MR. KRIS RUDY VANDERKOOY (NPI# 1467625178) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467625178 |
| Entity Type | Individual |
| Full Name | MR. KRIS RUDY VANDERKOOY |
| Practice Address |
1350 S Sunny Slope Rd Sunnyslope Primary Care Clinic Brookfield WI 53005-7060 |
| Practice Telephone | 4148059600 |
| Practice Fax Number | 4148059645 |
| Mailing Telephone | 4148059600 |
| Mailing Fax Number | 4148059645 |
| Enumeration Date | 2008-04-02 |
| Last Update Date | 2011-06-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 53968 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 1467625178 | 05 |
| Street Address |
1350 S SUNNY SLOPE RD SUNNYSLOPE PRIMARY CARE CLINIC |
| City | BROOKFIELD |
| State | WI |
| Zip Code | 53005-7060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376537548 | Michaela M Unrein | Nurse Practitioner | 1350 S Sunny Slope Rd, Sunnyslope Primary Care Clinic, Brookfield, WI 53005-7060 | 2005-09-02 |
| 1962937532 | Anjali Best | Family Medicine | 1350 S Sunny Slope Rd, Brookfield, WI 53005-7060 | 2017-04-20 |
| 1194262139 | Meagan Alonge | Nurse Practitioner | 1350 S Sunny Slope Rd, Brookfield, WI 53005-7060 | 2017-01-29 |
| 1497133151 | Jennifer Mallas | Occupational Therapist | 1350 S Sunny Slope Rd, Brookfield, WI 53005-7060 | 2015-05-14 |
| 1457739385 | Lynette Terhune | Physical Therapist | 1350 S Sunny Slope Rd, Brookfield, WI 53005-7060 | 2015-05-12 |
| 1336527357 | Traci Pavletich | Occupational Therapist | 1350 S Sunny Slope Rd, Brookfield, WI 53005-7060 | 2015-05-11 |
| 1093192189 | Sarah Meuler | Physical Therapist | 1350 S Sunny Slope Rd, Brookfield, WI 53005-7060 | 2015-04-28 |
| 1639566995 | Kathy Kremer | Physical Therapist | 1350 S Sunny Slope Rd, Brookfield, WI 53005-7060 | 2015-04-23 |
| 1255609178 | Rolonda Palmer | Registered Nurse | 1350 S Sunny Slope Rd, Brookfield, WI 53005-7060 | 2011-12-06 |
| 1235357138 | Lakshmi Hima Bindu Kurre | Family Medicine | 1350 S Sunny Slope Rd, Brookfield, WI 53005-7060 | 2007-04-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154937621 | Nsk Precision Healing & Wellness | Acupuncturist | 17040 W. Greenfield Ave #6, Brookfield, WI 53005 | 2020-09-21 |
| 1033772124 | Dbt Consultants LLC | Social Worker | 200 S. Executive Drive, Ste. 101, Brookfield, WI 53005 | 2019-04-15 |
| 1780142588 | Ashley Wing | Registered Nurse | 405 Bishops Way, Apt 555, Brookfield, WI 53005 | 2019-03-11 |
| 1407370398 | Tombolo, LLC | Clinic/Center | 12545 W. Burleigh Rd., Suite 10, Brookfield, WI 53005 | 2017-08-01 |
| 1720509045 | Rss William Conner LLC | Dentist | 15455 W Bluemound Rd Ste 250, Brookfield, WI 53005 | 2017-06-28 |
| 1669926598 | Mackenzie Rondeau | Physical Therapist | 1905 N Calhoun Rd Ste 105, Brookfield, WI 53005 | 2016-08-09 |
| 1699159319 | Charles Alan Kass | Dentist | 12720 W. North Avenue, Brookfield, WI 53005 | 2015-07-13 |
| 1164804274 | Mary-catherine Nimphius | Counselor | 250 S. Sunny Slope Rd, #128, Brookfield, WI 53005 | 2015-06-25 |
| 1528447034 | Weighless Md, LLC | Dietitian, Registered | 14960 W. Greenfield Ave Suite 104, Brookfield, WI 53005 | 2015-05-29 |
| 1366837346 | Maegan Michelle Cook | Dentist | 13780 W Greenfield Ave Ste 780, Brookfield, WI 53005 | 2015-04-06 |
| Find all providers in zip 53005 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689863755 | Patricio F. Viernes, M.d. S.c. | Internal Medicine | 13845 W Capitol Dr, Brookfield, WI 53005-2408 | 2007-10-15 |
| 1487844353 | Swarnambal Mani | Internal Medicine | 367 Kristin Ct E, Brookfield, WI 53045-3584 | 2007-07-27 |
| 1992900542 | Hui Bun A Chua | Internal Medicine | 4420 Maple Ave, Brookfield, IL 60513-2331 | 2007-06-15 |
| 1336290444 | Zakaria Tawadrous | Internal Medicine | 19333 West North Ave., Elmbrook Memorial Hospital, Suite 309, Brookfield, WI 53045-5501 | 2007-01-15 |
| 1700945599 | Douglas Lloyd Brown | Internal Medicine | 17160 W North Ave Ste 202, Brookfield, WI 53005-4437 | 2006-12-07 |
| 1164434023 | Marcy L Mcadoo | Internal Medicine | 17000 W North Ave Ste 200e, Brookfield, WI 53005-4425 | 2006-08-12 |
| 1982634671 | Daniel C Tanty | Internal Medicine | 13850 W Capitol Drive, Brookfield, WI 53005 | 2006-07-05 |
| 1316988397 | Ehtesham J Ghani | Internal Medicine | 9223 Ogden Avenue, Brookfield, IL 60513 | 2006-06-09 |
| 1457323065 | Eugene P Burke | Internal Medicine | Prohealth Care Medical Centers-brookfield, 2085 N. Calhoun Road, Brookfield, WI 53005 | 2006-02-07 |
| 1326010026 | Patrick T Fitzgerald | Internal Medicine | 21700 Intertech Dr, Brookfield, WI 53045-5197 | 2006-02-06 |
| Find all providers in BROOKFIELD | ||||
| City | BROOKFIELD |
| Zip Code | 53005 |
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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.