KEVIN RANSOM AU (NPI# 1417344219) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417344219 |
Entity Type | Individual |
Full Name | KEVIN RANSOM AU |
Credential | M.D. |
Practice Address |
700 S Park St Ste A Madison WI 53715-1830 |
Mailing Address |
1808 W Beltline Hwy Madison WI 53713-2334 |
Practice Telephone | 6082602900 |
Practice Fax Number | 6082602961 |
Mailing Telephone | 6082501497 |
Mailing Fax Number | 6082501384 |
Enumeration Date | 2015-04-20 |
Last Update Date | 2020-10-28 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
72872 | WI | Allopathic & Osteopathic Physicians |
N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | 1417344219 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417014846 | Kevin Au | Surgery | 2700 152nd Ave Ne, Redmond, WA 98052-5543 | 2007-01-03 |
Street Address |
700 S PARK ST STE A |
City | MADISON |
State | WI |
Zip Code | 53715-1830 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144278110 | Ronon E O'neill | Physician Assistant | 700 S Park St Ste A, Madison, WI 53715-1830 | 2006-05-04 |
1548898984 | Laura Zeller | Physician Assistant | 700 S Park St Ste A, Madison, WI 53715-1830 | 2020-03-31 |
1699295121 | Olivia J Swodzinski | Physician Assistant | 700 S Park St Ste A, Madison, WI 53715-1830 | 2017-06-26 |
1306373386 | Rachel J Radel | Physician Assistant | 700 S Park St Ste A, Madison, WI 53715-1830 | 2017-05-22 |
1891147542 | Elizabeth G Diaz | Physician Assistant | 700 S Park St Ste A, Madison, WI 53715-1830 | 2016-07-06 |
1023497732 | Matthew K Ronck | Psychiatry & Neurology | 700 S Park St Ste A, Madison, WI 53715-1830 | 2015-05-27 |
1275951576 | Christopher L Netzel | Anesthesiology | 700 S Park St Ste A, Madison, WI 53715-1830 | 2014-04-03 |
1508209354 | James R Ballard | Internal Medicine | 700 S Park St Ste A, Madison, WI 53715-1830 | 2013-04-11 |
1205182078 | Allysa M. Sweeney | Physician Assistant | 700 S Park St Ste A, Madison, WI 53715-1830 | 2012-07-31 |
1255699450 | Kwadwo Achampong | Pain Medicine | 700 S Park St Ste A, Madison, WI 53715-1830 | 2012-04-25 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851807697 | Kristi M Batchelor | Nurse Practitioner | 20 S Park St Fl 4, Madison, WI 53715 | 2017-12-15 |
1578927026 | Petra A Kelsey | Family Medicine | 1107 Emerald St, Madison, WI 53715 | 2016-04-11 |
1467889238 | Group Health Cooperative of South Central Wi | Durable Medical Equipment & Medical Supplies | 740 Regent Street, Suite 106, Madison, WI 53715 | 2013-10-10 |
1275888760 | Sandra Beth Miller | Physician Assistant | 700 S. Park, Suite A 404, Madison, WI 53715 | 2012-07-20 |
1134418486 | Matthew Lochen | Emergency Medicine | 700 S. Park Street, Department of Emergency Medicine, Madison, WI 53715 | 2011-04-06 |
1225275720 | Eileen J Breitweiser | Social Worker | 202 South Parkt Street, Madison, WI 53715 | 2009-01-21 |
1225293137 | Kenneth H. Yuska, Md, Sc | Orthopaedic Surgery | 4726 East Towne Blvd., 110, Madison, WI 53715 | 2008-07-21 |
1063689727 | Rachel I Kornik | Dermatology | Uw Health Dept of Dermatology 1 S. Park St, Administrative Office 7th Floor, Madison, WI 53715 | 2008-05-13 |
1144434911 | Rebecca Sue Frye | Pharmacist | 1 South Park Street, Suite 101 Pharmacy, Madison, WI 53715 | 2007-05-10 |
1376755496 | Eileen C. Scrivner | Social Worker | 1008 Fish Hatchery Road, Madison, WI 53715 | 2007-05-03 |
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Taxonomy Code | 2086S0129X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Vascular Surgery |
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699200378 | Andrea Um | Surgery | Uw Hospitals and Clinics 600 Highland Ave, Madison, WI 53792-0001 | 2017-05-01 |
1861855017 | Alexander Donald Leung | Surgery | Uw Hospitals and Clinics, 600 Highland Ave, Madison, WI 53792-0001 | 2016-04-04 |
1053792457 | Eric Whittington | Surgery | 600 Highland Ave, Madison, WI 53792-1511 | 2015-06-11 |
1518347525 | North Alabama Vascular Care LLC | Surgery | 9238 Madison Blvd, Building #2 Ste 114, Madison, AL 35758-9100 | 2015-06-04 |
1932517976 | Toshio Takayama | Surgery | 600 Highland Ave, Csc Department of Surgery Administration Mc: 7375, Madison, WI 53792-0001 | 2014-07-22 |
1114345139 | Jason Ting Le | Surgery | 600 Highland Ave, H4/831, Madison, WI 53792 | 2014-04-07 |
1922393396 | Benjamin C Jordan | Surgery | 700 S Park St, Madison, WI 53715 | 2011-06-14 |
1285945824 | Richard A Denney | Surgery | 700 S Park St, Madison, WI 53715-1830 | 2010-06-29 |
1598076630 | Courtney E. Morgan | Surgery | 451 Junction Rd, Madison, WI 53717-2656 | 2010-06-23 |
1275862716 | Dai Yamanouchi | Surgery | 600 Highland Ave, Madison, WI 53792-3236 | 2009-12-11 |
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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.