WARREN H DE KRAAY SR. (NPI# 1649454489) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649454489 |
| Entity Type | Individual |
| Full Name | WARREN H DE KRAAY SR. |
| Credential | MD |
| Practice Address |
3325 Pleasant Lane Racine WI 53405 |
| Practice Telephone | 2625988377 |
| Mailing Telephone | 2625988377 |
| Enumeration Date | 2007-12-27 |
| Last Update Date | 2007-12-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
24147 | WI | Allopathic & Osteopathic Physicians |
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 24147 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 30422400 | 05 |
| Street Address |
3325 PLEASANT LANE |
| City | RACINE |
| State | WI |
| Zip Code | 53405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609407923 | Anita Kathy Nykaza | Dietitian, Registered | 3805 A Suite 311, Racine, WI 53405 | 2020-01-27 |
| 1023666062 | Shawn L Drulia | Physician Assistant | 3805 Spring St #320, Racine, WI 53405 | 2019-09-03 |
| 1235627720 | Oxygen One, Inc. | Durable Medical Equipment & Medical Supplies | 3805a Spring Street, Suite 210, Racine, WI 53405 | 2018-04-30 |
| 1356838650 | Melissa Metzger | Psychologist | 2340 Mohr Ave, Racine, WI 53405 | 2018-04-23 |
| 1689029217 | Melissa Ileen Swainston | Nurse Practitioner | 3803 Spring St., Suite Number 410, Racine, WI 53405 | 2016-05-02 |
| 1215305487 | Denetta Lauraelaine Flowers | Licensed Practical Nurse | 4311 Durand Ave., #104, Mt.pleasant, WI 53405 | 2015-09-04 |
| 1841675204 | Colleen Koderca | Registered Nurse | 3317-meachem Rd, Racine, WI 53405 | 2015-07-28 |
| 1790102986 | Georges Wakim | Specialist/Technologist | 3811 Spring St., Suite 102, Racine, WI 53405 | 2014-03-25 |
| 1982021176 | Matthew F Patzke | Specialist/Technologist | 3811 Spring Street Suite 102, Racine, WI 53405 | 2014-03-25 |
| 1073930269 | Jessica Geisler | Specialist/Technologist | 3811 Spring Street Suite #102, Racine, WI 53405 | 2014-03-25 |
| Find all providers in zip 53405 | ||||
| Taxonomy Code | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558922575 | David Richard Healy | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 900 W Clairemont Ave # West, Eau Claire, WI 54701-5105 | 2019-06-21 |
| 1225492986 | Mahmood Mirhoseini | Thoracic Surgery (Cardiothoracic Vascular Surgery) | N124w16862 Lovers Ln, Germantown, WI 53022-1924 | 2016-04-08 |
| 1427349075 | Amanda Leigh Eilers | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 425 Pine Ridge Blvd Ste 209, Wausau, WI 54401-4123 | 2011-04-29 |
| 1972730745 | Robert Cesar Gomez | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 63 Cambridge Rd, Madison, WI 53704-5961 | 2009-06-18 |
| 1518104470 | Green Bay Cardiothoracic & Vascular, LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 720 So. Vanburen Street, Suite 303, Green Bay, WI 54301 | 2009-01-14 |
| 1790921930 | Salvior Mok | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1818 N Meade St Ste N347, Appleton, WI 54911-3454 | 2008-12-17 |
| 1942496724 | Anselmo A Nunez | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2600 Stewart Ave Ste 148, Wausau, WI 54401-1403 | 2007-09-14 |
| 1164510871 | George R. Reiss IIi | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 700 S. Park St, Madison, WI 53715-1830 | 2006-10-10 |
| 1487667549 | Steven J Gerndt | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 720 S Webster Ave, Suite 303, Green Bay, WI 54301-3538 | 2006-08-13 |
| 1609889757 | Kevin A Greer | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 720 South Van Buren Street, Suite 303, Green Bay, WI 54301 | 2006-08-13 |
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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.