DR. MICHAEL JOSEPH KUKLINSKI (NPI# 1821383407) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821383407 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL JOSEPH KUKLINSKI |
| Credential | M.D. |
| Practice Address |
700 West Ave S La Crosse WI 54601-4783 |
| Mailing Address |
Po Box 1510 Eau Claire WI 54702-1510 |
| Practice Telephone | 6087850940 |
| Mailing Telephone | 7158385222 |
| Enumeration Date | 2011-06-13 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | P26382 | MD | Allopathic & Osteopathic Physicians |
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
67516-20 | WI | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2401 W Belvedere Ave, Baltimore, MD 212155216 | 4106019386 |
| Street Address |
700 WEST AVE S |
| City | LA CROSSE |
| State | WI |
| Zip Code | 54601-4783 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306848544 | Peter M Allen | Nurse Anesthetist, Certified Registered | 700 West Ave S, La Crosse, WI 54601-4783 | 2005-06-01 |
| 1386296028 | Samuel Joseph Weigel | Physical Therapist | 700 West Ave S, La Crosse, WI 54601-4783 | 2019-07-12 |
| 1861952939 | Nicole Mary Beine | Family Medicine | 700 West Ave S, La Crosse, WI 54601-4783 | 2019-03-23 |
| 1235608548 | Lindsay Ann Kochelek | Nurse Practitioner | 700 West Ave S, La Crosse, WI 54601-4783 | 2018-11-15 |
| 1508331604 | Rachel Kelsey Wontor | Dietitian, Registered | 700 West Ave S, La Crosse, WI 54601-4783 | 2018-10-04 |
| 1710498563 | Tori Erickson | Dietitian, Registered | 700 West Ave S, La Crosse, WI 54601-4783 | 2017-10-19 |
| 1144730458 | Bryn Hayes Daisy Borders | Nurse Anesthetist, Certified Registered | 700 West Ave S, La Crosse, WI 54601-4783 | 2017-10-02 |
| 1275052037 | Joshua Carl Laack | Nurse Anesthetist, Certified Registered | 700 West Ave S, La Crosse, WI 54601-4783 | 2017-09-13 |
| 1942741624 | Jamie Pronschinske | Dietitian, Registered | 700 West Ave S, La Crosse, WI 54601-4783 | 2017-03-15 |
| 1699222760 | Jacob Louis Clements | Nurse Anesthetist, Certified Registered | 700 West Ave S, La Crosse, WI 54601 | 2016-09-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891324265 | Meagan Mcrae | Student in an Organized Health Care Education/Training Program | 1725 State St., 4051 Health Science Center, La Crosse, WI 54601 | 2020-04-07 |
| 1255969671 | Erin Dingman | Student in an Organized Health Care Education/Training Program | 1751 State Street, 4051 Health Science Center, La Crosse, WI 54601 | 2020-03-31 |
| 1619505047 | Nicole Kay Lynch | Student in an Organized Health Care Education/Training Program | 4051 Health Science Center, 1725 State St, La Crosse, WI 54601 | 2020-03-31 |
| 1174151757 | Jenna Sells | Student in an Organized Health Care Education/Training Program | 4051 Health Science Center, 1725 State Street, La Crosse, WI 54601 | 2020-03-30 |
| 1740818301 | Katie Irene Tahtinen | Student in an Organized Health Care Education/Training Program | Uwl- 4051 Health Science Center, 1725 State St., La Crosse, WI 54601 | 2020-03-30 |
| 1932737517 | Margaret May Grimm | Student in an Organized Health Care Education/Training Program | Univesity of Wisconsin-la Crosse, 4051 Health Science Center, 1725 State Street, La Crosse, WI 54601 | 2020-03-30 |
| 1831727312 | Matthew Timothy Axler | Student in an Organized Health Care Education/Training Program | 4051 Health Science Center, 1725 State Street, La Crosse, WI 54601 | 2020-03-30 |
| 1093340473 | Denise Stinson | Technician | 1311 Badger St, Apt 505, La Crosse, WI 54601 | 2020-03-06 |
| 1922632397 | Ibrahim Ahsan | Pharmacist | 1105 Wi-16, La Crosse, WI 54601 | 2020-02-25 |
| 1750913356 | Liza R Collins | Massage Therapist | 1415 State Wi 16, La Crosse, WI 54601 | 2020-02-11 |
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| Taxonomy Code | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| 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/certification - 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 |
|---|---|---|---|---|
| 1215915970 | Kathryn Marie Moen | Pediatrics | 1836 South Ave, La Crosse, WI 54601-5429 | 2006-01-04 |
| 1588654081 | Dennis T Costakos | Pediatrics | 700 West Ave S, La Crosse, WI 54601-4783 | 2005-10-26 |
| 1285638049 | Jeffrey E Thompson | Pediatrics | 1836 South Ave, La Crosse, WI 54601-5429 | 2005-06-09 |
| 1689678443 | Suzanne S Toce | Pediatrics | 1836 South Ave, La Crosse, WI 54601-5429 | 2005-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164995494 | Emily Niederhauser | Pediatrics | 675 Highland Ave, Madison, WI 53792-0001 | 2019-01-09 |
| 1831455542 | Adam Steven Bauer | Pediatrics | H6 535 Csc Mailbox 4108, 600 Highland Avenue, Madison, WI 53792 | 2012-04-06 |
| 1831361716 | Janissa Kaye Muller | Pediatrics | 3070 N 51st St # P309, Milwaukee, WI 53210-1645 | 2008-03-31 |
| 1073635157 | Robert Michael Rock Jr. | Pediatrics | 835 S. Vanburen St., Green Bay, WI 54301 | 2007-04-06 |
| 1548393671 | Paul R Myers | Pediatrics | 120 2nd St, Chw-fv, Nicu, Neenah, WI 54956-2883 | 2007-03-14 |
| 1881761971 | Stephen Charles Ragatz | Pediatrics | 3070 N 51st St Ste 309, Suite 309, Milwaukee, WI 53210-1661 | 2006-11-30 |
| 1639264187 | Kyle Owen Mounts | Pediatrics | 3070 North 51st St., Suite P309, Milwaukee, WI 53210-1661 | 2006-10-03 |
| 1427166214 | Ash Mehra | Pediatrics | 635 N 35th St, Milwaukee, WI 53208-3872 | 2006-08-29 |
| 1255448817 | Sahar Katib Kayata | Pediatrics | 3070n.51 St, Ste 309, Milwaukee, WI 53210 | 2006-08-23 |
| 1174639546 | Kevin Eugene Halbert | Pediatrics | 3070 N. 51st Street, Suite P309, Milwaukee, WI 53210-1661 | 2006-08-21 |
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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.