INTRANERVE (NPI# 1427422476) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427422476 |
| Entity Type | Organization |
| Organization Name | INTRANERVE |
| Practice Address |
W253s7660 Forestview Ln Waukesha WI 53189-8306 |
| Practice Telephone | 2628126677 |
| Mailing Telephone | 2628126677 |
| Enumeration Date | 2015-11-13 |
| Last Update Date | 2015-11-13 |
| Authorized Official Name | KENNETH KURICA (PRESIDENT/CEO) |
| Authorized Official Telephone | 8662268576 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZE0600X |
Specialist/Technologist, Other Specialization: Electroneurodiagnostic |
Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225442619 | Intranerve | Specialist/Technologist, Other | 115 West Sunset Avenue, Snow Shoe, PA 16874 | 2014-06-13 |
| 1992102503 | Intranerve | Specialist/Technologist, Other | 13 S Tejon St Ste 501, Colorado Springs, CO 80903-1530 | 2014-11-25 |
| 1558787903 | Intranerve | Specialist/Technologist, Other | 13 S Tejon St, Ste. 501, Colorado Springs, CO 80903-1513 | 2014-03-10 |
| 1760805758 | Intranerve | General Acute Care Hospital | 13 S Tejon St Ste 501, Colorado Springs, CO 80903-1530 | 2014-01-27 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | INTRANERVE NEUROSCIENCE HOLDINGS, LLC | 24 S. Weber St, Suite 200, Colorado Springs, CO 80903 |
| Colorado Business Entities | IntraNerve, LLC | 13 S. Tejon St., Suite 501, Colorado Springs, CO 80903 |
| Oregon Corporations, Companies and Business Names | INTRANERVE, LLC | 13 S Tejon St Suite 501, Colorado Springs, CO 80903 |
| Iowa Business Entities | INTRANERVE, LLC | 13 South Tejon Street, Suite 501, Colorado Springs, CO 80903 |
| Indiana Business Entities | INTRANERVE, LLC | 13 S. Tejon St., Suite 501, Colorado Springs, CO 80903 |
| Street Address |
W253S7660 FORESTVIEW LN |
| City | WAUKESHA |
| State | WI |
| Zip Code | 53189-8306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275017907 | Shopko Stores Operating Co LLC | Eyewear Supplier (Equipment, not the service) | 1166 W Sunset Drive, Suite F100, Waukesha, WI 53189 | 2018-09-19 |
| 1851841910 | Jane Knoblock | Speech-Language Pathologist | S48w23663 Merlin Ln, Waukesha, WI 53189 | 2016-10-12 |
| 1063850246 | Tracey Sue Kochanski | Nurse Practitioner | 1130 W Sunset Ave, Waukesha, WI 53189 | 2013-06-10 |
| 1376981811 | Mark Russell Schmitt | Registered Nurse | 1804 Dixie Dr., Waukesha, WI 53189 | 2013-06-06 |
| 1760738546 | Schreve and Associates Inc. | Durable Medical Equipment & Medical Supplies | 406 Travis Ln., Ste 50, Waukesha, WI 53189 | 2012-07-30 |
| 1407152879 | Kimberly Lyn Moravec | Registered Nurse | W326 S3994 Spring Ridge Ct, Waukesha, WI 53189 | 2011-02-02 |
| 1154505113 | Le Ann Le Blanc | Day Training, Developmentally Disabled Services | S31 W28251 Sunset Drive, Waukesha, WI 53189 | 2007-12-26 |
| 1801934807 | Wisconsin Vision, Inc. | Technician/Technologist | 203a Sunset Drive, Waukesha, WI 53189 | 2007-02-02 |
| 1497828172 | Donna G. Kraklow D.d.s. | Dentist | 1507 E Sunset Dr, Suite 110, Waukesha, WI 53189 | 2006-11-17 |
| 1285713461 | Robert Evan Davies | Dentist | 2117 Corporate Dr., Suite 100, Waukesha, WI 53189 | 2006-11-06 |
| Find all providers in zip 53189 | ||||
| Taxonomy Code | 246ZE0600X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Electroneurodiagnostic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639609928 | Frontline Healthcare LLC | Specialist/Technologist, Other | 2221 S. Webster Ave. Suite 270, Greenbay, WI 54301 | 2017-06-19 |
| 1053716183 | Scott Philip Thurston | Specialist/Technologist, Other | 333 W Brown Deer Rd #240, Milwaukee, WI 43217 | 2014-10-31 |
| 1750783312 | Ibrahim S Abouzeid | Specialist/Technologist, Other | 333 W Brown Deer Road, #240, Milwaukee, WI 53217 | 2014-09-25 |
| 1003108952 | Mingwei Li | Specialist/Technologist, Other | 333 W Brown Deer Rd # 240, Milwaukee, WI 53217-2372 | 2011-05-11 |
| 1750478624 | Katherine A Foran | Specialist/Technologist, Other | 11649 N Port Washington, Endeavor Testing Center, Mequon, WI 53092 | 2006-10-10 |
| 1699714832 | Robert N Holdefer | Specialist/Technologist, Other | 8832 N Port Washington Rd, Suite 240, Milwaukee, WI 53217-1628 | 2006-06-05 |
| 1104871763 | Neurological Monitoring Associates, LLC | Specialist/Technologist, Other | 333 W Brown Deer Rd, Suite 240, Milwaukee, WI 53217-2372 | 2006-05-23 |
| 1619512795 | David Mcneal | Specialist/Technologist, Other | 333 W Brown Deer Road, Ste 240, Milwaukee, WI 53217-2372 | 2019-11-12 |
| 1487121125 | Pradeep Kannampalli | Specialist/Technologist, Other | 333 W Brown Deer Road, Ste 240, Milwaukee, WI 53217-2372 | 2018-10-31 |
| 1750815346 | Sophie M Nasralla | Specialist/Technologist, Other | 333 W Brown Deer Rd, Suite 240, Milwaukee, WI 53217-2372 | 2017-04-20 |
| 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.