IHC-OBSERVATION CARE LLC (NPI# 1093340986) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093340986 |
| Entity Type | Organization |
| Organization Name | IHC-OBSERVATION CARE LLC |
| Practice Address |
2301 N Lake Dr Milwaukee WI 53211-4508 |
| Mailing Address |
5565 Centerview Dr Ste 107 Raleigh NC 27606-3563 |
| Practice Telephone | 4145851000 |
| Mailing Telephone | 9732511132 |
| Enumeration Date | 2020-03-11 |
| Last Update Date | 2020-03-11 |
| Authorized Official Name | KATHLEEN KONDAS (OFFICER) |
| Authorized Official Telephone | 9732511132 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
2301 N LAKE DR |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53211-4508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659362101 | Ascension Wisconsin Pharmacy, Inc | Pharmacy | 2301 N Lake Dr, Milwaukee, WI 53211-4508 | 2005-11-03 |
| 1063023521 | Elizabeth Jaruseski | Nurse Practitioner | 2301 N Lake Dr, Milwaukee, WI 53211-4508 | 2020-08-10 |
| 1649880808 | Margaret Anne Germanotta | Nurse Practitioner | 2301 N Lake Dr, Milwaukee, WI 53211-4508 | 2020-08-03 |
| 1508476870 | Kristin Rebecca Kuester | Nurse Practitioner | 2301 N Lake Dr, Milwaukee, WI 53211-4508 | 2020-08-03 |
| 1104440882 | Megan Nicole Zainer | Student in an Organized Health Care Education/Training Program | 2301 N Lake Dr, Milwaukee, WI 53211-4508 | 2020-05-29 |
| 1366078404 | Lauren C Johnson | Occupational Therapist | 2301 N Lake Dr, Milwaukee, WI 53211-4508 | 2020-03-20 |
| 1992338446 | Ashley Kenney | Physician Assistant | 2301 N Lake Dr, Milwaukee, WI 53211-4508 | 2020-02-12 |
| 1457982985 | Ava Engberg | Physical Therapist | 2301 N Lake Dr, Milwaukee, WI 53211-4508 | 2020-02-03 |
| 1295376937 | Kimberly Anne Tuggle | Nurse Practitioner | 2301 N Lake Dr, Milwaukee, WI 53211-4508 | 2019-10-03 |
| 1164063996 | Jessica Esteves | Nurse Practitioner | 2301 N Lake Dr, Milwaukee, WI 53211-4508 | 2019-10-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821602335 | Gabriella Caitrin Emanuele | Occupational Therapist | Harborchase of Shorewood, 1111 E Capitol Drive, Shorewood, WI 53211 | 2020-09-02 |
| 1710527783 | Sage Specialty Pharmacy Inc. | Pharmacy | 4001 N. Oakland Ave, Shorewood, WI 53211 | 2020-01-08 |
| 1861043952 | Rosina Bloomingdale Norton | Nurse Practitioner | 1921 E Harford Ave, Milwaukee, WI 53211 | 2019-09-20 |
| 1528556255 | Renee Reckelberg | Specialist/Technologist | 3409 North Downer Avenue, Pavilion, Suite 350, Milwaukee, WI 53211 | 2018-04-27 |
| 1700325602 | Wisconsin Vision, Inc. | Optometrist | 4163 N Oakland Ave, Shorewood, WI 53211 | 2017-02-13 |
| 1750827556 | Daniel Butz M.d., S.c. | Plastic Surgery | 2350 N Lake Dr Ste 304, Milwaukee, WI 53211 | 2017-01-17 |
| 1528517232 | Therese Simonis | Speech-Language Pathologist | 2390 N Lake Drive, Milwaukee, WI 53211 | 2016-09-23 |
| 1982075701 | Katie Michel | Specialist/Technologist | 3409 N. Downer Ave, Milwaukee, WI 53211 | 2015-10-20 |
| 1255776365 | Sarah Elizabeth Brill | Social Worker | 4433 N Oakland Ave Ste D, Shorewood, WI 53211 | 2013-05-02 |
| 1679814537 | Nicole Anne Parulski | Physical Therapist | 2301 North Lake Dr, Milwaukee, WI 53211 | 2013-03-01 |
| Find all providers in zip 53211 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780115634 | Sean Anthony Mackman | Emergency Medicine | 9200 W Wisconsin Ave # 1p, Milwaukee, WI 53226-3522 | 2017-03-22 |
| 1992166821 | Nicholas W Hawley | Emergency Medicine | 3003 W Good Hope Rd # Bcm320, Milwaukee, WI 53209-2042 | 2016-03-20 |
| 1811384464 | Megan O Bedolla | Emergency Medicine | 2338 E Ohio Ave, Milwaukee, WI 53207 | 2015-04-21 |
| 1174848816 | Brian D Eiche | Emergency Medicine | 111 E. Wisconsin Ave. Ste 2100, Infinity Healthcare, Milwaukee, WI 53202 | 2010-04-06 |
| 1285963116 | Randall Levin | Emergency Medicine | 201 W Bergen Dr, Milwaukee, WI 53217-2308 | 2009-12-24 |
| 1003935925 | Andrea Michelle Kraus | Emergency Medicine | 3237 S 16th St Ste 100, Milwaukee, WI 53215-4526 | 2007-03-29 |
| 1427147990 | Nancy L. Dovin | Emergency Medicine | 2104 N Hi Mount Blvd, Milwaukee, WI 53208-1111 | 2006-10-12 |
| 1750304283 | Kimberly A Ridl | Emergency Medicine | 4500 National Ave, Milwaukee, WI 53295-0001 | 2006-07-25 |
| 1821013277 | Gail Hendley | Emergency Medicine | 500 W Chambers St, Milwaukee, WI 53212-2308 | 2006-07-13 |
| 1356396840 | Kelly Hedlund Kanter | Emergency Medicine | 111 E Wisconsin Avenue, Milwaukee, WI 53202-4815 | 2006-05-23 |
| Find all providers in MILWAUKEE | ||||
Please comment or provide details below to improve the information on IHC-OBSERVATION CARE LLC.
| 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.