MR. WILLIAM T WHALEN IV (NPI# 1689091316) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689091316 |
| Entity Type | Individual |
| Full Name | MR. WILLIAM T WHALEN IV |
| Credential | C.O. |
| Practice Address |
5027 Green Bay Rd Suite 124 Kenosha WI 53144-1771 |
| Practice Telephone | 2626544300 |
| Practice Fax Number | 2626544305 |
| Mailing Telephone | 2626544300 |
| Mailing Fax Number | 2626544305 |
| Enumeration Date | 2014-03-19 |
| Last Update Date | 2014-03-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | 213000315 | IL | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760540314 | William Robert Whalen | Ophthalmology | 950 East Harvard Avenue, Suite 380, Denver, CO 80210-7005 | 2006-12-05 |
| 1255340121 | William Cc Whalen | Dentist | 801 N Salina St, Syracuse, NY 13208-2512 | 2006-08-07 |
| 1598111593 | William Whalen V | Counselor | 17 Court St, Boston, MA 02108-2601 | 2016-05-09 |
| 1912386871 | William Whalen II | Internal Medicine | 800 Washington St, Boston, MA 02111-1552 | 2015-05-26 |
| 1700155827 | William Francis Whalen | Pharmacy Technician | 1299 Broadway, El Cajon, CA 92021-4902 | 2011-12-19 |
| 1215231907 | William F Whalen | Physician Assistant | 255 W Lancaster Ave, Department of Surgery, Paoli, PA 19301-1763 | 2011-01-10 |
| Street Address |
5027 GREEN BAY RD SUITE 124 |
| City | KENOSHA |
| State | WI |
| Zip Code | 53144-1771 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376549980 | Douglas E Reichert | Prosthetist | 5027 Green Bay Rd, Ste 124, Kenosha, WI 53144-1771 | 2005-06-28 |
| 1619349883 | Brandy L Stork | Hearing Instrument Specialist | 5027 Green Bay Rd, Suite 104, Kenosha, WI 53144-1771 | 2015-10-27 |
| 1669682282 | Berglund Chiropractic Clinic Sc | Clinic/Center | 5027 Green Bay Rd, Ste 118, Kenosha, WI 53144-1771 | 2007-05-23 |
| 1316075377 | Susan L. Fleuchaus | Chiropractor | 5027 Green Bay Rd, Suite 110, Kenosha, WI 53144-1771 | 2007-03-01 |
| 1932217015 | Eileen Mary Berglund | Chiropractor | 5027 Green Bay Rd, Kenosha, WI 53144-1771 | 2006-08-28 |
| 1235247693 | Michael David Berglund | Chiropractor | 5027 Green Bay Rd, Ste 118, Kenosha, WI 53144-1771 | 2006-08-27 |
| 1508862129 | Reichert & Kelsey Prosthetics Orthotics LLC | Prosthetic/Orthotic Supplier | 5027 Green Bay Rd, Ste 124, Kenosha, WI 53144-1771 | 2005-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902410202 | Dpt Holdings LLC | Occupational Therapist | 3825 39th Ave #110, Kenosha, WI 53144 | 2020-09-03 |
| 1225641392 | Eunice Boatin | Social Worker | Kenosha Human Development Services, 3536 52nd Street, Kenosha, WI 53144 | 2020-08-28 |
| 1881250256 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 3621 Market Lane, Kenosha, WI 53144 | 2019-05-11 |
| 1124540067 | Kaitlyn King | Speech-Language Pathologist | 5219 88th Ave., Kenosha, WI 53144 | 2017-07-12 |
| 1174992721 | Claire Ann Adams | Acupuncturist | 5416 52nd Street, Kenosha, WI 53144 | 2015-09-24 |
| 1285017087 | Jessica Lynn Gillengerten | Acupuncturist | 4235 Green Bay Rd., Suite #10, Kenosha, WI 53144 | 2015-06-30 |
| 1750704656 | Amanda Kay Kreuzer | Occupational Therapy Assistant | 3109 30th Ave, Kenosha, WI 53144 | 2014-01-28 |
| 1841626785 | B7 Pharmacy Inc | Pharmacy | 3825 39th Ave Ste 100, Kenosha, WI 53144 | 2013-09-24 |
| 1124326764 | Wisconsin Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3710 57th Ave, Kenosha, WI 53144 | 2011-03-07 |
| 1982931291 | Roman Bilak | General Practice | 4126 - 7th Street, Kemosha, WI 53144 | 2009-11-06 |
| Find all providers in zip 53144 | ||||
| Taxonomy Code | 335E00000X |
| Grouping | Suppliers |
| Classification | Prosthetic/Orthotic Supplier |
| An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285908624 | Reichert Prosthetics & Orthotics, LLC | Prosthetic/Orthotic Supplier | 5027 Green Bay Rd Ste 124, Kenosha, WI 53144-1771 | 2012-03-02 |
| 1467592758 | Chiappetta Shoes Inc | Prosthetic/Orthotic Supplier | 6821 39th Ave, Kenosha, WI 53142-7127 | 2007-02-07 |
| 1740255611 | Actra Rehabilitation Associates Inc | Prosthetic/Orthotic Supplier | 7201 Green Bay Rd, Kenosha, WI 53142-3522 | 2006-02-22 |
| 1508862129 | Reichert & Kelsey Prosthetics Orthotics LLC | Prosthetic/Orthotic Supplier | 5027 Green Bay Rd, Ste 124, Kenosha, WI 53144-1771 | 2005-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255932604 | Cassie Mae Mathis | Prosthetic/Orthotic Supplier | W1643 Greiner Rd, Freedom, WI 54130-7943 | 2020-11-03 |
| 1649648973 | Nordstrom | Prosthetic/Orthotic Supplier | 2424 N Mayfair Rd, Wauwatosa, WI 53226-1410 | 2015-09-03 |
| 1841698834 | Srt Prosthetics & Orthotics LLC | Prosthetic/Orthotic Supplier | 5220 S 27th St., Milwaukee, WI 53221 | 2014-12-08 |
| 1073807475 | Ralph's Shoes | Prosthetic/Orthotic Supplier | 336 Water St, Eau Claire, WI 54703-6132 | 2011-06-02 |
| 1982904769 | Better Balance LLC | Prosthetic/Orthotic Supplier | 2629 E Clairemont Ave, Eau Claire, WI 54701-6726 | 2010-10-27 |
| 1861718744 | Ripon Medical Center | Prosthetic/Orthotic Supplier | 165 W Huron St, Berlin, WI 54923-1590 | 2010-04-16 |
| 1225352172 | Hickok Rehab Services LLC | Prosthetic/Orthotic Supplier | 314 N Washington St, Thorp, WI 54771-9531 | 2010-03-22 |
| 1376866954 | Hickok Rehab Services LLC | Prosthetic/Orthotic Supplier | 831 Dallas St, Chetek, WI 54728-5811 | 2010-03-10 |
| 1124356993 | Natural Tresses LLC | Prosthetic/Orthotic Supplier | 2011 N Richmond St, Appleton, WI 54911-2771 | 2009-12-05 |
| 1356571509 | Fox River Pedorthics, LLC | Prosthetic/Orthotic Supplier | 222b N Milwaukee St, Waterford, WI 53185-4312 | 2009-07-22 |
| Find all providers with the same taxonomy | ||||
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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.