KATIE UDENBERG (NPI# 1699121384) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699121384 |
| Entity Type | Individual |
| Full Name | KATIE UDENBERG |
| Credential | DO |
| Practice Address |
3085 Meadowlark Ln Ste 20 Altoona WI 54720-2656 |
| Mailing Address |
1000 Oakland Dr Kalamazoo MI 49008-1282 |
| Practice Telephone | 7157173350 |
| Mailing Telephone | 2693376019 |
| Enumeration Date | 2016-05-11 |
| Last Update Date | 2019-07-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 71438-21 | WI | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | 5151013225 | MI | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1000 Oakland Dr, Kalamazoo, MI 490081282 | 2693376019 |
| Street Address |
3085 MEADOWLARK LN STE 20 |
| City | ALTOONA |
| State | WI |
| Zip Code | 54720-2656 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811977929 | Laura Ann Smith | Pediatrics | 3085 Meadowlark Ln Ste 20, Altoona, WI 54720 | 2006-01-17 |
| 1063929321 | Becky Jean Komro | Nurse Practitioner | 3085 Meadowlark Ln Ste 20, Altoona, WI 54720-2656 | 2018-01-08 |
| 1235663030 | Danielle Marie Helmick | Family Medicine | 3085 Meadowlark Ln Ste 20, Altoona, WI 54720-2656 | 2017-04-18 |
| 1578097374 | Shavith Gabriel Samson | Family Medicine | 3085 Meadowlark Ln Ste 20, Altoona, WI 54720-2656 | 2017-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982155248 | The Bethany-st. Joseph Corporation D/b/a Prairie Pointe Rehab Suites | Skilled Nursing Facility | 286 N. Willson Dr, Altoona, WI 54720 | 2016-10-20 |
| 1821541046 | Stephanie Meyer | Optometrist | 3063 Meadowlark Ln, #10, Altoona, WI 54720 | 2016-07-25 |
| 1952756991 | Grace Lutheran Foundation Inc | Skilled Nursing Facility | 206 North Willson Drive, Altoona, WI 54720 | 2016-04-27 |
| 1669826095 | Grace Lutheran Foundation Inc | Skilled Nursing Facility | 286 North Willson Dr., Altoona, WI 54720 | 2016-04-22 |
| 1366881781 | Ingrid Ellen Schroeder | Occupational Therapy Assistant | 1203 Bartlett Avenue, Altoona, WI 54720 | 2013-06-19 |
| 1790972099 | Assisted Living Concepts Inc | Assisted Living Facility | 342 Twin Oak Drive, Altoona, WI 54720 | 2007-10-01 |
| 1427262302 | Amanda Lynn Busse | Occupational Therapy Assistant | 2512 New Pine Drive, Altoona, WI 54720 | 2007-05-09 |
| 1316954928 | Oral and Maxillofacial Surgery Asso of Eau Claire Sc | Oral & Maxillofacial Surgery | 788 Oakleaf Way, Altoona, WI 54720 | 2006-08-03 |
| 1740230838 | Jodi Hansen Ritsch | Family Medicine | 1476 Blazing Star Blvd, Suite 4, Altoona, WI 54720 | 2006-05-11 |
| 1225095508 | Kirsten L Taylor | Counselor | 2519 North Hillcrest Parkway, Suite 103, Altoona, WI 54720 | 2006-04-28 |
| Find all providers in zip 54720 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114021334 | Pediatric Healthcare Associates | Pediatrics | 615 6th Avenue, Altoona, PA 16602-2621 | 2006-09-08 |
| 1235158841 | Rakesh K Chopra | Pediatrics | 1224 7th Ave, Altoona, PA 16602-2402 | 2006-07-18 |
| 1811977929 | Laura Ann Smith | Pediatrics | 3085 Meadowlark Ln Ste 20, Altoona, WI 54720 | 2006-01-17 |
| 1013368125 | Allison Schneider | Pediatrics | 3119 Woodman Dr, Altoona, WI 54720-2668 | 2016-06-29 |
| 1134381767 | Blair Medical Associates | Pediatrics | 1414 9th Ave, Station Medical Center, Altoona, PA 16602-2415 | 2008-06-25 |
| 1659408375 | Ramesh K Chopra, M.d. | Pediatrics | 1224 7th Ave, Altoona, PA 16602-2402 | 2007-02-28 |
| 1750424594 | Blair Medical Associates | Pediatrics | 1414 9th Ave, Station Medical Center, Altoona, PA 16602-2415 | 2007-02-14 |
| 1265528251 | Naghma Husain | Pediatrics | 3119 Woodman Dr, Altoona, WI 54720-2668 | 2006-10-05 |
| 1174627327 | Adnan M Youssef | Pediatrics | 615 6th Avenue, Altoona, PA 16602 | 2006-09-11 |
| 1891899043 | Joseph Franklin D Cruz | Pediatrics | 615 6th Avenue, Altoona, PA 16602 | 2006-09-11 |
| Find all providers in ALTOONA | ||||
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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.