 W Colter St, Glendale, AZ 85305-3373 | 2019-10-01 |
| 1871050559 | Mensa Family Clinic Inc | Family Medicine | 1110 S Glendale Ave Ste E, Glendale, CA 91205-5623 | 2019-02-28 |
| 1891279907 | Denise M Gomez | Family Medicine | 7200 W Bell Rd Unit 101, Glendale, AZ 85308-8529 | 2018-09-24 |
| 1427537299 | Brilliant Health Center Inc | Family Medicine | 1014 E Colorado St, Glendale, CA 91205-1226 | 2018-08-12 |
| Find all providers in GLENDALE | ||||
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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.