DR. TIMOTHY KUCKUK (NPI# 1558848325) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558848325 |
| Entity Type | Individual |
| Full Name | DR. TIMOTHY KUCKUK |
| Credential | AU.D. |
| Practice Address |
N6444 Riverview Rd Plymouth WI 53073-3507 |
| Practice Telephone | 9202079659 |
| Mailing Telephone | 9202079659 |
| Enumeration Date | 2018-07-25 |
| Last Update Date | 2018-07-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | 672-156 | WI | Speech, Language and Hearing Service Providers |
| Street Address |
N6444 RIVERVIEW RD |
| City | PLYMOUTH |
| State | WI |
| Zip Code | 53073-3507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245889914 | Patricia M. Stone | Technician | 440 Stoneybrook Lane, Plymouth, WI 53073 | 2019-09-05 |
| 1801387501 | Kwon Yang | Dentist | W 9071 Forest Drive, Plymouth, WI 53073 | 2018-05-29 |
| 1396258752 | Advanced Dental Care Clinic Sc | Clinic/Center | 62 S Pleasant View Road, Plymouth, WI 53073 | 2017-11-08 |
| 1164888004 | Lukresse Tatiana Kouam Tchuendem | Registered Nurse | 236 N Milwaukee St, Plymoth, WI 53073 | 2016-01-07 |
| 1831447424 | Lori Ann Schuette | Registered Nurse | 406 Summit Street, Plymouth, WI 53073 | 2012-08-29 |
| 1821360967 | Kristine Marie Van Ess | Case Manager/Care Coordinator | 7135 Rocky Knoll Pkwy, Plymouth, WI 53073 | 2012-02-06 |
| 1750699708 | Shannon Diamond | Physical Therapist | 825 Walton Drive, Plymouth, WI 53073 | 2010-09-23 |
| 1306088265 | Lacey Lyn Schafer | Nurse Practitioner | W9071 Forest Dr, Plymouth, WI 53073 | 2009-03-24 |
| 1275780868 | Stella D. Kaas-lallensack | Occupational Therapist | W5774 Garton Rd, Plymouth, WI 53073 | 2008-08-26 |
| 1912172248 | Judith A Nelson | Registered Nurse | N7116 County Road E, Plymouth, WI 53073 | 2008-04-28 |
| Find all providers in zip 53073 | ||||
| Taxonomy Code | 231H00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist |
| (1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master’s degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy. |
| Notes: Source: (1) American Speech-Language-Hearing Association, (1996, Spring) Scope of practice in Audiology, p. 2 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417422445 | Joelle Peterson | Audiologist | 12925 16th Ave N, Plymouth, MN 55441-4560 | 2018-10-05 |
| 1518118439 | Dempesy Audiology LLC Dba All Ears Hearing Center | Audiologist | 59 Industrial Park Rd., Plymouth, MA 02360-4868 | 2008-10-09 |
| 1609804889 | Amy Elizabeth Arnold | Audiologist | 705 S Main St Ste 101, Plymouth, MI 48170-1060 | 2006-06-28 |
| 1285670547 | Courtney Stone | Audiologist | 3030 Harbor Ln N, Ste 227, Plymouth, MN 55447-5157 | 2006-06-22 |
| 1649211863 | Pamela A Shafer | Audiologist | 412 Webster Ave, Plymouth, IN 46563-2751 | 2006-06-09 |
| 1477540755 | All Ears Hearing Center Inc | Audiologist | 59 Industrial Park Rd, Plymouth, MA 02360-4870 | 2005-10-03 |
| 1659366532 | Shirley Ann Fors | Audiologist | 12800 Industrial Park Blvd, #105, Plymouth, MN 55441-3974 | 2005-09-15 |
| 1871119503 | Sarah Lauren Cohen | Audiologist | 30 Aldrin Rd, Plymouth, MA 02360-4804 | 2020-06-18 |
| 1447758750 | Berger Audiology | Audiologist | 2930 Miller Dr, Plymouth, IN 46563-8083 | 2018-02-01 |
| 1306360276 | Megan Lewis | Audiologist | 30 Aldrin Rd, Plymouth, MA 02360-4804 | 2017-08-01 |
| Find all providers in PLYMOUTH | ||||
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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.