DR. WENDY JIN (NPI# 1881012615) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1881012615 |
Entity Type | Individual |
Full Name | DR. WENDY JIN |
Credential | M.D. |
Practice Address |
3102 Meriter Way Madison WI 53719-5833 |
Mailing Address |
202 S Park St Madison WI 53715-1507 |
Practice Telephone | 6084178300 |
Practice Fax Number | 6084178801 |
Mailing Telephone | 6084173886 |
Enumeration Date | 2014-03-29 |
Last Update Date | 2020-07-28 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 208000000X | Pediatrics | MD187563 | OR | Allopathic & Osteopathic Physicians |
Y | 208000000X | Pediatrics | 73355 | WI | Allopathic & Osteopathic Physicians |
N | 208000000X | Pediatrics | 35129256 | OH | Allopathic & Osteopathic Physicians |
Street Address |
3102 MERITER WAY |
City | MADISON |
State | WI |
Zip Code | 53719-5833 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003883786 | N Thomas Casper | Internal Medicine | 3102 Meriter Way, Madison, WI 53719-5833 | 2006-03-02 |
1154877165 | Kimberly Curran | Nurse Practitioner | 3102 Meriter Way, Madison, WI 53719-5833 | 2016-08-30 |
1144412909 | Meghan Mcgowan | Obstetrics & Gynecology | 3102 Meriter Way, Madison, WI 53719-5833 | 2007-08-15 |
1568579936 | Arpad S Olajos | Internal Medicine | 3102 Meriter Way, Madison, WI 53719-5833 | 2006-08-23 |
1518903897 | Dana M Johnson | Pediatrics | 3102 Meriter Way, Madison, WI 53719-5833 | 2006-06-22 |
1487699674 | George A Idarraga | Pediatrics | 3102 Meriter Way, Madison, WI 53719-5833 | 2006-06-19 |
1760422711 | Karen A. Reed | Family Medicine | 3102 Meriter Way, Madison, WI 53719-5833 | 2006-06-07 |
1841242674 | Wendy R Mortimore | Internal Medicine | 3102 Meriter Way, Madison, WI 53719-5833 | 2006-05-17 |
1013986199 | Robert A Golden | Family Medicine | 3102 Meriter Way, Madison, WI 53719-5833 | 2006-03-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689271801 | Jessica Seidel | Registered Nurse | 1015 Gammon Lane, Madison, WI 53719 | 2020-10-01 |
1376168989 | 360 Wellness LLC | Physical Therapist | 504 S Yellowstone Lane, Madison, WI 53719 | 2020-06-09 |
1932744067 | Sara Ruiz | Marriage & Family Therapist | Clock Tower Office Park, 6333 Odana Rd, #20, Madison, WI 53719 | 2019-11-13 |
1700436466 | David R. Gosling | Counselor | 702 South High Point Road #209, Madison, WI 53719 | 2019-09-16 |
1285289587 | Clifton Leo Davis Jr. | Counselor | 6417 O Dana Rd #5, Madison, WI 53719 | 2019-08-05 |
1679127278 | Akillah Jamillah Wali | Psychologist | 6417 Odana Rd Suite 5, Madison, WI 53719 | 2019-07-31 |
1689230211 | Brandy Georgecopeland | Marriage & Family Therapist | 6417 Odana Rd. Ste 5, Madison, WI 53719 | 2019-05-20 |
1275016826 | Kelsey Andersen | Physical Therapist | 504 S. Yellowstone Lane, Madison, WI 53719 | 2018-09-10 |
1740797190 | Catelyn Schwerke | Social Worker | 3848 Maple Grove Dr, Apt 307, Madison, WI 53719 | 2018-01-08 |
1922519008 | Mary Jane Cruz Delorme | Registered Nurse | 6831 Mader Dr. #210, #210, Madison, WI 53719 | 2017-10-17 |
Find all providers in zip 53719 |
Taxonomy Code | 208000000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255947297 | Gluckstadt Tc Kids, LLC | Pediatrics | 101 Lexington Dr Ste A, Madison, MS 39110-6986 | 2020-09-16 |
1417488180 | Erin Olsen Pierce | Pediatrics | 8490 Highway 72 W Ste 100, Madison, AL 35758-9575 | 2017-03-24 |
1396193454 | Helen Gerseny Waterman | Pediatrics | 123 E Mifflin St Apt 200, Madison, WI 53703-2810 | 2016-05-31 |
1093193690 | Ashley Przybilla | Pediatrics | Group Health Cooperative of South Central Wisconsin, 675 West Washington Avenue, Madison, WI 53703 | 2015-05-14 |
1780070086 | Christina Amend | Pediatrics | American Family Childrens Hospital 600 Highland Ave, Madison, WI 53792 | 2015-04-13 |
1093109316 | Justin M. Lay | Pediatrics | 7726 Old Canton Road, Madison, MS 39110 | 2015-03-25 |
1740617414 | Claudette Onyelobi Adegboro | Pediatrics | 1010 Mound St, Room 414, Madison, WI 53715-1532 | 2013-09-26 |
1659660330 | Christina Hanowsky Bryndzia | Pediatrics | Uw Hospitals and Clinics, 600 Highland Avenue, Madison, WI 53792-0001 | 2011-04-01 |
1225357122 | Andrea R Carberry | Pediatrics | American Family Childrens, 600 Highland Ave, H4/4 Mc: 4108, Madison, WI 53792-0001 | 2010-05-18 |
1649413550 | Maud Hillevi Regne-karlsson | Pediatrics | 3503 Gregory St, Madison, WI 53711-1727 | 2009-04-08 |
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.