KENNETH GERARD GILBERTSON II


Address: 6815 118th Ave, Kenosha, WI 53142-8420
Phone: 2628575600

KENNETH GERARD GILBERTSON II (NPI# 1811150923) 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) 1811150923
Entity Type Individual
Full Name KENNETH GERARD GILBERTSON II
Credential M.D.
Practice Address 6815 118th Ave
Kenosha
WI 53142-8420
Practice Telephone 2628575600
Practice Fax Number 2628571171
Mailing Telephone 2628575600
Mailing Fax Number 2628571171
Enumeration Date 2008-07-08
Last Update Date 2016-12-28
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207N00000X Dermatology 56044 WI Allopathic & Osteopathic Physicians
N 207N00000X Dermatology 2008013839 MO Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
WI RR MEDICARE P01084488 01

Office Location

Street Address 6815 118TH AVE
City KENOSHA
State WI
Zip Code 53142-8420

Providers in the same location

NPI Name Taxonomy Address Enumeration
1558312207 Estil Strawn Obstetrics & Gynecology 6815 118th Ave, Kenosha, WI 53142-8420 2006-05-15
1578713343 Cyril N Philip Anesthesiology 6815 118th Ave, Kenosha, WI 53142-8420 2008-09-29
1801094313 Saba J Kadlec Ophthalmology 6815 118th Ave, Kenosha, WI 53142-8420 2007-07-05
1407876840 Aurora Health Care Ventures Inc Eyewear Supplier (Equipment, not the service) 6815 118th Ave, Suite 125, Kenosha, WI 53142-8420 2006-07-20

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1588297816 Caring Hearts Home Health Care In Home Supportive Care 6021-57th Ave, Suite C103, Kenosha, WI 53142 2020-02-14
1144785395 Michael L Wrzesinski Counselor 4109 67th Street, Kenosha, WI 53142 2019-02-01
1720538499 David Smith Counselor 10900 67th Street, Kenosha, WI 53142 2016-10-06
1326404641 Smile Doctors Ltd Dentist 7003 39th Ave, Kenosha, WI 53142 2016-01-04
1225409485 Antonia Marie Decker Physician Assistant 10400 75th St. Ste 204, Kenosha, WI 53142 2015-10-14
1780060582 Joshua Haas Pharmacist 7701 Green Bay Road, Kenosha, IL 53142 2015-08-04
1811379225 Dana Mary Stout Registered Nurse 7401 104th Avenue, Suite 110, Comprehensive Orthopaedics, S.c., Kenosha, WI 53142 2015-06-22
1669815569 Joshua Knute Elson Radiology 6811 118th Ave, Kenosha, WI 53142 2013-04-10
1356610166 Michael J Gallo Pharmacist 7535 North Greenbay Rd, Kenosha, WI 53142 2011-12-22
1720357999 Orest Carnevale Registered Nurse 7316 155th Ct, Kenosha, WI 53142 2011-12-18
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Taxonomy Information

Taxonomy Code 207N00000X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology

Taxonomy Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1699924100 Giacomo Maggiolino Dermatology 8501 75th St Ste J, Kenosha, WI 53142-7602 2008-09-09
1508853185 Eric Marsh Dermatology 8501 75th St, Suite J, Kenosha, WI 53142-7602 2005-09-29
1124312699 Forefront Dermatology, S.c. Dermatology 5017 Green Bay Rd, Suite 138, Kenosha, WI 53144 2011-06-02
1891990974 Marjorie Frances Yang Dermatology 5017 Green Bay Rd, Suite 138, Kenosha, WI 53144-1782 2007-06-18

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1174016596 Dermatology and Cosmetic Physicians, Sc Dermatology W5192 Rienzi Rd, Fond Du Lac, WI 54935-9603 2018-06-11
1194248013 Kyle Erick Rudningen Dermatology Uw Hosptials & Clinics 600 Highland Ave, Madison, WI 53792 2017-07-23
1194255521 Rhonda Ganansky Dermatology W1383 N Bloomfield Rd, Lake Geneva, WI 53147-4429 2017-06-18
1356891402 Forefront Dermatology, S.c. Dermatology 1515 S Green Bay Rd, Racine, WI 53406 2016-10-12
1982066239 Margaret Coleman Maxi Dermatology 188 Rockwood Ln Ste A, Neenah, WI 54956-1983 2016-03-25
1447612312 Andrew C Duncanson Dermatology 510 N 17th Ave Ste C, Wausau, WI 54401-4281 2016-03-22
1225411481 Gabriela A Maloney Dermatology 17100 W North Ave Ste 200, Brookfield, WI 53005-4489 2015-07-07
1043604424 Marthe Ngongang Dika Dermatology 10500 W Loomis Rd Ste 110, Franklin, WI 53132-8030 2015-03-24
1902205206 Affiliated Dermatologists Dermatology N96w17035 Division Rd, Suite A, Germantown, WI 53022-6419 2014-08-22
1568882793 Kassandra E Holzem Dermatology 195 Discovery Dr, Brookfield, WI 53045 2014-04-28
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City KENOSHA
Zip Code 53142

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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.

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