KERRY COENEN (NPI# 1902271190) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902271190 |
| Entity Type | Individual |
| Full Name | KERRY COENEN |
| Credential | CST/CSFA |
| Practice Address |
2400 Pine Ridge Blvd Wausau WI 54401-7803 |
| Practice Telephone | 7158472022 |
| Practice Fax Number | 7158472775 |
| Mailing Telephone | 7158472022 |
| Mailing Fax Number | 7158472775 |
| Enumeration Date | 2015-12-14 |
| Last Update Date | 2015-12-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZC0007X |
Specialist/Technologist, Other Specialization: Surgical Assistant |
Technologists, Technicians & Other Technical Service Providers |
| Street Address |
2400 PINE RIDGE BLVD |
| City | WAUSAU |
| State | WI |
| Zip Code | 54401-7803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558363432 | James P. Binder | Surgery | 2400 Pine Ridge Blvd, Wausau, WI 54401-7803 | 2005-08-11 |
| 1760080584 | Sabrina Pfannsmith | Specialist/Technologist, Other | 2400 Pine Ridge Blvd, Wausau, WI 54401-7803 | 2020-10-14 |
| 1952961633 | Ellen A Humberston | Physician Assistant | 2400 Pine Ridge Blvd, Wausau, WI 54401-7803 | 2019-06-16 |
| 1154816437 | Anthony Vincent Hull | Physician Assistant | 2400 Pine Ridge Blvd, Wausau, WI 54401-7803 | 2018-06-28 |
| 1144733742 | Sarah Adams | Specialist/Technologist, Other | 2400 Pine Ridge Blvd, Wausau, WI 54401-7803 | 2017-11-06 |
| 1982129888 | Suzanne Solin | Physician Assistant | 2400 Pine Ridge Blvd, Wausau, WI 54401 | 2017-08-11 |
| 1528514338 | Joan Spindler | Specialist/Technologist, Other | 2400 Pine Ridge Blvd, Wausau, WI 54401-7803 | 2016-08-31 |
| 1083160865 | Linda Blume | Specialist/Technologist, Other | 2400 Pine Ridge Blvd, Wausau, WI 54401-7803 | 2016-08-31 |
| 1447593835 | Jeremiah Olson | Surgery | 2400 Pine Ridge Blvd, Wausau, WI 54401 | 2013-04-03 |
| 1114261591 | Stacey Rae Lejeune | Surgery | 2400 Pine Ridge Blvd, Wausau, WI 54401-7803 | 2012-11-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164031464 | Central Wisconsin Endodontic Specialists LLC | Dentist | 2606 Stewart Avenue, #102, Wausau, WI 54401 | 2020-07-23 |
| 1376161976 | Family Foot and Ankle Clinic LLC | Podiatrist | 1901 Westwood Boulevard, Wausau, WI 54401 | 2020-07-09 |
| 1336701895 | Amy Kluetz | Counselor | 3000 Westhill Drive, Suite 100, Wausau, WI 54401 | 2019-07-05 |
| 1437640877 | Joseph T Fitz | Student in an Organized Health Care Education/Training Program | Aspirus Wausau Family Medicine, 425 Wind Ridge Drive, Wausau, WI 54401 | 2018-05-22 |
| 1699293241 | Amanda Nedd | Dietitian, Registered | 425 Pine Ridge Boulevard Suite 220 C, Wausau, WI 54401 | 2017-09-05 |
| 1396287447 | Dee Cha | Nurse Anesthetist, Certified Registered | 4851 Rachel Ln Apt 5, Wausau, WI 54401 | 2016-11-07 |
| 1013389618 | Grace Lutheran Foundation Inc | Skilled Nursing Facility | 2727 Plaza Dr., Wausau, WI 54401 | 2015-10-22 |
| 1881091163 | Judy Lao | Dental Hygienist | 413 North 17th Avenue, Wausau, WI 54401 | 2014-12-02 |
| 1295012011 | Allison Waraksa | Pharmacist | 504 S. 17th Ave, Wausau, WI 54401 | 2011-11-08 |
