KIMBERLY F LAUTH (NPI# 1457622938) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457622938 |
| Entity Type | Individual |
| Full Name | KIMBERLY F LAUTH |
| Credential | PA-C |
| Practice Address |
1200 Q Hammons Drive Suite 400 Madison WI 53717 |
| Practice Telephone | 6084102700 |
| Practice Fax Number | 6084102905 |
| Mailing Telephone | 6084102700 |
| Mailing Fax Number | 6084102905 |
| Enumeration Date | 2012-01-16 |
| Last Update Date | 2017-01-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 3111-23 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 1457622938 | 05 |
| Street Address |
1200 Q HAMMONS DRIVE SUITE 400 |
| City | MADISON |
| State | WI |
| Zip Code | 53717 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720540164 | Apex Chiropractic Center LLC | Chiropractor | 562 Junction Road, Madison, WI 53717 | 2019-04-04 |
| 1467943795 | Brittany Macrander | Speech-Language Pathologist | 701 Deming Way, Madison, WI 53717 | 2018-05-22 |
| 1144622614 | Christopher Leclair | Pharmacist | 7942 Tree Ln, Suite 201, Madison, WI 53717 | 2014-09-16 |
| 1740617430 | Martha Darlene Kniffin | Marriage & Family Therapist | 1805 Excelsior Dr, The Family Center, Madison, WI 53717 | 2013-09-26 |
| 1740538305 | Amber J Thompson | Specialist | 8202 Excelisor Dr, Madison, WI 53717 | 2012-08-29 |
| 1699042499 | Cameron K Birch | Pharmacist | 9741 Tree Lane, Suite 201, Madison, WI 53717 | 2011-11-22 |
| 1508023102 | Katherine Jo Hartkopf | Pharmacist | 8501 Excelsior Drive, Rm. 337, Madison, WI 53717 | 2008-05-21 |
| 1366614885 | Periodontal & Implant Specialists of Madison, LLC | Dentist | 49 N Walbridge Ave., Madison, WI 53717 | 2008-03-25 |
| 1598961005 | John H Greist | Psychiatry & Neurology | Healthcare Technology Systems, Inc., 7617 Mineral Point Rd., Ste. 300, Madison, WI 53717 | 2007-06-22 |
| 1417169160 | Children's Dental Center of Madison, S.c. | Dentist | 7001 Old Sauk Road, #200, Madison, WI 53717 | 2007-05-04 |
| Find all providers in zip 53717 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710594403 | Mary Josephine Elliott | Physician Assistant | 50 Beechwood Dr, Madison, CT 06443-1847 | 2020-09-26 |
| 1194354928 | Shqipe Ademi | Physician Assistant | 5417 Hazelcrest Dr, Madison, WI 53704-8910 | 2020-04-03 |
| 1902432685 | Therese Rowe | Physician Assistant | 1 Point Pl Ste 200, Madison, WI 53719-2836 | 2020-03-13 |
| 1437784139 | Mark Mckinney | Physician Assistant | 750 Highland Ave # Hslc1270, Madison, WI 53705-2221 | 2020-03-03 |
| 1619511706 | Nicole Frakes | Physician Assistant | 750 Highland Ave, Madison, WI 53705-2221 | 2019-10-31 |
| 1508428558 | Martha Busse | Physician Assistant | 1650 Monroe St Apt D, Madison, WI 53711-2045 | 2019-06-30 |
| 1669942249 | Patrick Soltvedt Bohn | Physician Assistant | 1034 Waban Hill, Madison, WI 53711 | 2018-11-27 |
| 1487124020 | Kaitlyn Jolena Mcmackin | Physician Assistant | 120 Fountains Blvd Ste 1000, Madison, MS 39110-6343 | 2018-11-27 |
| 1013493907 | Paulina A Hall | Physician Assistant | 700 S Park St Suite A, Madison, WI 53715-5228 | 2018-07-13 |
| 1700370020 | Mark Diaz IIi | Physician Assistant | 77 S Oakbridge Ct Apt 105, Madison, WI 53717-2030 | 2018-06-20 |
| Find all providers in MADISON | ||||
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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.