DR. MAUREEN A KIDD (NPI# 1811912488) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811912488 |
| Entity Type | Individual |
| Full Name | DR. MAUREEN A KIDD |
| Credential | MD |
| Practice Address |
1619 N Stoughton Rd Madison WI 53704-2603 |
| Practice Telephone | 6082441213 |
| Mailing Telephone | 6082441213 |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2019-01-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 50325-020 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 1811912488 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265538771 | Maureen Laneal Kidd | Speech-Language Pathologist | 830 S Addison Ave, Villa Park, IL 60181-2877 | 2006-09-15 |
| Street Address |
1619 N STOUGHTON RD |
| City | MADISON |
| State | WI |
| Zip Code | 53704-2603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295334878 | Marquis Luis Sanabrais | Physical Medicine & Rehabilitation | 1619 N Stoughton Rd, Madison, WI 53704-2603 | 2020-10-23 |
| 1659922656 | Andrew Jend | Clinic/Center | 1619 N Stoughton Rd, Madison, WI 53704-2603 | 2019-09-23 |
| 1154702108 | Julianne Harari | Physical Therapist | 1619 N Stoughton Rd, Madison, WI 53704-2603 | 2015-06-16 |
| 1356461743 | James R. Todd | Physical Therapist | 1619 N Stoughton Rd, Madison, WI 53704-2603 | 2007-03-30 |
| 1861512352 | James W. Hurley | Preventive Medicine | 1619 N Stoughton Rd, Madison, WI 53704-2603 | 2007-03-30 |
| 1023138419 | Michael J. Bortoli | Preventive Medicine | 1619 N Stoughton Rd, Madison, WI 53704-2603 | 2007-03-30 |
| 1720111834 | Occupational Health Centers of Southwest Pa. | Clinic/Center | 1619 N Stoughton Rd, Madison, WI 53704-2603 | 2007-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407369614 | Joseph Michael Oakley II | Chiropractor | 2801 International Ln Ste 102, Madison, WI 53704 | 2017-11-09 |
| 1972015048 | Suzanne Lee | Psychiatry & Neurology | 1835 Winnebago St. #402, Madison, WI 53704 | 2017-10-30 |
| 1831554021 | Gideon Kazah | Licensed Practical Nurse | 2488 Dahle Street, Madison, WI 53704 | 2015-12-15 |
| 1174952220 | Group Health Cooperative of South Central Wisconsin Madison College | Durable Medical Equipment & Medical Supplies | 1705 Hoffman Street, Madison, WI 53704 | 2013-11-08 |
| 1407190127 | Ashley Marie Snyder | Social Worker | 5203 Autumn Leaf Lane, Apt. 389, Madison, WI 53704 | 2012-11-19 |
| 1619230638 | Dawn Lynette Butts | Optometrist | 4208 E Washington Ave, Madison, WI 53704 | 2012-06-25 |
| 1679865992 | Sharon Kelley | Psychologist | 1213 N. Sherman Ave, Suite 334, Madison, WI 53704 | 2011-05-04 |
| 1578730412 | St. Charles Youth & Family Services | Community Based Residential Treatment Facility, Mental Illness | 310 Troy Dr, Cottage B, Madison, WI 53704 | 2008-05-09 |
| 1538346960 | Elizabeth Ann Reiser-loeber | Dentist | 1001 N. Sherman Ave, Madison, WI 53704 | 2008-01-28 |
| 1861683088 | Stephen Dale Flach | Internal Medicine | Covance, 3402 Kinsman Blvd, Madison, WI 53704 | 2007-08-05 |
| Find all providers in zip 53704 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356847644 | Laura K Krecko | Surgery | Uw Hospital and Clinics 600 Highland Avenue, Madison, WI 53792-0001 | 2018-04-04 |
| 1447785332 | Patrick Beard Schwartz | Surgery | Uw Hopsitals and Clinics, 600 Highland Ave., Madison, WI 53792-0001 | 2017-04-27 |
| 1144648346 | Juan Sebastian Danobeitia | Surgery | Uw Hospital and Clinics 600 Highland Ave H4, Madison, WI 53792-0001 | 2014-04-03 |
| 1023339496 | Amir Ali Rahnemai Azar | Surgery | 3326 University Ave, Madison, WI 53705-2152 | 2010-06-18 |
| 1710132469 | Veeraiah Siripurapu | Surgery | 1041 Balch Rd Ste 350, Madison, AL 35758 | 2008-11-21 |
| 1811140049 | George Philip Steinmetz Jr. | Surgery | 2820 Marshall Court, #10, Madison, WI 53705-2270 | 2008-10-31 |
| 1164550448 | Marc A Young | Surgery | 605 Yosemite Pl, Madison, WI 53705-2443 | 2007-03-01 |
| 1205856663 | Arnulfo Abat Agbunag | Surgery | 1114 Gallatin Pike N, Madison, TN 37115-2738 | 2006-07-20 |
| 1558307157 | Leon G Michl | Surgery | 1801 Clifty Dr, Madison, IN 47250-1627 | 2006-06-21 |
| 1063401925 | Charlie E Richardson | Surgery | 309 Ne Marion St, Madison, FL 32340-2511 | 2005-10-13 |
| Find all providers in MADISON | ||||
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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.