KENNETH R BETTS (NPI# 1457435950) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457435950 |
| Entity Type | Individual |
| Full Name | KENNETH R BETTS |
| Credential | MD |
| Practice Address |
11051 N Sherman Rd Edgerton WI 53534-9002 |
| Practice Telephone | 6088843354 |
| Practice Fax Number | 6088845022 |
| Mailing Telephone | 6088843354 |
| Mailing Fax Number | 6088845022 |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2020-11-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 39870-20 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 1457435950 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396355335 | Kenneth Betts | Technician | 2805 28th St Se Apt 4, Washington, DC 20020-2651 | 2020-08-04 |
| 1033278262 | Kenneth Ray Betts | Counselor | 12649 Dupont Blvd, Ellendale, DE 19941-3307 | 2006-12-06 |
| Street Address |
11051 N SHERMAN RD |
| City | EDGERTON |
| State | WI |
| Zip Code | 53534-9002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831187954 | Joni E Sund | Physician Assistant | 11051 N Sherman Rd, Edgerton, WI 53534-9002 | 2005-10-12 |
| 1417320698 | Sandra Sargent | Nurse Practitioner | 11051 N Sherman Rd, Edgerton, WI 53534-9002 | 2015-11-10 |
| 1902276355 | Garrett Allen Mcnulty | Family Medicine | 11051 N Sherman Rd, Edgerton, WI 53534-9002 | 2015-09-29 |
| 1851708887 | Adam M Buhalog | Family Medicine | 11051 N Sherman Rd, Edgerton, WI 53534-9002 | 2014-07-22 |
| 1366884074 | Edgerton Hospital and Health Services | Surgery | 11051 N Sherman Rd, Edgerton, WI 53534-9002 | 2013-07-23 |
| 1154595239 | Nasra Mohamed Warsame | Family Medicine | 11051 N Sherman Rd, Edgerton, WI 53534-9002 | 2008-04-18 |
| 1073558045 | Dean Health Systems, Inc. | Durable Medical Equipment & Medical Supplies | 11051 N Sherman Rd, Edgerton, WI 53534-9002 | 2006-06-16 |
| 1386695633 | David P Gorski | Physician Assistant | 11051 N Sherman Rd, Edgerton, WI 53534-9002 | 2006-05-12 |
| 1053361238 | Sartaj K Dhillon | Internal Medicine | 11051 N Sherman Rd, Edgerton, WI 53534-9002 | 2006-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922244144 | Matthew Mark Houfe | Chiropractor | 75 West Fulton St, Edgerton, WI 53534 | 2008-12-17 |
| 1184812612 | Sport & Spine Clinic of Fort Atkinson Limited Partnership | Clinic/Center | 119 Henry Street, Edgerton, WI 53534 | 2007-10-10 |
| 1134310451 | Ravi Murali | General Practice | 11028 N Hillside Rd, Edgerton, WI 53534 | 2007-08-05 |
| 1447219845 | William Jack Rein | Physical Therapist | 119 Henry St, Edgerton, WI 53534 | 2006-03-23 |
| 1780700708 | Janna Lynn Hack | Social Worker | 302 S. Main St., Edgerton, WI 53534 | 2007-03-21 |
| 1841301181 | Thomas H Reitz Dds Sc | Dentist | 1007 N Main St, Edgerton, WI 53534 | 2006-08-31 |
| 1093729584 | Michael James Long | Optometrist | 1110 N Main St, Edgerton, WI 53534 | 2006-07-28 |
| 1588777585 | Sherry Catacutan | Physical Therapy Assistant | 313 Stoughton Rd, Edgerton, WI 53534-1132 | 2006-08-16 |
| 1457821159 | Brett Podlinsek | Physical Therapy Assistant | 313 Stoughton Rd, Edgerton, WI 53534-1132 | 2018-11-26 |
| 1619455466 | Rachel E Snow | Physical Therapist | 313 Stoughton Rd, Edgerton, WI 53534-1132 | 2018-08-03 |
| Find all providers in zip 53534 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073973483 | Sanford Health Network | Family Medicine | 733 Main St, Ste A, Edgerton, MN 56128-3000 | 2016-02-26 |
| 1164542593 | Midwest Community Health Associates | Family Medicine | 324 W. Vine Street, Edgerton, OH 43517 | 2007-03-30 |
| 1891876223 | Pipestone Family Clinic | Family Medicine | 303 5th Avenue North, Edgerton, MN 56128 | 2006-10-19 |
| 1023072568 | Matthew David Viel | Family Medicine | 505 3rd Ave N, Edgerton, MN 56128-2726 | 2006-04-13 |
| 1508864380 | Michael Kooistra Jr. | Family Medicine | 104 South West St., Edgerton, OH 43517 | 2005-07-14 |
| 1902276355 | Garrett Allen Mcnulty | Family Medicine | 11051 N Sherman Rd, Edgerton, WI 53534-9002 | 2015-09-29 |
| 1851708887 | Adam M Buhalog | Family Medicine | 11051 N Sherman Rd, Edgerton, WI 53534-9002 | 2014-07-22 |
| 1164708004 | Justin C. Frey | Family Medicine | 217 N Main St, Edgerton, WI 53534-1613 | 2011-10-24 |
| 1497069231 | Veronica Rejon | Family Medicine | 217 N Main St, Edgerton, WI 53534-1613 | 2010-08-04 |
| 1154595239 | Nasra Mohamed Warsame | Family Medicine | 11051 N Sherman Rd, Edgerton, WI 53534-9002 | 2008-04-18 |
| Find all providers in EDGERTON | ||||
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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.