DR. CHARLES F KIDD (NPI# 1508834193) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508834193 |
| Entity Type | Individual |
| Full Name | DR. CHARLES F KIDD |
| Credential | MD |
| Practice Address |
2801 W. Kinnickinnic River Parkway Suite 370 Milwaukee WI 53215 |
| Practice Telephone | 4146726006 |
| Practice Fax Number | 4146726016 |
| Mailing Telephone | 4146726006 |
| Mailing Fax Number | 4146726016 |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2012-05-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 46512020 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 34472100 | 05 | |
| WI | MEDICARE RAILROAD | 340020435 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427046390 | Charles Edward Kidd Jr. | Surgery | 679 Middle Creek Rd, Sevierville, TN 37862-5014 | 2005-10-13 |
| 1154818805 | Charles J Kidd | Student in an Organized Health Care Education/Training Program | 8901 Wisconsin Ave, Bethesda, MD 20889-0004 | 2018-04-18 |
| 1396126165 | Charles Alexander Kidd | Internal Medicine | 207 Elk Ave S, Fayetteville, TN 37334-3051 | 2015-06-17 |
| Street Address |
2801 W. KINNICKINNIC RIVER PARKWAY SUITE 370 |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932489168 | Lauren K Konkel | Nurse Practitioner | 2801 W. Kinnickinnic River Parkway, Suite 777, Milwaukee, WI 53215 | 2011-08-19 |
| 1205151685 | Jennifer Susan Kickendahl | Anesthesiology | 2801 W. Kinnickinnic River Parkway, Suite 1030, Milwaukee, WI 53215 | 2010-03-29 |
| 1629212782 | Umang M Shah | Psychiatry & Neurology | 2801 W. Kinnickinnic River Parkway, Suite 570, Milwaukee, WI 53215 | 2009-04-20 |
| 1740203835 | Elizabeth N Traynor | Psychiatry & Neurology | 2801 W. Kinnickinnic River Parkway, Suite 630, Milwaukee, WI 53215 | 2006-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841829918 | Joshua Michael Brooks | Student in an Organized Health Care Education/Training Program | Aurora St. Lukes Medical Center 2901 W Oklahoma Ave, Milwaukee, WI 53215 | 2020-04-02 |
| 1053967091 | Kristina Strupp | Clinical Nurse Specialist | 2900 W. Oaklahoma Avenue, Milwaukee, WI 53215 | 2019-08-15 |
| 1427510296 | Madelyn Pickle | Student in an Organized Health Care Education/Training Program | 2801 W. Kinnickinnic Rd Ste 250, Milwaukee, WI 53215 | 2019-04-02 |
| 1932601838 | Elizabeth D Morawski | Nurse Practitioner | 2801 Kinnickinnic Parkway, Suite 630, Milwaukee, WI 53215 | 2018-03-06 |
| 1457872673 | Canzata Kimberly Dent | Counselor | 2727 W. Cleveland Suite 204, Milwaukee, WI 53215 | 2017-06-28 |
| 1538689955 | Christian Pena | Durable Medical Equipment & Medical Supplies | 2800 W Forest Home Ave, Suite 100, Milwaukee, WI 53215 | 2017-06-27 |
| 1386178804 | Dane A Olsen | Family Medicine | 801 W Kinnickinnic River Pkwy., Suite 250, Milwaukee, WI 53215 | 2017-04-12 |
| 1811443492 | Thomas Diamond | Physical Therapist | 2901 Kinnickinnic Parkway, Milwaukee, WI 53215 | 2016-09-01 |
| 1487055133 | Sam Khalili | Otolaryngology | 2801 W Kinnickinnic River Pkwy # 680, Milwaukee, WI 53215 | 2014-09-12 |
| 1992105621 | Nicole R Hall | Nurse Practitioner | 2901 S Kinnickinnic Ave, Milwaukee, WI 53215 | 2014-08-29 |
| Find all providers in zip 53215 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376793240 | Raymond Harkavy | Urology | 9440 N. Broadmoor Road, Milwaukee, WI 53217-1309 | 2008-09-26 |
| 1356591978 | Randle E Pollard | Urology | 1233 N. Marshall St., #274, Milwaukee, WI 53202 | 2008-09-19 |
| 1295990190 | Charles Leonard Weisenthal | Urology | 1610 N. Prospect Av., 602, Milwaukee, WI 53202 | 2008-07-21 |
| 1962400234 | Emmanuel Sison Manuel | Urology | 3201 S 16th St, Ste 1015, Milwaukee, WI 53215-4537 | 2005-07-12 |
| 1164886644 | Jacob Jipp | Urology | 8701 W Watertown Plank Rd, Milwaukee, WI 53226-3548 | 2016-04-11 |
| 1194133272 | Sophie Ramsay | Urology | 9000 W Wisconsin Ave, Pediatric Urology, Milwaukee, WI 53226-4874 | 2014-08-01 |
| 1619381480 | Susan Jarosz | Urology | 9000 W Wisconsin Ave, Milwaukee, WI 53226-4874 | 2014-06-19 |
| 1063839512 | Kelly Ashton Walker | Urology | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2014-03-22 |
| 1447695317 | Graham Luke Machen | Urology | 9200 W Wisconsin Ave, Milwaukee, WI 53226 | 2013-05-06 |
| 1689917650 | Meghan Brown Schaefer | Urology | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2013-03-28 |
| Find all providers in MILWAUKEE | ||||
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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.