KYLE MERICLE (NPI# 1073942561) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073942561 |
| Entity Type | Individual |
| Full Name | KYLE MERICLE |
| Credential | AA |
| Practice Address |
4025 N 92nd St Wauwatosa WI 53222-1613 |
| Practice Telephone | 4143585431 |
| Mailing Telephone | 4143585431 |
| Enumeration Date | 2013-11-05 |
| Last Update Date | 2020-01-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367H00000X | Anesthesiologist Assistant | 37 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 100033633 | 05 |
| Street Address |
4025 N 92ND ST |
| City | WAUWATOSA |
| State | WI |
| Zip Code | 53222-1613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720063738 | Christine M. Nervi | Nurse Anesthetist, Certified Registered | 4025 N 92nd St, Wauwatosa, WI 53222-1613 | 2005-12-13 |
| 1932654696 | Stephanie Diane Kilps | Physician Assistant | 4025 N 92nd St, Wauwatosa, WI 53222-1613 | 2016-08-23 |
| 1124429022 | Timothy Klusman | Anesthesiologist Assistant | 4025 N 92nd St, Wauwatosa, WI 53222-1613 | 2014-09-10 |
| 1447661673 | Katherine M Karczewski | Nurse Practitioner | 4025 N 92nd St, Lower Level, Wauwatosa, WI 53222 | 2014-05-09 |
| 1013343730 | Sarah J Parve | Nurse Practitioner | 4025 N 92nd St, Wauwatosa, WI 53222-1613 | 2013-09-26 |
| 1528407376 | Brian A White | Anesthesiologist Assistant | 4025 N 92nd St, Wauwatosa, WI 53222-1613 | 2013-06-14 |
| 1356685515 | Erin E Taylor | Anesthesiologist Assistant | 4025 N 92nd St, Wauwatosa, WI 53222-1613 | 2012-11-12 |
| 1003167008 | Anna Janulewicz | Anesthesiologist Assistant | 4025 N 92nd St, Wauwatosa, WI 53222-1613 | 2012-10-01 |
| 1669723664 | John G Rippy | Anesthesiologist Assistant | 4025 N 92nd St, Wauwatosa, WI 53222-1613 | 2012-10-01 |
| 1306112305 | Khalid Ghazi Al Abdul Raheem | Anesthesiology | 4025 N 92nd St, Wauwatosa, WI 53222-1613 | 2012-03-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477101673 | Dalaina Y Holliman | Technician | 7719 W Fiebrantz Ave, Milwaukee, WI 53222 | 2019-08-30 |
| 1083183016 | Umenia Marie White | Respite Care | 7726 W. Center Street, Apt 1, Milwaukee, WI 53222 | 2018-11-20 |
| 1003399445 | For Eyes Optical Co of Pennsylvania | Eyewear Supplier (Equipment, not the service) | 11450 W. Burleigh St, Wauwatosa, WI 53222 | 2018-09-12 |
| 1558852673 | Joseph Fleming | Physical Therapist | 11450 W Burleigh St, Ste 120, Wauwatosa, WI 53222 | 2018-05-24 |
| 1942739206 | Yolanda D. Burdine | Licensed Practical Nurse | 8327 W. Center St., Apt. 2, Milwaukee, WI 53222 | 2017-06-08 |
| 1558807131 | Midwest Nephrology Associates, Sc | Clinic/Center | 7797 W Appleton Avenue, Milwaukee, WI 53222 | 2017-01-06 |
| 1477097269 | Benjamin David Kluge | Pharmacist | 11111 W Burleigh Rd, Wauwatosa, WI 53222 | 2016-12-13 |
| 1841746989 | Elissa Hornick | Physician Assistant | 2885 N. Mayfair Rd., Wauwatosa, WI 53222 | 2016-08-29 |
| 1598218562 | Riley's Residential Home Care, LLC | In Home Supportive Care | 10111 W. Capitol Dr, Wauwatosa, WI 53222 | 2016-07-26 |
| 1346696796 | Respiratory and Sleep Services LLC | Durable Medical Equipment & Medical Supplies | 6529 W Fond Du Lac Avenue, Milwaukee, WI 53222 | 2016-05-04 |
| Find all providers in zip 53222 | ||||
| Taxonomy Code | 367H00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Anesthesiologist Assistant |
| An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134675358 | Kojo Bempong | Anesthesiologist Assistant | Ahcmg Anesthesiology, 4025 North 92nd Street, Wauwatosa, WI 53022 | 2016-08-28 |
| 1124429022 | Timothy Klusman | Anesthesiologist Assistant | 4025 N 92nd St, Wauwatosa, WI 53222-1613 | 2014-09-10 |
| 1528407376 | Brian A White | Anesthesiologist Assistant | 4025 N 92nd St, Wauwatosa, WI 53222-1613 | 2013-06-14 |
| 1356685515 | Erin E Taylor | Anesthesiologist Assistant | 4025 N 92nd St, Wauwatosa, WI 53222-1613 | 2012-11-12 |
| 1003167008 | Anna Janulewicz | Anesthesiologist Assistant | 4025 N 92nd St, Wauwatosa, WI 53222-1613 | 2012-10-01 |
| 1669723664 | John G Rippy | Anesthesiologist Assistant | 4025 N 92nd St, Wauwatosa, WI 53222-1613 | 2012-10-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962054668 | Brandon Camel | Anesthesiologist Assistant | 619 N Segoe Rd, Madison, WI 53705-3112 | 2019-07-12 |
| 1407329428 | Kayla M Hickmann | Anesthesiologist Assistant | 5311 S Ridge Way Apt 204, Middleton, WI 53562-1244 | 2019-01-03 |
| 1730637976 | William Brett Organ | Anesthesiologist Assistant | 2915 E Wanda Ave, Cudahy, WI 53110-2536 | 2016-09-16 |
| 1669857660 | Cayla Joanne Dittmer | Anesthesiologist Assistant | 818 N Star Dr Apt 119, Madison, WI 53718-3011 | 2015-07-21 |
| 1891761383 | William L Campbell | Anesthesiologist Assistant | 4830 Woodburn Dr, Madison, WI 53711-1346 | 2006-02-24 |
| 1366418840 | Jamie F Fridirici | Anesthesiologist Assistant | 9401 Whippoorwill Way, Middleton, WI 53562-5643 | 2006-02-24 |
| 1790392736 | Rachel Mcallister | Anesthesiologist Assistant | 600 Highland Ave, Madison, WI 53792-0001 | 2020-09-24 |
| 1831705664 | Fauzan Ali | Anesthesiologist Assistant | 2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 | 2020-09-17 |
| 1942815063 | Riley S Bertram | Anesthesiologist Assistant | 202 South Park Street, 4 Tower, Madison, WI 53715 | 2020-09-15 |
| 1255941746 | Cassandra Toellner | Anesthesiologist Assistant | 744 S Webster Ave, Green Bay, WI 54301-3505 | 2020-08-09 |
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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.