KENOSHA VASCULAR LABORATORY (NPI# 1922258540) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922258540 |
| Entity Type | Organization |
| Organization Name | KENOSHA VASCULAR LABORATORY |
| Practice Address |
6308 8th Ave Ste 301 Kenosha WI 53143-5031 |
| Practice Telephone | 2626568265 |
| Mailing Telephone | 2626568265 |
| Enumeration Date | 2008-09-19 |
| Last Update Date | 2008-09-19 |
| Authorized Official Name | ROSE M TECHERT (BILLING) |
| Authorized Official Telephone | 2626568265 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 22193 | WI | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | MEDICARE RAILROAD | 1376537993 | 01 |
| Street Address |
6308 8TH AVE STE 301 |
| City | KENOSHA |
| State | WI |
| Zip Code | 53143-5031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023262060 | Cook Medical Associates, Ltd | Specialist | 6308 8th Ave Ste 301, Kenosha, WI 53143-5031 | 2008-11-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891262275 | Shanda L Goecks | Registered Nurse | 6916 26th Ave, Kenosha, WI 53143 | 2018-10-24 |
| 1689942989 | Racine Kenosha Community Action Agency | Public Health or Welfare | 2000 63rd Street, Kenosha, WI 53143 | 2011-12-01 |
| 1538497797 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 7525 Sheridan Rd, Kenosha, WI 53143 | 2009-11-30 |
| 1497929012 | Ebba M Johnson | Physical Therapist | 524 74th Street, Kenosha, WI 53143 | 2008-04-15 |
| 1770789489 | Kenosha Community Health Center, Inc | Family Medicine | 6226 14th Ave, Kenosha, WI 53143 | 2007-06-21 |
| 1558413161 | Junith M Thompson | Obstetrics & Gynecology | 6530 Sheridan Road, Kenosha, WI 53143 | 2007-01-17 |
| 1154471332 | Ljh Ambulance, Inc | Ambulance | 6329 28th Ave, Kenosha, WI 53143 | 2007-01-11 |
| 1578625794 | Michael A Schellpfeffer Md Ob Gyn Sc | Obstetrics & Gynecology | 1400 75th Street, Kenosha, WI 53143 | 2006-12-14 |
| 1457468654 | Yasmine S Sido | Physician Assistant | 7550 22nd Ave, Kenosha, WI 53143 | 2006-08-24 |
| 1356307359 | Nancy Jane Houtchens | Dentist | 7533 22nd Ave, Ste 100, Kenosha, WI 53143 | 2006-04-26 |
| Find all providers in zip 53143 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396120051 | Kristin Lindstrom | Specialist | 4000 16th Ave, Kenosha, WI 53140-2445 | 2015-07-23 |
| 1194903518 | Midwest Center for Women's Health | Specialist | 10222 74th St Ste 200, Kenosha, WI 53142-6810 | 2008-02-07 |
| 1003967761 | Fred C Chiappetta | Specialist | 6821 39th Ave, Kenosha, WI 53142-7127 | 2007-01-16 |
| 1588650774 | Elizabeth Anne Fifield | Specialist | 10222 74th Street, Suite 200, Kenosha, WI 53142-6800 | 2005-09-22 |
| 1134360084 | Carol Margaret Michels | Specialist | 4103 60th St, Kenosha, WI 53144-2509 | 2009-03-23 |
| 1023262060 | Cook Medical Associates, Ltd | Specialist | 6308 8th Ave Ste 301, Kenosha, WI 53143-5031 | 2008-11-04 |
| 1932375466 | Rene Rillorta | Specialist | 3415 Sheridan Rd, Kenosha, WI 53140-1924 | 2008-05-05 |
| 1427185255 | Cook Medical Assoc Ltd | Specialist | 6308 8th Ave, Suite 301, Kenosha, WI 53143-5031 | 2007-02-28 |
| 1033246152 | Kenosha Vascular Lab Inc | Specialist | 6308 8th Ave, Suite 301, Kenosha, WI 53143-5031 | 2007-02-27 |
| 1770640617 | Jane Cary Pallin | Specialist | 10117 74th St, Suite 150, Kenosha, WI 53142-7533 | 2007-01-02 |
| Find all providers in KENOSHA | ||||
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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.