DR. MICHAEL PATRICK KEHOE (NPI# 1477870194) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477870194 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL PATRICK KEHOE |
| Credential | M.D. |
| Practice Address |
425 Pine Ridge Blvd Ste 305a Wausau WI 54401-4124 |
| Mailing Address |
2170 Serene Cir Brookfield WI 53045-4869 |
| Practice Telephone | 7158472626 |
| Mailing Telephone | 6082198045 |
| Enumeration Date | 2010-04-21 |
| Last Update Date | 2014-08-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 56370-20 | WI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134487168 | Michael Patrick Kehoe | Physician Assistant | 275 Century Circle, Suite 202, Louisville, CO 80027 | 2012-04-27 |
| 1083185268 | Michael Kehoe | Chiropractor | 8128 W 143rd St, Orland Park, IL 60462-2310 | 2018-12-16 |
| 1992299168 | Michael D Kehoe | Physical Therapist | 2720 8th St Sw Ste B, Altoona, IA 50009-1028 | 2018-06-20 |
| 1770639957 | Michael John Kehoe | Dentist | 112 S Main St, Romeo, MI 48065-5194 | 2007-01-28 |
| 1184718165 | Michael Kehoe | Social Worker | 3450 Oleary Ln, Eagan, MN 55123-2340 | 2006-10-03 |
| 1710908520 | Michael Kehoe | Radiology | 6150 West Layton Ave, Greenfield, WI 53220 | 2006-07-21 |
| 1992787709 | Michael L Kehoe | Social Worker | 11050 Mount Belvedere Blvd, Usa Meddac Attn: Credentials, Fort Drum, NY 13602-5438 | 2005-11-17 |
| Street Address |
425 PINE RIDGE BLVD STE 305A |
| City | WAUSAU |
| State | WI |
| Zip Code | 54401-4124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205192788 | Agnieszka Kubica Thompson | Dermatology | 425 Pine Ridge Blvd Ste 305a, Wausau, WI 54401-4124 | 2012-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164031464 | Central Wisconsin Endodontic Specialists LLC | Dentist | 2606 Stewart Avenue, #102, Wausau, WI 54401 | 2020-07-23 |
| 1376161976 | Family Foot and Ankle Clinic LLC | Podiatrist | 1901 Westwood Boulevard, Wausau, WI 54401 | 2020-07-09 |
| 1336701895 | Amy Kluetz | Counselor | 3000 Westhill Drive, Suite 100, Wausau, WI 54401 | 2019-07-05 |
| 1437640877 | Joseph T Fitz | Student in an Organized Health Care Education/Training Program | Aspirus Wausau Family Medicine, 425 Wind Ridge Drive, Wausau, WI 54401 | 2018-05-22 |
| 1699293241 | Amanda Nedd | Dietitian, Registered | 425 Pine Ridge Boulevard Suite 220 C, Wausau, WI 54401 | 2017-09-05 |
| 1396287447 | Dee Cha | Nurse Anesthetist, Certified Registered | 4851 Rachel Ln Apt 5, Wausau, WI 54401 | 2016-11-07 |
| 1013389618 | Grace Lutheran Foundation Inc | Skilled Nursing Facility | 2727 Plaza Dr., Wausau, WI 54401 | 2015-10-22 |
| 1881091163 | Judy Lao | Dental Hygienist | 413 North 17th Avenue, Wausau, WI 54401 | 2014-12-02 |
| 1295012011 | Allison Waraksa | Pharmacist | 504 S. 17th Ave, Wausau, WI 54401 | 2011-11-08 |
| 1881974053 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 504 S 17th Ave, Wausau, WI 54401 | 2011-08-19 |
| Find all providers in zip 54401 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447612312 | Andrew C Duncanson | Dermatology | 510 N 17th Ave Ste C, Wausau, WI 54401-4281 | 2016-03-22 |
| 1205192788 | Agnieszka Kubica Thompson | Dermatology | 425 Pine Ridge Blvd Ste 305a, Wausau, WI 54401-4124 | 2012-04-09 |
| 1427369396 | Solomon Shockman | Dermatology | 510 N 17th Ave, Suite C, Wausau, WI 54401-4200 | 2010-06-25 |
| 1700100559 | Norman F Deffner | Dermatology | 425 Pine Ridge Blvd, Suite 305a, Wausau, WI 54401-4123 | 2010-03-23 |
| 1043445620 | Aelayna Meyer | Dermatology | 510 N 17th Ave, Suite C, Wausau, WI 54401-4200 | 2009-05-26 |
| 1730291980 | William Owen | Dermatology | 2727 Plaza Drive, Wausau, WI 54401 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174016596 | Dermatology and Cosmetic Physicians, Sc | Dermatology | W5192 Rienzi Rd, Fond Du Lac, WI 54935-9603 | 2018-06-11 |
| 1194248013 | Kyle Erick Rudningen | Dermatology | Uw Hosptials & Clinics 600 Highland Ave, Madison, WI 53792 | 2017-07-23 |
| 1194255521 | Rhonda Ganansky | Dermatology | W1383 N Bloomfield Rd, Lake Geneva, WI 53147-4429 | 2017-06-18 |
| 1356891402 | Forefront Dermatology, S.c. | Dermatology | 1515 S Green Bay Rd, Racine, WI 53406 | 2016-10-12 |
| 1982066239 | Margaret Coleman Maxi | Dermatology | 188 Rockwood Ln Ste A, Neenah, WI 54956-1983 | 2016-03-25 |
| 1225411481 | Gabriela A Maloney | Dermatology | 17100 W North Ave Ste 200, Brookfield, WI 53005-4489 | 2015-07-07 |
| 1043604424 | Marthe Ngongang Dika | Dermatology | 10500 W Loomis Rd Ste 110, Franklin, WI 53132-8030 | 2015-03-24 |
| 1902205206 | Affiliated Dermatologists | Dermatology | N96w17035 Division Rd, Suite A, Germantown, WI 53022-6419 | 2014-08-22 |
| 1568882793 | Kassandra E Holzem | Dermatology | 195 Discovery Dr, Brookfield, WI 53045 | 2014-04-28 |
| 1205253242 | Namita Jain | Dermatology | 3003 W Good Hope Rd Ste 1-200, Milwaukee, WI 53209-2042 | 2014-03-27 |
| 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.