MELISSA KENEVAN (NPI# 1114314838) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114314838 |
| Entity Type | Individual |
| Full Name | MELISSA KENEVAN |
| Credential | MD |
| Practice Address |
1400 Bellinger St Eau Claire WI 54703-5222 |
| Mailing Address |
Po Box 1510 Eau Claire WI 54702-1510 |
| Practice Telephone | 7158385222 |
| Mailing Telephone | 7158385222 |
| Enumeration Date | 2015-04-21 |
| Last Update Date | 2020-10-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | 61462 | MN | Allopathic & Osteopathic Physicians |
| Y | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
74039 | WI | Allopathic & Osteopathic Physicians |
| N | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
61462 | MN | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 200 1st St Sw, Rochester, MN 559050001 | 5072842511 |
| Street Address |
1400 BELLINGER ST |
| City | EAU CLAIRE |
| State | WI |
| Zip Code | 54703-5222 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467456848 | Ganesh Ram | Physician Assistant | 1400 Bellinger St, Eau Claire, WI 54703-5222 | 2005-06-13 |
| 1467050807 | Rachel E Ciresi | Physical Therapist | 1400 Bellinger St, Eau Claire, WI 54703-5222 | 2020-10-16 |
| 1427668805 | Taran Allan Brody | Speech-Language Pathologist | 1400 Bellinger St, Eau Claire, WI 54703-5222 | 2020-07-31 |
| 1720608300 | John Anthony Zadroga | Family Medicine | 1400 Bellinger St, Eau Claire, WI 54703-5222 | 2020-04-23 |
| 1982223541 | Michelle Botts Olson | Family Medicine | 1400 Bellinger St, Eau Claire, WI 54703-5222 | 2020-04-14 |
| 1003435728 | Sarah Hotovy | Family Medicine | 1400 Bellinger St, Eau Claire, WI 54703-5222 | 2020-04-13 |
| 1730708520 | Sasha Marie Ulrich | Family Medicine | 1400 Bellinger St, Eau Claire, WI 54703-5222 | 2020-04-11 |
| 1134757248 | Rajani Kasana | Family Medicine | 1400 Bellinger St, Eau Claire, WI 54703-5222 | 2020-04-01 |
| 1902439813 | Jessica Ewing | Nurse Practitioner | 1400 Bellinger St, Eau Claire, WI 54703-5222 | 2020-02-19 |
| 1366075756 | Kayla Sue Meixner | Occupational Therapist | 1400 Bellinger St, Eau Claire, WI 54703-5222 | 2020-02-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114535929 | Eclipse Counseling LLC | Clinic/Center | 1136 Barron St, Eau Claire, WI 54703 | 2020-07-17 |
| 1982261012 | Melissa Mae Jenneman | Social Worker | 306 Broadway Street, Eau Claire, WI 54703 | 2019-05-23 |
| 1396217014 | Jennifer Grace Joos | Case Manager/Care Coordinator | 2523 Diane Ln, Eau Claire, WI 54703 | 2018-12-19 |
| 1811437346 | Phillip Dolan | Specialist/Technologist | 2801 E Princeton Ave, Eau Claire, WI 54703 | 2017-03-02 |
| 1467830463 | Ryan Behnke | Specialist/Technologist | 725 Hudson St., Eau Claire, WI 54703 | 2015-05-11 |
| 1366737769 | Eric D. Carlson | Dentist | 1020 Menomonie Street, Eau Claire, WI 54703 | 2011-06-14 |
| 1669782587 | Jennifer Jean Andersen | Registered Nurse | 2027 West Ridge Dr., Eau Claire, WI 54703 | 2010-10-13 |
| 1407011257 | Scott R Lau | Hearing Instrument Specialist | 1802 Galloway Street, Eau Claire, WI 54703 | 2008-07-22 |
| 1134316615 | Robert G Grayson | Dentist | 2725 Morningside Dr, Eau Claire, WI 54703 | 2007-09-28 |
| 1689880858 | Okie Earl Allen | Hearing Instrument Specialist | 616 Lamplighter Ct, Eau Claire, WI 54703 | 2007-05-15 |
| Find all providers in zip 54703 | ||||
| Taxonomy Code | 208VP0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Pain Medicine |
| Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient’s pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies. |
| Notes: Source: American Academy of Pain Medicine, www.painmed.org - Additional Resources:The American Board of Pain Medicine provides Board Certification. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720574288 | Wisconsin Pain Management Specialists, LLC | Pain Medicine | 1050 S. Milwaukee Avenue, Suite 102, Burlington, WI 53105 | 2018-07-09 |
| 1598201964 | Baycare Clinic, LLP | Pain Medicine | 2411 Holmgren Way, Green Bay, WI 54304-5224 | 2017-01-10 |
| 1427430602 | Zezenya Health Care S.c. | Pain Medicine | 5114 S 27th St # 763, Milwaukee, WI 53221 | 2015-06-24 |
| 1023307105 | Peggy Young Kim | Pain Medicine | 215 S Century Ave Apt 113, Waunakee, WI 53597-1249 | 2011-03-29 |
| 1003889130 | Milwaukee Pain Treatment Services | Pain Medicine | 2300 N. Mayfaird Rd, Suite 425, Milwaukee, WI 53226 | 2006-02-09 |
| 1255699450 | Kwadwo Achampong | Pain Medicine | 700 S Park St Ste A, Madison, WI 53715-1830 | 2012-04-25 |
| 1235417486 | Integrated Pain and Health Center, Sc | Pain Medicine | 5261 N Port Washington Rd, Suite 101, Glendale, WI 53217-4903 | 2011-07-21 |
| 1972835551 | Holistic Pain Management & Wellness Center Sc | Pain Medicine | 10945 N Port Washington Rd, Ste 100, Mequon, WI 53092-5078 | 2010-02-05 |
| 1851528624 | Keth Mackenzie Pride | Pain Medicine | Uw Hospital and Clinics, 600 Highland Ave, H4/831, Madison, WI 53792 | 2009-06-18 |
| 1578706255 | Brett Jonathan Malo | Pain Medicine | 3021 Voyager Dr, Green Bay, WI 54311-8303 | 2009-04-11 |
| Find all providers with the same taxonomy | ||||
| City | EAU CLAIRE |
| Zip Code | 54703 |
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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.