KATHERINE RODBY (NPI# 1225392186) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225392186 |
| Entity Type | Individual |
| Full Name | KATHERINE RODBY |
| Credential | MD |
| Practice Address |
1155 N Mayfair Rd Milwaukee WI 53226-3462 |
| Practice Telephone | 4149555990 |
| Practice Fax Number | 4149556282 |
| Mailing Telephone | 4149555990 |
| Mailing Fax Number | 4149556282 |
| Enumeration Date | 2012-06-26 |
| Last Update Date | 2020-06-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | 125059670 | IL | Allopathic & Osteopathic Physicians |
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
72474 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 1225392186 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1500 W California Ave., Chicago, IL 606080000 | 7732576464 |
| Street Address |
1155 N MAYFAIR RD |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53226-3462 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801873245 | Christina L Wichman | Psychiatry & Neurology | 1155 N Mayfair Rd, Department of Psychiatry, Milwaukee, WI 53226-3462 | 2005-12-28 |
| 1184128381 | Shannon M Friedbacher | Psychiatry & Neurology | 1155 N Mayfair Rd, Milwaukee, WI 53226-3462 | 2018-03-21 |
| 1003326745 | Kevin Bozymski | Pharmacist | 1155 N Mayfair Rd, Milwaukee, WI 53226-3462 | 2017-10-09 |
| 1770008492 | Judith Ann Evenson | Nurse Practitioner | 1155 N Mayfair Rd, Milwaukee, WI 53226-3462 | 2017-08-03 |
| 1760914378 | Miles Bichanich | Plastic Surgery | 1155 N Mayfair Rd, Ste. T2600- South Entry, Milwaukee, WI 53226-3462 | 2017-04-02 |
| 1669913034 | Jennifer Orth | Occupational Therapist | 1155 N Mayfair Rd, Milwaukee, WI 53226-3462 | 2017-03-17 |
| 1093255549 | Legenda Gooding | Nurse Practitioner | 1155 N Mayfair Rd, Suite 1, Milwaukee, WI 53226-3462 | 2017-03-02 |
| 1932657699 | Tera Carman | Social Worker | 1155 N Mayfair Rd, Department of Psychiatry, Milwaukee, WI 53226-3462 | 2016-09-12 |
| 1689120982 | Froedtert & The Medical College of Wisconsin Community Physicians, Inc | Durable Medical Equipment & Medical Supplies | 1155 N Mayfair Rd, Milwaukee, WI 53226-3462 | 2016-08-28 |
| 1275997645 | Amanda Liewen | Psychiatry & Neurology | 1155 N Mayfair Rd, Milwaukee, WI 53226-3462 | 2016-04-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912511155 | Alexander Harlan | Pharmacist | 900 N 92nd St, Milwaukee, WI 53226 | 2020-09-04 |
| 1558985762 | Armghan Haider Ans | Student in an Organized Health Care Education/Training Program | 9200 W. Wisconsin Ave. Froedtert Hospital & Medical Col, Milwaukee, WI 53226 | 2020-06-03 |
| 1669001103 | Kimberly Tyler | Student in an Organized Health Care Education/Training Program | 8701 W Watertown Plank Road, Medical College of Wisconsin Dept of Internal Medicine, Wauwatosa, WI 53226 | 2020-04-06 |
| 1972131993 | Francesca Meloy Devine | Student in an Organized Health Care Education/Training Program | Medical Education Office: Children's Corporate Center, 999 N. 92nd St., Suite 730, Milwaukee, WI 53226 | 2020-03-27 |
| 1285275248 | Sharitta Alford | Technician | 12250 West North Avenue, Apartment 142b, Wauwatosa, WI 53226 | 2019-10-01 |
| 1619528023 | Linda Marie Sabatinelli | Technician | 12107 W. Woodland Ave, Wauwatosa, WI 53226 | 2019-09-26 |
| 1598310195 | Matthew Laviolette | Surgery | Medical College of Wisconsin, 8701 Watertown Plank Rd., Surgical Oncology, Milwaukee, WI 53226 | 2019-08-09 |
| 1962056432 | Lyndsey Marie Bratberg | Physician Assistant | F&mcw Clinical Cancer Center 9200 W. Wisconsin Ave., Milwaukee, WI 53226 | 2019-08-01 |
| 1659832855 | Benjamin David Seadler | Surgery | Mcw, Department of Surgery, 8701 Watertown Plank Road, Milwaukee, WI 53226 | 2019-03-29 |
| 1861953267 | Michael Dryden | Student in an Organized Health Care Education/Training Program | 8701 Watertown Plank Rd., Milwaukee, WI 53226 | 2019-03-27 |
| Find all providers in zip 53226 | ||||
| Taxonomy Code | 2086S0122X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Plastic and Reconstructive Surgery |
| A surgeon who specializes in plastic and reconstructive surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598834129 | Kant Y.k. Lin | Surgery | 1155 N Mayfair Rd Ste T2600, Milwaukee, WI 53226-3464 | 2006-11-07 |
| 1003867508 | David L Larson | Surgery | 8700 Watertown Plank Road, Wisconsin Athletic Club Bldg, Milwaukee, WI 53226 | 2006-05-12 |
| 1164711172 | Karri Adamson | Surgery | 1155 N Mayfair Rd, Milwaukee, WI 53226 | 2011-03-30 |
| 1912149170 | Kristen Ann Klement | Surgery | 9200 W Wisconsin Ave, Plastic Surgery, Milwaukee, WI 53226-3522 | 2009-04-01 |
| 1629023221 | Robert J. Havlik | Surgery | 1155 N Mayfair Rd, Plastic Surgery Center, Milwaukee, WI 53226-3462 | 2006-05-23 |
| 1265485023 | James R Sanger | Surgery | 1155 N Mayfair Rd, Plastic Surgery Center, Milwaukee, WI 53226-3462 | 2006-05-19 |
| 1518918564 | William W Dzwierzynski | Surgery | 1155 N Mayfair Rd, Plastic Surgery Center, Milwaukee, WI 53226-3462 | 2006-05-15 |
| 1003867854 | John N Jensen | Surgery | 1155 N Mayfair Rd, Plastic Surgery Center, Milwaukee, WI 53226-3462 | 2006-05-15 |
| 1316998164 | Hani S Matloub | Surgery | 1155 N Mayfair Rd, Plastic Surgery Center, Milwaukee, WI 53226-3462 | 2006-05-15 |
| 1851342331 | Arlen Denny | Surgery | 1155 N Mayfair Rd, Plastic Surgery Center, Milwaukee, WI 53226-3462 | 2006-05-12 |
| 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.