IHC-KENOSHA RADIOLOGY, LLC (NPI# 1285683284) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285683284 |
| Entity Type | Organization |
| Organization Name | IHC-KENOSHA RADIOLOGY, LLC |
| Practice Address |
6308 8th Avenue Uhs Kenosha Campus Kenosha WI 53143-5031 |
| Mailing Address |
111 E Wisconsin Ave Suite 2000 Milwaukee WI 53202-4815 |
| Practice Telephone | 4142906720 |
| Practice Fax Number | 4142906755 |
| Mailing Telephone | 4142906720 |
| Mailing Fax Number | 4142906755 |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2019-09-16 |
| Authorized Official Name | KATHLEEN KONDAS (OFFICER) |
| Authorized Official Telephone | 9548382371 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 32881400 | 05 | |
| WI | OWCP | 125363400 | 01 |
| WI | FEDERAL BLACK LUNG PROGRA | 020447700 | 01 |
| WI | MEDICARE RAILROAD | CG5950 | 01 |
| WI | WEA | 120005850 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225087224 | Ihc-kenosha Radiology, LLC | Radiology | 9555 76th Street, Uhs St Catherines Campus, Pleasant Prairie, WI 53158-1984 | 2006-05-08 |
| Street Address |
6308 8TH AVENUE UHS KENOSHA CAMPUS |
| City | KENOSHA |
| State | WI |
| Zip Code | 53143-5031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306377023 | Andrea Alexis Gordon | Registered Nurse | 6308 8th Avenue, Ste 202, Kenosha, WI 53143 | 2017-03-23 |
| 1588866644 | Chigozie Nwamaka Nweke | Internal Medicine | 6308 8th Avenue, Kenosha, WI 53143 | 2007-06-01 |
| 1982744959 | Holly Jo Dinsmore | Speech-Language Pathologist | 6308 8th Avenue, Kenosha, WI 53143 | 2007-02-07 |
| 1508813593 | Priti Dilip Patel | Internal Medicine | 6308 8th Avenue, Ste 2000, Kenosha, WI 53143 | 2006-05-27 |
| 1679520514 | Peter Mariani | Internal Medicine | 6308 8th Avenue, Suite 108, Kenosha, WI 53143 | 2006-05-27 |
| 1477500312 | Mehjabein Yaguoob Khan | Internal Medicine | 6308 8th Avenue, Suite 108, Kenosha, WI 53143 | 2006-05-27 |
| 1326094731 | Miso Niko Miloslavic | Family Medicine | 6308 8th Avenue, Suite 2000, Kenosha, WI 53143 | 2006-05-26 |
| 1144276551 | Shahid Ali Atcha | Obstetrics & Gynecology | 6308 8th Avenue, Suite 2000, Kenosha, WI 53143 | 2006-05-26 |
| 1023064508 | Alvia Moid | Internal Medicine | 6308 8th Avenue, Suite 2000, Kenosha, WI 53143 | 2006-05-26 |
| 1295781680 | Jeffrey Reid Trimark | Internal Medicine | 6308 8th Avenue, Suite 2000, Kenosha, WI 53143 | 2006-05-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891262275 | Shanda L Goecks | Registered Nurse | 6916 26th Ave, Kenosha, WI 53143 | 2018-10-24 |
| 1689942989 | Racine Kenosha Community Action Agency | Public Health or Welfare | 2000 63rd Street, Kenosha, WI 53143 | 2011-12-01 |
| 1538497797 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 7525 Sheridan Rd, Kenosha, WI 53143 | 2009-11-30 |
| 1497929012 | Ebba M Johnson | Physical Therapist | 524 74th Street, Kenosha, WI 53143 | 2008-04-15 |
| 1770789489 | Kenosha Community Health Center, Inc | Family Medicine | 6226 14th Ave, Kenosha, WI 53143 | 2007-06-21 |
| 1558413161 | Junith M Thompson | Obstetrics & Gynecology | 6530 Sheridan Road, Kenosha, WI 53143 | 2007-01-17 |
| 1154471332 | Ljh Ambulance, Inc | Ambulance | 6329 28th Ave, Kenosha, WI 53143 | 2007-01-11 |
| 1578625794 | Michael A Schellpfeffer Md Ob Gyn Sc | Obstetrics & Gynecology | 1400 75th Street, Kenosha, WI 53143 | 2006-12-14 |
| 1457468654 | Yasmine S Sido | Physician Assistant | 7550 22nd Ave, Kenosha, WI 53143 | 2006-08-24 |
| 1356307359 | Nancy Jane Houtchens | Dentist | 7533 22nd Ave, Ste 100, Kenosha, WI 53143 | 2006-04-26 |
| Find all providers in zip 53143 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538127816 | Mri & Imaging of Wisconsin Inc | Radiology | 8500 75th St, Suite 106, Kenosha, WI 53142-8213 | 2006-05-03 |
| 1043509680 | Massihullah Hamidi | Radiology | 10400 75th St, Kenosha, WI 53142-7884 | 2011-04-05 |
| 1417272667 | Mohsin Yunus Ghadiali | Radiology | 6308 8th Ave, Kenosha, WI 53143-5031 | 2010-03-31 |
| 1689998148 | Luke A Falesch | Radiology | 10400 75th St, Kenosha, WI 53142-7884 | 2010-03-26 |
| 1932204146 | Michael Alan Price | Radiology | 6308 8th Ave, Kenosha, WI 53143-5031 | 2006-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487264511 | Howard Simon Md PC | Radiology | 3960 Hillside Dr Ste 106, Delafield, WI 53018-2148 | 2020-08-04 |
| 1952951154 | Premier Radiology Wisconsin, LLC | Radiology | 10180 Washington Ave Ste 101, Mt Pleasant, WI 53177-1604 | 2019-09-19 |
| 1013478635 | Troy Nelson Tenbrunsel | Radiology | Uw Hospitals & Clinics 600 Highland Road, Madison, WI 53792-0001 | 2019-03-27 |
| 1336660216 | Kevin Shuai Lian | Radiology | 420 W Dayton St Unit 1142, Madison, WI 53703 | 2017-06-30 |
| 1346774726 | Molly Peterson | Radiology | 2639 University Ave Ste 201, Madison, WI 53705-3750 | 2017-04-12 |
| 1821445107 | Ryan Griesbach | Radiology | Uw Hospitals and Clinic, 600 Highland Ave, Madison, WI 53792-0001 | 2016-05-17 |
| 1629442181 | Dysphagia Testing, LLC | Radiology | 10638 Hidden Creek Dr, Mequon, WI 53092-8538 | 2015-11-20 |
| 1679987341 | Daniel Joseph Baumel | Radiology | 513 Clifden Dr, Madison, WI 53711-1530 | 2014-06-20 |
| 1235549247 | Benjamin Sawatzky | Radiology | 9 S Marquette St, Madison, WI 53704-5117 | 2014-04-29 |
| 1285054064 | Matthew Gregory Pipho | Radiology | 9306 Briar Haven Dr, Verona, WI 53593-8791 | 2014-04-21 |
| 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.