DR. THOMAS L. MICHALSEN (NPI# 1114947876) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114947876 |
| Entity Type | Individual |
| Full Name | DR. THOMAS L. MICHALSEN |
| Credential | D.O. |
| Practice Address |
406 South 5th Street Kirkland IL 60146 |
| Mailing Address |
1713 Oakwood Glen Close Rockford IL 61108-7011 |
| Practice Telephone | 8155223301 |
| Practice Fax Number | 8155223855 |
| Mailing Telephone | 8153324660 |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2008-07-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 036066772 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
406 SOUTH 5TH STREET |
| City | KIRKLAND |
| State | IL |
| Zip Code | 60146 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841214368 | Thomas L. Michalsen Do Ltd | Family Medicine | 406 South 5th Street, Kirkland, IL 60146 | 2006-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619285509 | Simple Rx Inc. | Pharmacy | 527 West Main St. Unit 1w, Unit 1w, Kirkland, IL 60146 | 2010-09-14 |
| 1821265588 | Robert Tutt | Community Health Worker | 5610 Hortense, Kirkland, IL 60146 | 2008-05-13 |
| 1598783037 | Barbara J Runne | Dentist | 105 Brennan Drive, Kirkland, IL 60146 | 2006-07-17 |
| 1831363076 | Barbara J. Runne, D.d.s. | Dentist | 105 Brennan Drive, Kirkland, IL 60146 | 2008-04-18 |
| 1477755981 | Hiawatha Cusd 426 | Local Education Agency (LEA) | First Hortense, Kirkland, IL 60146-0428 | 2007-06-05 |
| 1154877934 | Cynthia Anderson | Social Worker | 409 Lawrence Drive, Kirkland, IL 60146-0433 | 2016-08-31 |
| 1912472267 | Michelle Platt | Psychologist | 410 1st St, Kirkland, IL 60146-7700 | 2018-10-12 |
| 1093360588 | Mallory Faivre | Specialist/Technologist | 410 1st St, Kirkland, IL 60146-7700 | 2019-08-02 |
| 1225431653 | Cathy Carlson | Nurse Practitioner | 406 S 5th St, Kirkland, IL 60146-7711 | 2014-09-30 |
| 1316418387 | Katelyn Bruch | Nurse Practitioner | 34650 Bucks Rd, Kirkland, IL 60146-8342 | 2018-12-16 |
| Find all providers in zip 60146 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821339938 | Hjordis Mannbeck Foy | General Practice | 11016 Ne 47th Pl, Kirkland, WA 98033-7706 | 2013-03-14 |
| 1316204175 | Robert W Enck | General Practice | 602 5th St, 4003, Kirkland, WA 98033-5677 | 2012-04-18 |
| 1528345550 | Chs Washington State Medical, P.C. | General Practice | 747 6th St S, Kirkland, WA 98033-6715 | 2011-11-04 |
| 1609009422 | Kaaren Andrea Nichols | General Practice | 9757 Ne Juanita Dr Ste 200, Kirkland, WA 98034-4291 | 2009-08-27 |
| 1316124134 | Iraj Aflatooni Md Ps | General Practice | 6511 Ne 138th Pl, Suite 217, Kirkland, WA 98034-4909 | 2008-01-23 |
| 1568661577 | Dietrich Konrad Klinghardt | General Practice | 11656 98th Ave Ne, Kirkland, WA 98034-4216 | 2007-07-11 |
| 1083772842 | Christopher Marko Farac | General Practice | 13120 Ne 70th Pl, Suite 2, Kirkland, WA 98033 | 2006-12-05 |
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| 1306311725 | Genesis Integrative Medicine LLC | General Practice | 1881 S Randall Rd Ste C, Geneva, IL 60134-2532 | 2018-10-11 |
| Find all providers with the same taxonomy | ||||
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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.