BASEL KATERJI (NPI# 1508152315) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508152315 |
| Entity Type | Individual |
| Full Name | BASEL KATERJI |
| Credential | MD |
| Practice Address |
1818 N Meade St Appleton WI 54911-3454 |
| Mailing Address |
1025 S 6th St Springfield IL 62703-2403 |
| Practice Telephone | 9207386546 |
| Practice Fax Number | 9207386329 |
| Mailing Telephone | (217) 528-7541 |
| Enumeration Date | 2011-06-21 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 62123 | WI | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 036135416 | IL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 20613 N Broad St, Carlinville, IL 626263717 | 2175287541 | 2178546192 |
| Street Address |
1818 N MEADE ST |
| City | APPLETON |
| State | WI |
| Zip Code | 54911-3454 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588666853 | Appleton Emergency Services S C | Emergency Medicine | 1818 N Meade St, Appleton, WI 54911-3454 | 2005-06-01 |
| 1720691553 | Katie Jo Bares | Physical Therapist | 1818 N Meade St, Appleton, WI 54911-3454 | 2020-08-31 |
| 1306454053 | Samantha L Thiede | Nurse Practitioner | 1818 N Meade St, Appleton, WI 54911-3454 | 2020-07-20 |
| 1346867272 | Lauren Renee Schauer | Registered Nurse | 1818 N Meade St, Appleton, WI 54911-3454 | 2020-06-26 |
| 1790309755 | Lane Baumbach | Dietitian, Registered | 1818 N Meade St, Appleton, WI 54911-3454 | 2020-06-04 |
| 1326661026 | Thedacare Regional Medical Center - Appleton, Inc. | Medicare Defined Swing Bed Unit | 1818 N Meade St, Appleton, WI 54911-3454 | 2020-05-28 |
| 1568095016 | Samantha Putzer | Physician Assistant | 1818 N Meade St, Appleton, WI 54911-3454 | 2020-02-12 |
| 1083245120 | Krystina L Putnam | Registered Nurse | 1818 N Meade St, Appleton, WI 54911-3454 | 2020-01-28 |
| 1366097040 | Kelsey G Alt | Physician Assistant | 1818 N Meade St, Appleton, WI 54911-3454 | 2019-08-08 |
| 1528611217 | Abigail M Witthuhn | Physician Assistant | 1818 N Meade St, Appleton, WI 54911-3454 | 2019-07-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912545633 | Brotherly Love, LLC | Day Training, Developmentally Disabled Services | 1513 E Frances St, Appleton, WI 54911 | 2019-12-12 |
| 1952952129 | Eagle Point Senior Living Inc | Assisted Living Facility | 995 East John Street, Appleton, WI 54911 | 2019-09-27 |
| 1619524766 | University Rx LLC | Pharmacy | 133 E College Ave, Appleton, WI 54911 | 2019-08-23 |
| 1174080063 | Shayla Russell | Counselor | Outagamie County Health and Human Services, 320 S. Walnut St., Appleton, WI 54911 | 2019-02-27 |
| 1871086645 | Megan Kilsdonk | Health Educator | 1604 N Meade St, Appleton, WI 54911 | 2018-06-07 |
| 1871085480 | Tanya Lynn Vickery | Social Worker | 410 S. Elm St., Appleton, WI 54911 | 2018-05-31 |
| 1013407501 | Teri G Metropulos | Counselor | 229 S. Morrison, Appleton, WI 54911 | 2018-05-10 |
| 1093211211 | Bonnie Anne Korytkowski | Student in an Organized Health Care Education/Training Program | 229 S. Morrison Street, Appleton, WI 54911 | 2018-04-05 |
| 1639673940 | Brett Follett | Psychologist | 401 S. Elm St., Appleton, WI 54911 | 2018-03-21 |
| 1700202892 | Brian Withrow | Counselor | 607 West 7th St., Appleton, WI 54911 | 2014-03-13 |
| Find all providers in zip 54911 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972951127 | Hillary Herman | Pediatrics | 1506 S Oneida St Fl 5, Appleton, WI 54915-1305 | 2016-05-27 |
| 1831140326 | Kevin J Hayes | Pediatrics | W5282 Amy Ave, Appleton, WI 54915-7233 | 2006-05-12 |
| 1023010543 | Patricia M Callahan | Pediatrics | 2701 E Enterprise Ave, Appleton, WI 54913-7729 | 2005-08-15 |
| 1669866505 | Abby L Smolcich | Pediatrics | W5282 Amy Ave, Appleton, WI 54915-7233 | 2015-03-27 |
| 1427186899 | Luke J Tremble | Pediatrics | 2701 E Enterprise Ave, Appleton, WI 54913-7729 | 2007-02-28 |
| 1184637795 | Sarah C Campbell | Pediatrics | 1506 S. Oneida Street, Pediatrics, Appleton, WI 54915-1569 | 2006-08-14 |
| 1346260338 | Hilary Webster | Pediatrics | 2701 E Enterprise Ave, Appleton, WI 54913-7729 | 2006-07-20 |
| 1316979008 | Wendy Barton | Pediatrics | 2701 E Enterprise Ave, Appleton, WI 54913-7729 | 2006-07-06 |
| 1306878970 | Michael Jakubowski | Pediatrics | 2701 E Enterprise Ave, Appleton, WI 54913-7729 | 2006-07-06 |
| 1447282017 | Jennifer A Hunt | Pediatrics | 2701 E Enterprise Ave, Appleton, WI 54913-7729 | 2006-07-06 |
| Find all providers in APPLETON | ||||
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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.