KIRK O'HANISON


Address: 1020 Oconomowoc Pkwy Unit B, Oconomowoc, WI 53066-4616
Phone: 2623543100

KIRK O'HANISON (NPI# 1649877663) 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) 1649877663
Entity Type Individual
Full Name KIRK O'HANISON
Credential NP
Practice Address 1020 Oconomowoc Pkwy Unit B
Oconomowoc
WI 53066-4616
Practice Telephone 2623543100
Practice Fax Number 2623543101
Mailing Telephone 2623543100
Mailing Fax Number 2623543101
Enumeration Date 2020-10-02
Last Update Date 2020-10-02
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
10431-33 WI Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
17043 W Greenfield Ave, New Berlin, WI 531511364 2625056260 2625056261

Office Location

Street Address 1020 OCONOMOWOC PKWY UNIT B
City OCONOMOWOC
State WI
Zip Code 53066-4616

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1376109082 Sharon Legwinski Occupational Therapist 2195 N. Summit Way, Oconomowoc, WI 53066 2019-05-17
1033676390 Paladina Health, LLC Family Medicine Paladina Health Oconomowoc Sentry Equipment Circle, 966 Blue Ribbon Circle N, Oconomowoc, WI 53066 2019-02-22
1689145500 Oconomowoc Developmental Training Center of Wisconsin LLC Residential Treatment Facility, Emotionally Disturbed Children 36100 Genesee Lake School, Oconomowoc, WI 53066 2018-12-17
1649748203 Ginny Dacquisto Dietitian, Registered 1134 Lily Rd, Oconomowoc, WI 53066 2018-11-12
1174000764 Aimee M Metzger Social Worker 405 E Forest St Ste 113, Oconomowoc, WI 53066 2018-07-26
1023482569 Forefront Dermatology, S.c. Dermatology 1320 Pabst Farms Cir, Suite 180, Oconomowoc, WI 53066 2015-11-20
1962890475 Monica Rodriguez Counselor 405 East Forest Street, Suite 119, Oconomowoc, WI 53066 2015-01-06
1518384643 Kimberley Bevan Pharmacist 1284 East Summit Avenue, Suite 100, Oconomowoc, WI 53066 2014-03-26
1699098905 Heidi Eckroth Nunnemacher Counselor 35315 Genesee Lake Road, Oconomowoc, WI 53066 2010-03-02
1669705240 Oconomowoc Development Training Center Ll Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 3222 N. Silver Cedar Rd., Oconomowoc, WI 53066 2009-09-14
Find all providers in zip 53066

Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1497352090 Carlotta Williams Nurse Practitioner 1205 Juniper Ln, Oconomowoc, WI 53066-3100 2020-10-06
1205365962 Lyndsey Christenson Nurse Practitioner 1020 Oconomowoc Pkwy Ste B, Oconomowoc, WI 53066-4621 2017-06-07
1427103845 Diane Ruth Smith Nurse Practitioner N606 Westview Dr, Oconomowoc, WI 53066-9311 2007-01-24

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1982203857 Tiera Manuel Nurse Practitioner 3956 N 28th St, Milwaukee, WI 53216-2637 2020-10-22
1801494778 Tajana Jovicic Nurse Practitioner 3157 S 66th St, Milwaukee, WI 53219-4105 2020-10-13
1932706611 Rachel Sullivan Nurse Practitioner 304 E Northlawn Dr, Cottage Grove, WI 53527-8917 2020-10-05
1780291401 Carlie Dell Nurse Practitioner 1636 Industrial Pkwy N, Marinette, WI 54143-3703 2020-09-27
1093320459 Tyronda T Gray Nurse Practitioner 5833 N 117th St, Milwaukee, WI 53225-2207 2020-09-12
1629683065 Yia Lor Nurse Practitioner 3750 Summerset Way Apt 1, Oshkosh, WI 54901-0501 2020-09-11
1245844364 Asia Ann Gomez Nurse Practitioner 2816 E Allison Ave, Cudahy, WI 53110-2541 2020-09-04
1861005837 Clair Roser Rivera Nurse Practitioner 3734 W Ohio Ave, Milwaukee, WI 53215-4047 2020-08-28
1568074359 Jamie Kivisto Nurse Practitioner S75w16775 Jacob Ct Apt 24, Muskego, WI 53150-8628 2020-08-21
1154933729 Mariska Vandenbergh Nurse Practitioner 11002 Lakeshore Dr, Pleasant Prairie, WI 53158-5200 2020-08-17
Find all providers with the same taxonomy

Competitor

Search similar providers

City OCONOMOWOC
Zip Code 53066

Improve Information

Please comment or provide details below to improve the information on KIRK O'HANISON.

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.

Trending Searches