| 1881974053 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 504 S 17th Ave, Wausau, WI 54401 | 2011-08-19 |
| Find all providers in zip 54401 | ||||
| Taxonomy Code | 246ZC0007X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Surgical Assistant |
| A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training. |
| Notes: Source: Association of Surgical Assistants, 2014. [7/1/2014: title modified, definition modified] http://www.surgicalassistant.org/index.php/surgical-assisting Additional Resources: National Surgical Assistant Association, www.nsaa.net. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033452503 | Allen Limberg | Specialist/Technologist, Other | 1200 Pintail Ln, Wausau, WI 54401-8110 | 2013-04-02 |
| 1760080584 | Sabrina Pfannsmith | Specialist/Technologist, Other | 2400 Pine Ridge Blvd, Wausau, WI 54401-7803 | 2020-10-14 |
| 1659853505 | Sean Witz | Specialist/Technologist, Other | 3300 Westhill Dr, Wausau, WI 54401 | 2018-09-06 |
| 1003316167 | Mary E Blemke | Specialist/Technologist, Other | 3200 Westhill Dr Ste 201, Wausau, WI 54401-4705 | 2018-02-15 |
| 1144733742 | Sarah Adams | Specialist/Technologist, Other | 2400 Pine Ridge Blvd, Wausau, WI 54401-7803 | 2017-11-06 |
| 1396283974 | Carol Gliszinski | Specialist/Technologist, Other | 3200 Westhill Dr, Suite 201, Wausau, WI 54401-4705 | 2017-02-03 |
| 1528514338 | Joan Spindler | Specialist/Technologist, Other | 2400 Pine Ridge Blvd, Wausau, WI 54401-7803 | 2016-08-31 |
| 1083160865 | Linda Blume | Specialist/Technologist, Other | 2400 Pine Ridge Blvd, Wausau, WI 54401-7803 | 2016-08-31 |
| 1891121687 | First Assist LLC | Specialist/Technologist, Other | 1200 Pintail Ln, Wausau, WI 54401-8110 | 2013-09-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124673611 | Kim Marie Kummrow | Specialist/Technologist, Other | 9000 W Wisconsin Ave Ste 360, Milwaukee, WI 53226-4874 | 2019-08-02 |
| 1740701614 | Gaylene Heaton | Specialist/Technologist, Other | 502 Copper St Ste 5, Hurley, WI 54534-1386 | 2017-06-30 |
| 1801330709 | Ann Nollet | Specialist/Technologist, Other | 2876 E Carlson Rd, Foxboro, WI 54836-9511 | 2016-12-12 |
| 1730635061 | Melissa Kristof | Specialist/Technologist, Other | 1821 Sounth Webster Ave., Green Bay, WI 54301 | 2016-08-28 |
| 1497150866 | Jonathan Ratzel | Specialist/Technologist, Other | 330 Brookside Dr Unit 1, Mayville, WI 53050-2855 | 2014-10-28 |
| 1932440989 | Superior Surgical Services, LLC | Specialist/Technologist, Other | 3121 Oak Knoll Dr, Apt 4, Eau Claire, WI 54701-6400 | 2013-03-14 |
| 1457618472 | Andreas Konrad Haase | Specialist/Technologist, Other | 3705 County Road H Apt 5, Franksville, WI 53126-9332 | 2012-04-15 |
| 1710265913 | Katherine Marie Holsclaw | Specialist/Technologist, Other | 18200 W Capitol Dr, Brookfield, WI 53045-1445 | 2011-07-22 |
| 1235432931 | Vickie L Kutzler | Specialist/Technologist, Other | 10400 75 Th Street, Kenosha, WI 53142-7884 | 2010-12-19 |
| 1316247489 | Christopher A Stevenson | Specialist/Technologist, Other | N8556 622nd St, Colfax, WI 54730-4610 | 2010-10-23 |
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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.