JOHN S PALLIN (NPI# 1790842631) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790842631 |
| Entity Type | Individual |
| Full Name | JOHN S PALLIN |
| Credential | M.D. |
| Practice Address |
10117 74th St Suite 150 Kenosha WI 53142-7533 |
| Practice Telephone | 2626977770 |
| Practice Fax Number | 2626977771 |
| Mailing Telephone | 2626977770 |
| Mailing Fax Number | 2626977771 |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 29659020 | WI | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 21255800 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558344515 | John L Pallin | Otolaryngology | 1628 N Mckenzie St, Foley, AL 36535-2248 | 2005-11-23 |
| Street Address |
10117 74TH ST SUITE 150 |
| City | KENOSHA |
| State | WI |
| Zip Code | 53142-7533 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770540130 | Kenosha Radiology Center LLC. | Clinic/Center | 10117 74th St, Suite 150, Kenosha, WI 53142-7533 | 2006-04-28 |
| 1770853574 | Theresa N Otu | Counselor | 10117 74th St, Suite 100, Kenosha, WI 53142-7533 | 2012-01-10 |
| 1336353572 | Susan Mueller | Counselor | 10117 74th St, Suite 100, Kenosha, WI 53142-7533 | 2007-05-09 |
| 1780707232 | Stacey Wright | Marriage & Family Therapist | 10117 74th St, Suite 100, Kenosha, WI 53142-7533 | 2007-04-09 |
| 1770640617 | Jane Cary Pallin | Specialist | 10117 74th St, Suite 150, Kenosha, WI 53142-7533 | 2007-01-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588297816 | Caring Hearts Home Health Care | In Home Supportive Care | 6021-57th Ave, Suite C103, Kenosha, WI 53142 | 2020-02-14 |
| 1144785395 | Michael L Wrzesinski | Counselor | 4109 67th Street, Kenosha, WI 53142 | 2019-02-01 |
| 1720538499 | David Smith | Counselor | 10900 67th Street, Kenosha, WI 53142 | 2016-10-06 |
| 1326404641 | Smile Doctors Ltd | Dentist | 7003 39th Ave, Kenosha, WI 53142 | 2016-01-04 |
| 1225409485 | Antonia Marie Decker | Physician Assistant | 10400 75th St. Ste 204, Kenosha, WI 53142 | 2015-10-14 |
| 1780060582 | Joshua Haas | Pharmacist | 7701 Green Bay Road, Kenosha, IL 53142 | 2015-08-04 |
| 1811379225 | Dana Mary Stout | Registered Nurse | 7401 104th Avenue, Suite 110, Comprehensive Orthopaedics, S.c., Kenosha, WI 53142 | 2015-06-22 |
| 1669815569 | Joshua Knute Elson | Radiology | 6811 118th Ave, Kenosha, WI 53142 | 2013-04-10 |
| 1356610166 | Michael J Gallo | Pharmacist | 7535 North Greenbay Rd, Kenosha, WI 53142 | 2011-12-22 |
| 1720357999 | Orest Carnevale | Registered Nurse | 7316 155th Ct, Kenosha, WI 53142 | 2011-12-18 |
| Find all providers in zip 53142 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396120051 | Kristin Lindstrom | Specialist | 4000 16th Ave, Kenosha, WI 53140-2445 | 2015-07-23 |
| 1922258540 | Kenosha Vascular Laboratory | Specialist | 6308 8th Ave Ste 301, Kenosha, WI 53143-5031 | 2008-09-19 |
| 1194903518 | Midwest Center for Women's Health | Specialist | 10222 74th St Ste 200, Kenosha, WI 53142-6810 | 2008-02-07 |
| 1003967761 | Fred C Chiappetta | Specialist | 6821 39th Ave, Kenosha, WI 53142-7127 | 2007-01-16 |
| 1588650774 | Elizabeth Anne Fifield | Specialist | 10222 74th Street, Suite 200, Kenosha, WI 53142-6800 | 2005-09-22 |
| 1134360084 | Carol Margaret Michels | Specialist | 4103 60th St, Kenosha, WI 53144-2509 | 2009-03-23 |
| 1023262060 | Cook Medical Associates, Ltd | Specialist | 6308 8th Ave Ste 301, Kenosha, WI 53143-5031 | 2008-11-04 |
| 1932375466 | Rene Rillorta | Specialist | 3415 Sheridan Rd, Kenosha, WI 53140-1924 | 2008-05-05 |
| 1427185255 | Cook Medical Assoc Ltd | Specialist | 6308 8th Ave, Suite 301, Kenosha, WI 53143-5031 | 2007-02-28 |
| 1033246152 | Kenosha Vascular Lab Inc | Specialist | 6308 8th Ave, Suite 301, Kenosha, WI 53143-5031 | 2007-02-27 |
| Find all providers in KENOSHA | ||||
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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.