WILLMAR DAVISON PATINO CADAVID (NPI# 1457554917) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457554917 |
| Entity Type | Individual |
| Full Name | WILLMAR DAVISON PATINO CADAVID |
| Other Name | WILLMAR DAVISON PATINO |
| Credential | MD |
| Practice Address |
801 York St Manitowoc WI 54220-4630 |
| Practice Telephone | 9206835278 |
| Practice Fax Number | 9206869674 |
| Mailing Telephone | 9206639008 |
| Mailing Fax Number | 9206841439 |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2020-10-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207ND0900X |
Dermatology Specialization: Dermatopathology |
74186-20 | WI | Allopathic & Osteopathic Physicians |
| N | 207ZD0900X |
Pathology Specialization: Dermatopathology |
74186-20 | WI | Allopathic & Osteopathic Physicians |
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
74186-20 | WI | Allopathic & Osteopathic Physicians |
| N | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
ME108419 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| INSTITUTIONAL PERMIT | BP1-0022466 | 01 |
| Street Address |
801 YORK ST |
| City | MANITOWOC |
| State | WI |
| Zip Code | 54220-4630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932101060 | Kyung Ai Mireille Chae | Dermatology | 801 York St, Manitowoc, WI 54220-4630 | 2005-06-01 |
| 1487969507 | Forefront Dermatology, S.c. | Dermatology | 801 York St, Manitowoc, WI 54220 | 2010-08-12 |
| 1578726717 | Kelli Ann Hutchens | Dermatology | 801 York St, Manitowoc, WI 54220-4630 | 2008-07-08 |
| 1053502005 | Sapna Patel Vaghani | Dermatology | 801 York St, Manitowoc, WI 54220-4630 | 2007-08-06 |
| 1972669083 | David Earl Hammond | Dermatology | 801 York St, Manitowoc, WI 54220-4630 | 2007-01-01 |
| 1932209129 | Ling Xia | Dermatology | 801 York St, Manitowoc, WI 54220-4630 | 2006-09-25 |
| 1912944752 | Song Qing Zhao | Pathology | 801 York St, Manitowoc, WI 54220 | 2006-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235614843 | Katherine Borchardt | Registered Nurse | 3520 Foxfire Ct, Manitowoc, WI 54220 | 2018-09-28 |
| 1285128215 | Aurora Pharmacy Inc | Pharmacy | 3509 Dewey Street, Suite 100, Manitowoc, WI 54220 | 2018-06-22 |
| 1477937274 | Baycare Clinic LLP | Psychiatry & Neurology | 4801 Expo Drive, Manitowoc, WI 54220 | 2015-07-13 |
| 1831593821 | Brittany Camille Schultz | Acupuncturist | 2510 Washington Street, Manitowoc, WI 54220 | 2014-10-20 |
| 1710311261 | Brian E Weitz | Physical Therapy Assistant | 960 S. Rapids Rd., Manitowoc, WI 54220 | 2013-09-01 |
| 1134499080 | Total Renal Care Inc | Clinic/Center | 3303 Dewey St, Manitowoc, WI 54220 | 2012-01-10 |
| 1679858534 | Lisa M Noworatzky | Marriage & Family Therapist | 926 S. 8th St., Manitowoc, WI 54220 | 2011-10-11 |
| 1306177225 | Cynthia Fay Wenzel | Licensed Practical Nurse | 915 East Linden Avenue, Manitowoc, WI 54220 | 2010-01-15 |
| 1851550628 | Roundys Supermarkets Inc | Pharmacy | 3300 Calumet Ave, Manitowoc, WI 54220 | 2008-06-05 |
| 1851566079 | Jennifer C Mcwilliams | Registered Nurse | 1004 Nth 8th St., Manitowoc, WI 54220 | 2008-04-29 |
| Find all providers in zip 54220 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992316533 | Andrii Puzyrenko | Pathology | 9200 W Wisconsin Ave Ste L83, Milwaukee, WI 53226-3522 | 2020-08-16 |
| 1487040127 | Michelle Stoffel | Pathology | Uw Hospital and Clinics, 600 Highland Ave, Madison, WI 53792 | 2015-04-09 |
| 1447694328 | Patrick Stephen Rush | Pathology | 600 Highland Ave. H4/831, Uw Hospital and Clinics, Madison, WI 53792 | 2013-04-23 |
| 1346501756 | James Murray Angevine | Pathology | 602 Mineral Pt Road, Apt 214, Madison, WI 53705-4577 | 2012-06-01 |
| 1023314549 | Stephen Lee Mcclellan | Pathology | N4656 Lakeshore Dr, Kewaunee, WI 54216-9794 | 2011-01-31 |
| 1922231414 | Darrell Peter Skarphol | Pathology | 2480 Edgewood Ct, Green Bay, WI 54302-4813 | 2009-08-31 |
| 1518110147 | Werner Adam Reis | Pathology | 839 N Jefferson St Ste 300, Milwaukee, WI 53202-3744 | 2008-10-28 |
| 1598927444 | Leela C Thachenkary | Pathology | 7107-49th Ave, Kenosha, WI 53142 | 2008-07-01 |
| 1326211384 | Scott James Kantola | Pathology | 2800 Westhill Dr Ste 208, Wausau, WI 54401-3770 | 2008-04-10 |
| 1437355997 | Monica Goswami | Pathology | 10472 W Montana Ave, # 215, West Allis, WI 53227-3263 | 2007-06-22 |
| 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.