KATELYN JENELLE MOHRBACHER (NPI# 1659631919) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659631919 |
| Entity Type | Individual |
| Full Name | KATELYN JENELLE MOHRBACHER |
| Credential | MD |
| Practice Address |
2201 Lake Shore Dr E Ashland WI 54806 |
| Mailing Address |
2201 Lake Shore Dr E Ashland WI 54806-2331 |
| Practice Telephone | 7156856600 |
| Practice Fax Number | 7156856601 |
| Mailing Telephone | 7156856600 |
| Mailing Fax Number | 7156856601 |
| Enumeration Date | 2012-05-21 |
| Last Update Date | 2019-05-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 70653 | WI | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 56647 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | BCBS | 1659631919 | 01 |
| RR MEDICARE | P01224926 | 01 | |
| MN | 1659631919 | 05 | |
| MEDICA | 0001-0105078 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1210 1st St W, Hastings, MN 550331147 | 6514381800 |
| Street Address |
2201 LAKE SHORE DR E |
| City | ASHLAND |
| State | WI |
| Zip Code | 54806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962432161 | Sara Elaine Kylander-johnson | Physical Therapist | 2201 Lake Shore Dr E, Ashland, WI 54806 | 2006-07-04 |
| 1093194599 | Dana R Katchka | Nurse Practitioner | 2201 Lake Shore Dr E, Ashland, WI 54806 | 2015-05-29 |
| 1811383946 | Kristie Johnson | Family Medicine | 2201 Lake Shore Dr E, Ashland, WI 54806 | 2015-04-15 |
| 1093058505 | Jacey Leann Janz Vernoski | Physical Therapist | 2201 Lake Shore Dr E, Ashland, WI 54806 | 2013-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992236525 | Robin Jurgensen | Counselor | 1619 W Third Street, Ashland, WI 54806 | 2017-03-24 |
| 1922479195 | Alexa M Honstad | Registered Nurse | Memorial Medical Center, Inc, 1615 Maple Lane, Ashland, WI 54806 | 2015-10-14 |
| 1982032728 | Noel Hong | Pharmacist | 1800 Us Highway 2, Ashland, WI 54806 | 2013-10-14 |
| 1588909402 | Kelli Danielle Culver | Registered Nurse | 216 3rd St W Ste 201, Ashland, WI 54806 | 2012-12-04 |
| 1114191756 | Karen Keyes | Occupational Therapist | 1635 Maple Lane, Behavioral Health Services, Ashland, WI 54806 | 2008-04-15 |
| 1174645204 | Michael Allyn Turgeon | Social Worker | 517 Beaser Avenue, Ashland, WI 54806 | 2007-04-06 |
| 1770669269 | Laura Anton Ia Nitsche | Speech-Language Pathologist | 618 Beaser Avenue, Ashland, WI 54806 | 2006-10-27 |
| 1104915222 | Patrick Alan Hickman | Chiropractor | 400 East Lakeshore Drive, Ashland, WI 54806 | 2006-10-12 |
| 1386732113 | Janet Lee Sternat | Physical Therapist | 618 Beaser Ave, Cesa #12, Ashland, WI 54806 | 2006-10-10 |
| 1295743193 | Ashland Dental Clinic Inc | Dentist | 300 9th Ave W, Ashland, WI 54806 | 2006-08-04 |
| Find all providers in zip 54806 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588217947 | Aim Wellness LLC | Family Medicine | 844 Central Avenue, Ashland, KY 41101 | 2019-07-24 |
| 1619405453 | Mount Ashland Family Practice Inc | Family Medicine | 611 Siskiyou Blvd Ste 8, Ashland, OR 97520-2151 | 2017-05-24 |
| 1427583418 | Curators of The University of Missouri | Family Medicine | 101 Redtail Dr Ste C, Ashland, MO 65010-1140 | 2017-04-27 |
| 1043611015 | Bellefonte Physician Services, Inc. | Family Medicine | 2910 Carter Ave, Ashland, KY 41101-1943 | 2014-09-10 |
| 1497980254 | Brianne Clark | Family Medicine | 709 W Oak, Ashland, KS 67831 | 2009-05-22 |
| 1922246594 | Matthew Lewis | Family Medicine | 2910 Carter Ave., Ashland, KY 41101 | 2009-02-04 |
| 1194987461 | Luke Anthony Stephens | Family Medicine | 101 Redtail Dr, Ste C, Ashland, MO 65010-1180 | 2008-06-27 |
| 1104085174 | Renee C Schroeder | Family Medicine | 213 10th Ave W, Ashland, WI 54806-1328 | 2008-06-05 |
| 1396911327 | Sanjiv Gupta M.d. P.s.c. | Family Medicine | 101 Ashland Dr, Ashland, KY 41101-7001 | 2008-04-30 |
| 1013191477 | Jerome Stanford Nitzberg | Family Medicine | 273 Granite St, Ashland, OR 97520-2746 | 2007-12-20 |
| Find all providers in ASHLAND | ||||
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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.