JENNIFER SUSAN KICKENDAHL (NPI# 1205151685) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205151685 |
| Entity Type | Individual |
| Full Name | JENNIFER SUSAN KICKENDAHL |
| Credential | MD |
| Practice Address |
2801 W. Kinnickinnic River Parkway Suite 1030 Milwaukee WI 53215 |
| Practice Telephone | 4149086507 |
| Practice Fax Number | 4149556528 |
| Mailing Telephone | 4149086507 |
| Enumeration Date | 2010-03-29 |
| Last Update Date | 2014-10-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | 56617-20 | WI | Allopathic & Osteopathic Physicians |
| Street Address |
2801 W. KINNICKINNIC RIVER PARKWAY SUITE 1030 |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508834193 | Charles F Kidd | Urology | 2801 W. Kinnickinnic River Parkway, Suite 370, Milwaukee, WI 53215 | 2006-03-09 |
| 1932489168 | Lauren K Konkel | Nurse Practitioner | 2801 W. Kinnickinnic River Parkway, Suite 777, Milwaukee, WI 53215 | 2011-08-19 |
| 1629212782 | Umang M Shah | Psychiatry & Neurology | 2801 W. Kinnickinnic River Parkway, Suite 570, Milwaukee, WI 53215 | 2009-04-20 |
| 1740203835 | Elizabeth N Traynor | Psychiatry & Neurology | 2801 W. Kinnickinnic River Parkway, Suite 630, Milwaukee, WI 53215 | 2006-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841829918 | Joshua Michael Brooks | Student in an Organized Health Care Education/Training Program | Aurora St. Lukes Medical Center 2901 W Oklahoma Ave, Milwaukee, WI 53215 | 2020-04-02 |
| 1053967091 | Kristina Strupp | Clinical Nurse Specialist | 2900 W. Oaklahoma Avenue, Milwaukee, WI 53215 | 2019-08-15 |
| 1427510296 | Madelyn Pickle | Student in an Organized Health Care Education/Training Program | 2801 W. Kinnickinnic Rd Ste 250, Milwaukee, WI 53215 | 2019-04-02 |
| 1932601838 | Elizabeth D Morawski | Nurse Practitioner | 2801 Kinnickinnic Parkway, Suite 630, Milwaukee, WI 53215 | 2018-03-06 |
| 1457872673 | Canzata Kimberly Dent | Counselor | 2727 W. Cleveland Suite 204, Milwaukee, WI 53215 | 2017-06-28 |
| 1538689955 | Christian Pena | Durable Medical Equipment & Medical Supplies | 2800 W Forest Home Ave, Suite 100, Milwaukee, WI 53215 | 2017-06-27 |
| 1386178804 | Dane A Olsen | Family Medicine | 801 W Kinnickinnic River Pkwy., Suite 250, Milwaukee, WI 53215 | 2017-04-12 |
| 1811443492 | Thomas Diamond | Physical Therapist | 2901 Kinnickinnic Parkway, Milwaukee, WI 53215 | 2016-09-01 |
| 1487055133 | Sam Khalili | Otolaryngology | 2801 W Kinnickinnic River Pkwy # 680, Milwaukee, WI 53215 | 2014-09-12 |
| 1992105621 | Nicole R Hall | Nurse Practitioner | 2901 S Kinnickinnic Ave, Milwaukee, WI 53215 | 2014-08-29 |
| Find all providers in zip 53215 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619431756 | Vision Anesthesia, Sc | Anesthesiology | 10200 W Innovation Dr Ste 700, Milwaukee, WI 53226-4827 | 2019-01-23 |
| 1962866038 | Julie Frances Harvey | Anesthesiology | 9156 W Michigan St, Milwaukee, WI 53226-4574 | 2016-04-05 |
| 1649606898 | Alan Herbert Goldberg | Anesthesiology | 1800 N Prospect Ave, Apt. 11c, Milwaukee, WI 53202-3070 | 2013-09-19 |
| 1790005973 | Jeffrey T. Follansbee, M.d., S.c. | Anesthesiology | 3915 West Capitol Drive, Milwaukee, WI 53216-2528 | 2010-06-10 |
| 1346474814 | Thomas Andrew Kegel | Anesthesiology | 723 N 79th St, Milwaukee, WI 53213-3401 | 2009-05-12 |
| 1215190079 | Heinrich Karl Schedewie | Anesthesiology | 3815 S 124th St, Milwaukee, WI 53228-1007 | 2008-07-02 |
| 1902066780 | Cory J Adams | Anesthesiology | 945 N 12th Street, Aurora Health Care #3858, Milwaukee, WI 53201-0342 | 2008-06-14 |
| 1073788394 | Nathaniel Douglas Pitner | Anesthesiology | 9200 W. Wisconsin Avenue, Department of Anesthesiology, Milwaukee, WI 53226 | 2008-04-28 |
| 1528239316 | Steven James Sivils | Anesthesiology | 2920 N 80th St, Milwaukee, WI 53222-4911 | 2008-03-19 |
| 1790841906 | John Thomas Urban | Anesthesiology | 5100 W. Chambers St., Milwaukee, WI 53210 | 2006-12-29 |
| Find all providers in MILWAUKEE | ||||
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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.